A comparative analysis of formulae used for the estimation of glomerular filtration rate to determine the kidney function test in patients with chronic kidney disease

P. Agrawal, A. Gautam, N. Pursnani, M. Farooqui, Jitendra Doneria
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Abstract

There are many equations available for estimation of creatinine clearance, but regrettably, most of the formulae have many limitations. Prabhat's formula is a novel equation which provides appropriate values of creatinine clearance with the lesser or no limitations. The calculation can be done using the formula as follows: (i) CrCl = 100/(1.3 × S. Creatinine) × (0.8 if female) when age is between 30 and 40 years; (ii) CrCl = 100/(1.5 × S. Creatinine) × (0.8 if female) when age is between 41 and 50 years; and (iii) CrCl = 100/(1.8 × S. Creatinine) × (0.8 if female) if age >51 years. On the other hand, it is evident that using Prabhat's formula the calculated creatinine clearance is quite similar to the one that we get using other formulae for the same. Unlike other methods, this equation has no such limitations. The formula is quite reliable for calculating the creatinine clearance and estimating the kidney function test. However still, future studies with this formula in this field are very important and should focus on issues such as the elderly patients with decreased GFR and modification of this formula to get more accurate results.
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慢性肾病患者肾小球滤过率测定公式的比较分析
目前已有许多估算肌酐清除率的公式,但遗憾的是,大多数公式都有许多局限性。Prabhat公式是一个新颖的公式,它提供了适当的值的肌酐清除率与较小或没有限制。(1) 30 ~ 40岁时,CrCl = 100/(1.3 × S.肌酐)×(女性0.8);(ii) 41 ~ 50岁时,CrCl = 100/(1.5 × S.肌酐)×(女性0.8);(iii)年龄>51岁的CrCl = 100/(1.8 × S.肌酐)×(0.8,女性)。另一方面,很明显,使用Prabhat公式计算出的肌酐清除率与我们使用其他公式得到的结果非常相似。与其他方法不同,这个方程没有这样的限制。该公式对于计算肌酐清除率和估计肾功能试验值是相当可靠的。然而,该配方在该领域的未来研究仍然非常重要,应该关注老年患者GFR下降以及该配方的修改等问题,以获得更准确的结果。
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