Abstract
Reporting estimated glomerular filtration rate (eGFR) with serum creatinine simply provides the information for which the serum creatinine was ordered in the first place. Mass or universal screening is not the purpose of eGFR reporting. Furthermore, such mass screening does not seem justified. Rather, testing of high-risk groups with eGFR and urinary albumin is useful. Population estimates of the prevalence of chronic kidney disease in the United States that use the Kidney Disease Outcomes Quality Initiative staging system lead to disturbingly high estimates. Many of these people are elderly with marginally depressed GFRs and for whom there are no known therapeutic implications. However, an even more disturbing fraction of people with serious and progressive renal disease are not diagnosed, counseled, or treated. Reporting of eGFR is only one tool in attempting to rectify this latter problem. Nephrologists need to educate patients and their primary care colleagues in the use of this tool.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1569-1572 |
| Number of pages | 4 |
| Journal | Clinical Journal of the American Society of Nephrology |
| Volume | 3 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 2008 |
Fingerprint
ASJC Scopus subject areas
- Nephrology
- Transplantation
- Epidemiology
- Critical Care and Intensive Care Medicine
Cite this
eGFR : Is it ready for early identification of CKD? / Melamed, Michal L.; Bauer, Carolyn Ann; Hostetter, Thomas H.
In: Clinical Journal of the American Society of Nephrology, Vol. 3, No. 5, 09.2008, p. 1569-1572.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - eGFR
T2 - Is it ready for early identification of CKD?
AU - Melamed, Michal L.
AU - Bauer, Carolyn Ann
AU - Hostetter, Thomas H.
PY - 2008/9
Y1 - 2008/9
N2 - Reporting estimated glomerular filtration rate (eGFR) with serum creatinine simply provides the information for which the serum creatinine was ordered in the first place. Mass or universal screening is not the purpose of eGFR reporting. Furthermore, such mass screening does not seem justified. Rather, testing of high-risk groups with eGFR and urinary albumin is useful. Population estimates of the prevalence of chronic kidney disease in the United States that use the Kidney Disease Outcomes Quality Initiative staging system lead to disturbingly high estimates. Many of these people are elderly with marginally depressed GFRs and for whom there are no known therapeutic implications. However, an even more disturbing fraction of people with serious and progressive renal disease are not diagnosed, counseled, or treated. Reporting of eGFR is only one tool in attempting to rectify this latter problem. Nephrologists need to educate patients and their primary care colleagues in the use of this tool.
AB - Reporting estimated glomerular filtration rate (eGFR) with serum creatinine simply provides the information for which the serum creatinine was ordered in the first place. Mass or universal screening is not the purpose of eGFR reporting. Furthermore, such mass screening does not seem justified. Rather, testing of high-risk groups with eGFR and urinary albumin is useful. Population estimates of the prevalence of chronic kidney disease in the United States that use the Kidney Disease Outcomes Quality Initiative staging system lead to disturbingly high estimates. Many of these people are elderly with marginally depressed GFRs and for whom there are no known therapeutic implications. However, an even more disturbing fraction of people with serious and progressive renal disease are not diagnosed, counseled, or treated. Reporting of eGFR is only one tool in attempting to rectify this latter problem. Nephrologists need to educate patients and their primary care colleagues in the use of this tool.
UR - http://www.scopus.com/inward/record.url?scp=53749088208&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=53749088208&partnerID=8YFLogxK
U2 - 10.2215/CJN.02370508
DO - 10.2215/CJN.02370508
M3 - Article
VL - 3
SP - 1569
EP - 1572
JO - Clinical Journal of the American Society of Nephrology
JF - Clinical Journal of the American Society of Nephrology
SN - 1555-9041
IS - 5
ER -