Determination of the glomerular filtration rate in patients with type 2 diabetes: An assessment of the agreement between Cr-EDTA plasma clearance and Tc-DTPA plasma clearance, Tc-DTPA renography and plasma creatinine prediction equation.
Τίτλος | Determination of the glomerular filtration rate in patients with type 2 diabetes: An assessment of the agreement between Cr-EDTA plasma clearance and Tc-DTPA plasma clearance, Tc-DTPA renography and plasma creatinine prediction equation. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Moralidis, E., Papanastasiou E., Didangelos T., Hilidis I., Siountas A., & Arsos G. |
Journal | Diabetes Res Clin Pract |
Volume | 161 |
Pagination | 108079 |
Date Published | 2020 Mar |
ISSN | 1872-8227 |
Λέξεις κλειδιά | Adult, Aged, Aged, 80 and over, Creatinine, Diabetes Mellitus, Type 2, Female, Glomerular Filtration Rate, Humans, Male, Middle Aged, Radioisotope Renography, Renal Insufficiency, Chronic, Technetium Tc 99m Pentetate, Young Adult |
Abstract | AIMS: To investigate the agreement of glomerular filtration rate (GFR) determination between Cr-ethylenediaminetetraacetic acid (Cr-EDTA) plasma clearance (GFR) and Tc-diethylenetriaminepentaacetic acid (Tc-DTPA) plasma clearance (GFR), the Gates Tc-DTPA renographic method (GFR) and the serum creatinine Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI, GFR) in patients with type 2 diabetes mellitus (T2DM).METHODS: Ninety-nine T2DM patients underwent GFR determinations simultaneously with Cr-EDTA and Tc-DTPA (using the slope-intercept technique and the Brochner-Mortensen correction) and also with GFR and GFR.RESULTS: In the comparison between GFR versus GFR, GFR and GFR, the Bland-Altman statistic provided 0.0 ± 13.2, 17.4* ± 28.8 and -5.9* ± 30.1 (*p < 0.001 for the difference from 0). Lin's concordance correlation coefficient showed substantial (0.976), poor (0.737) and poor (0.872) agreement, respectively. The proportion of the index results within the 30% and 10% of GFR measurements were 95% and 74% for GFR, 53% and 19% for GFR, and 83% and 26% for GFR, respectively.CONCLUSION: In T2DM patients, a clinically acceptable agreement is demonstrated between Cr-EDTA and Tc-DTPA plasma clearance for GFR measurements, suggesting conditional interchangeability between those compounds. Both the CKD-EPI prediction equation and the Gates' renographic method cannot assess GFR reliably, the latter appearing less unfailing than the former. |
DOI | 10.1016/j.diabres.2020.108079 |
Alternate Journal | Diabetes Res Clin Pract |
PubMed ID | 32057963 |