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Correlation between cystatin C- and renal scan-determined glomerular filtration rate in children with spina bifida.

Abstract
We report on the relationships between serum cystatin C level, glomerular filtration rate (GFR) estimated from a cystatin C-based prediction equation (that of Filler and Lepage), GFR calculated by the Schwartz formula and technetium 99m-diethylene triamine penta-acetic acid ((99)Tc-DTPA)-determined GFR in 28 children with spina bifida. All children underwent measurement of height, weight, serum cystatin C level, and serum creatinine level at the time of their renal scan. The relationship between variables was assessed by Pearson correlation. Pearson correlation for the relationship between (99)Tc-DTPA GFR and GFR calculated by the cystatin C-based equation was significant and higher than that of the relationship between (99)Tc-DTPA GFR and GFR calculated by the Schwartz equation, which was not statistically significant. The correlation for Filler GFR was 0.42 (P = 0.03) and for Schwartz GFR was 0.21 (P = 0.28). Although we use renal scan determination of GFR as the best measure, and a creatinine-based formula as the most practical measure, perhaps a formula such as that published by Filler and Lepage, which is not dependent on anthropometric data, might be a more useful (and accurate) tool for establishing GFR in children with spina bifida.
AuthorsCatherine Morgan, Ambikaipakan Senthilselvan, Fiona Bamforth, Michael Hoskinson, Manjula Gowrishankar
JournalPediatric nephrology (Berlin, Germany) (Pediatr Nephrol) Vol. 23 Issue 2 Pg. 329-32 (Feb 2008) ISSN: 0931-041X [Print] Germany
PMID17922294 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • CST3 protein, human
  • Cerebrospinal Fluid Proteins
  • Cystatin C
  • Cystatins
  • Radiopharmaceuticals
  • Creatinine
  • Technetium Tc 99m Pentetate
Topics
  • Adolescent
  • Cerebrospinal Fluid Proteins (blood)
  • Child
  • Child, Preschool
  • Creatinine (blood)
  • Cystatin C
  • Cystatins (blood)
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Male
  • Radioisotope Renography
  • Radiopharmaceuticals
  • Regression Analysis
  • Spinal Dysraphism (blood, diagnostic imaging, physiopathology)
  • Technetium Tc 99m Pentetate

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