Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis

Background: Estimation of glomerular filtration rate (GFR) is usually determined from 24-hour urine collection, but it is time-consuming, and difficult in clinical practice. The authors attempted to select an accurate and safe, but more convenient test to obtain an estimated GFR. Objective: To compa...

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Main Authors: Bancha Satirapoj, Ouppatham Supasyndh, Jayanton Patumanond, Punbuppa Choovichian
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Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/61820
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spelling th-cmuir.6653943832-618202018-09-11T08:59:40Z Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis Bancha Satirapoj Ouppatham Supasyndh Jayanton Patumanond Punbuppa Choovichian Medicine Background: Estimation of glomerular filtration rate (GFR) is usually determined from 24-hour urine collection, but it is time-consuming, and difficult in clinical practice. The authors attempted to select an accurate and safe, but more convenient test to obtain an estimated GFR. Objective: To compare estimation of GFR by Bioelectrical impedance analysis (BIA) with GFR calculated by 24-hour urine averaged creatinine clearance and urea clearance (Ccr-Cu-GFR). Material and Method: The authors examined 79 non-diabetic chronic kidney disease (CKD) patients that had estimated GFR between 15 and 89 ml/min/1.73 m 2. Subjects were categorized into three subgroups according to K/DOQI-CKD classification: GFR of 60-89 ml/min/1.73m 2 (stage 2, 5 subjects), 30-59 ml/min/ 1.73m 2 (stage 3, 31 subjects), and 15-29 ml/min/1.73m 2 (stage 4, 43 subjects). Results: The mean value of Ccr-Cu-GFR was 33.79 ± 14.78 ml/min/1.73 m 2 and GFR by BIA (BIA-GFR), 34.63 ± 14.86 ml/min/1.73 m 2 with no overall statistical differences (p = 0.838). In stage 3 CKD patients, the mean BIA-GFR and Ccr-Cu-GFR were similar (38.84 ± 12.47 vs 41.16 ± 9.17, p = 0.399) while in stage 2 CKD, BIAGFR tended to underestimate (63.50 ± 19.35 vs 70.94 ± 7.82, p = 0.407) and in stage 4 CKD, BIA-GFR significantly overestimated Ccr-Cu-GFR (27.31 ± 9.11 vs 23.76 ± 5.68, p = 0.040). Conclusion: The findings suggest that BIA-GFR in non-diabetic CKD patients closely resembled with Ccr-Cu-GFR especially in stage 3 CKD patients. BIA-GFR may be considered as a more convenient test for an assessment of GFR in non-diabetic CKD patients. 2018-09-11T08:59:40Z 2018-09-11T08:59:40Z 2006-10-01 Journal 01252208 01252208 2-s2.0-33750970890 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33750970890&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/61820
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Bancha Satirapoj
Ouppatham Supasyndh
Jayanton Patumanond
Punbuppa Choovichian
Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
description Background: Estimation of glomerular filtration rate (GFR) is usually determined from 24-hour urine collection, but it is time-consuming, and difficult in clinical practice. The authors attempted to select an accurate and safe, but more convenient test to obtain an estimated GFR. Objective: To compare estimation of GFR by Bioelectrical impedance analysis (BIA) with GFR calculated by 24-hour urine averaged creatinine clearance and urea clearance (Ccr-Cu-GFR). Material and Method: The authors examined 79 non-diabetic chronic kidney disease (CKD) patients that had estimated GFR between 15 and 89 ml/min/1.73 m 2. Subjects were categorized into three subgroups according to K/DOQI-CKD classification: GFR of 60-89 ml/min/1.73m 2 (stage 2, 5 subjects), 30-59 ml/min/ 1.73m 2 (stage 3, 31 subjects), and 15-29 ml/min/1.73m 2 (stage 4, 43 subjects). Results: The mean value of Ccr-Cu-GFR was 33.79 ± 14.78 ml/min/1.73 m 2 and GFR by BIA (BIA-GFR), 34.63 ± 14.86 ml/min/1.73 m 2 with no overall statistical differences (p = 0.838). In stage 3 CKD patients, the mean BIA-GFR and Ccr-Cu-GFR were similar (38.84 ± 12.47 vs 41.16 ± 9.17, p = 0.399) while in stage 2 CKD, BIAGFR tended to underestimate (63.50 ± 19.35 vs 70.94 ± 7.82, p = 0.407) and in stage 4 CKD, BIA-GFR significantly overestimated Ccr-Cu-GFR (27.31 ± 9.11 vs 23.76 ± 5.68, p = 0.040). Conclusion: The findings suggest that BIA-GFR in non-diabetic CKD patients closely resembled with Ccr-Cu-GFR especially in stage 3 CKD patients. BIA-GFR may be considered as a more convenient test for an assessment of GFR in non-diabetic CKD patients.
format Journal
author Bancha Satirapoj
Ouppatham Supasyndh
Jayanton Patumanond
Punbuppa Choovichian
author_facet Bancha Satirapoj
Ouppatham Supasyndh
Jayanton Patumanond
Punbuppa Choovichian
author_sort Bancha Satirapoj
title Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
title_short Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
title_full Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
title_fullStr Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
title_full_unstemmed Estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
title_sort estimating glomerular filtration rate in asian patients with chronic kidney diseases from bioelectrical impedance analysis
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33750970890&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/61820
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