Performance of 24-hour urinary creatinine excretion-estimating equations in relation to measured 24-hour urinary creatinine excretion in hospitalized hypertensive patients. 2019

Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
Department of Internal Medicine, Hypertension and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland. pjedrusik@wum.edu.pl.

Estimated 24-hour urinary creatinine excretion (24 hrUCr) may be useful for converting spot urine analyte/creatinine ratio into estimated 24-hour urinary excretion of the evaluated analyte, and for verifying completeness of 24-hour urinary collections. We compared various published 24 hrUCr-estimating equations against measured 24 hrUCr in hospitalized hypertensive patients. 24 hrUCr was measured in 293 patients and estimated using eight formulas (CKD-EPI, Cockcroft-Gault, Walser, Goldwasser, Rule, Gerber-Mann, Kawasaki, Tanaka). We used the Pearson correlation coefficient, the Bland-Altman method, and the percentage of estimated 24 hrUCr within 15%, 30% (P30), and 50% of measured 24hUCr to compare estimated and measured 24 hrUCr. Differences between the mean bias by eight formulas were evaluated using the Friedman rank sum test. Overall, the best formulas were CKD-EPI (mean bias 0.002 g/d, P30 86%) and Rule (mean bias 0.022 g/d, P30 89%), although both tended to underestimate 24 hrUCr with higher excretion values. The Gerber-Mann formula and the Asian formulas (Tanaka, Kawasaki) were less precise in our study population but superior in an analysis restricted to subjects with highest measured 24 hrUCr per body weight. We found significant differences between 24 hrUCr-estimating equations in hypertensive patients. In addition, formula performance was critically affected by inclusion criteria based on measured 24 hrUCr per body weight.

UI MeSH Term Description Entries
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003404 Creatinine Creatinine Sulfate Salt,Krebiozen,Salt, Creatinine Sulfate,Sulfate Salt, Creatinine
D005260 Female Females
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
November 2021, Revista medica de Chile,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
May 2014, Journal of clinical hypertension (Greenwich, Conn.),
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
July 1976, Journal of clinical pharmacology,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
August 2021, American journal of hypertension,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
January 1977, Journal of clinical pharmacology,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
September 1968, Clinica chimica acta; international journal of clinical chemistry,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
January 1990, [Nihon koshu eisei zasshi] Japanese journal of public health,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
September 1979, Obstetrics and gynecology,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
May 1992, The Annals of pharmacotherapy,
Piotr Jędrusik, and Bartosz Symonides, and Zbigniew Gaciong
January 2020, Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation,
Copied contents to your clipboard!