Table 1.
Steps in standardization of cystatin C | |
Equation 1 | Scys-UMN'09= 0.083 + 0.789 * Scys-CCRL'03 |
Equation 2 | standardized Scys = 1.12 * Scys-UMN'09 |
Equation 3* | standardized Scys = 0.093 + 0.884 * Scys-CCRL'03 |
Equation 4** | Scys-CCRL'03= −0.105 + 1.13 * standardized Scys |
CKD-EPI equations for non-standardized Scys | |
Equation 5 | eGFR = 76.7 * (Scys)−119 |
Equation 6 | eGFR = 127.7 * (Scys)−117 * age−013 * (0.91 if female) * (1.06 if black) |
Equation 7 | eGFR = 177.6 * standardized Scr−0.65 * (Scys)−0.57 * age−0.20 * (0.82 if female) * (1.11 if black) |
CKD-EPI equations re-expressed for standardized Scys^ | |
Equation 8 | eGFR = 76.7 * (−0.105 + 1.13 * standardized Scys)−1.19 |
Equation 9 | eGFR = 127.7 * (−0.105 + 1.13 * standardized Scys)−1.17 * age−0.13 * (0.91 if female) * (1.06 if black) |
Equation 10 | eGFR = 177.6 * standardized Scr−0.65 * (−0.105 + 1.13 * standardized Scys)−0 57 * age−0.20 * (0.82 if female) * (1.11 if black) |
UMN, University of Minnesota; CCRL, Cleveland Clinic Research laboratory; ScysC, serum cystatin C; Scr, serum creatinine
Combination of equation 1 and 2
Re-expression of equation 3
Cystatin C assays traceable to the reference materials produced and characterized from the International Federation for Clinical Chemists (IFCC) Working Group for the standardization of Scys and the Institute for Reference Materials and Measurements (IRMM). The reference material was produced by adding recombinant cystatin C into a serum pool from blood donors, with the assigned value established by dry mass analysis.
Standardized serum creatinine (standardized Scr), refers to creatinine measured with assays that are traceable to the certified reference materials for creatinine whose value was assigned using isotope dilution mass spectroscopy.