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. Author manuscript; available in PMC: 2019 Mar 1.
Published in final edited form as: Dig Dis Sci. 2018 Feb 1;63(3):665–675. doi: 10.1007/s10620-017-4897-z

Table 2.

Serum Cr and Endogenous GFR Biomarkers Alternative to Cr in Patients with Cirrhosis

Men Women

Mean Value SD Mean Value SD P Value

Serum Cr Cr (mg/dL) 0.97 0.37 0.82 0.28 0.023

Measured Cr Production Rate Measured Cr Production Rate (mg/kg/day) 13.37 5.60 11.02 3.85 0.022

Estimated Cr Production Rate1 Estimated Cr Production Rate (mg/kg/day) 17.12 1.90 14.50 1.36 <0.0001

Measured GFR Measured GFR (ml/min/1.73m2) 81.71 35.22 78.43 34.99 0.643

Estimated GFR2 Estimated GFR (ml/min/1.73m2) 80.73 28.05 76.27 22.86 0.393

Measured Cr Clearance Measured Cr Clearance (ml/min/1.73m2) 78.75 40.76 77.37 41.08 0.874

Estimated Cr Clearance3 Estimated Cr Clearance (ml/min/1.73m2) 103.83 38.10 102.83 40.26 0.899

Endogenous GFR Biomarkers Alternative to Serum Cr Cystatin C (mg/L) 1.18 0.50 1.16 0.38 0.811
Beta-Trace Protein (mg/L) 1.00 0.56 0.94 0.43 0.597
Beta-2 Microglobulin (mg/L) 4.13 2.17 3.92 1.86 0.618
SDMA (micromole/L) 0.78 0.34 0.79 0.37 0.828
ADMA (micromole/L) 0.69 0.21 0.62 0.14 0.076
SDMA+ADMA (micromole/L) 1.47 0.48 1.42 0.44 0.615
L-Arginine (micromole/L) 78.78 26.24 79.15 30.06 0.948
L-Arginine/SDMA 115.80 57.81 116.26 56.12 0.968
L-Arginine/ADMA 122.48 50.32 129.75 47.14 0.461
L-Arginine/(SDMA+ADMA) 58.16 25.47 59.34 23.97 0.813

SD=Standard deviation.

1

Mitch and Walser equation38 was used to calculate estimated Cr production rate.

2

Estimated GFR in ml/min/1.73m2 using Cr-Cystatin C Equation for Cirrhosis24=105.49 * (Cr −0.712) * (cystatin C −0.285) * (0.993age) *(0.864female) * (1.014African-American)

3

Estimated Cr clearance in ml/min/1.73m2= (Estimated Cr production rate in mg/kg/day using Mitch and Walser equation38)*(weight in kg*100 ml)*(1.73 m2)/(serum Cr in mg/dl)*(1440 min)*(body surface area in m2).