Table 2.
Serum Cr and Endogenous GFR Biomarkers Alternative to Cr in Patients with Cirrhosis
Men | Women | ||||||
---|---|---|---|---|---|---|---|
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Mean Value | SD | Mean Value | SD | P Value | |||
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Serum Cr | Cr (mg/dL) | 0.97 | 0.37 | 0.82 | 0.28 | 0.023 | |
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Measured Cr Production Rate | Measured Cr Production Rate (mg/kg/day) | 13.37 | 5.60 | 11.02 | 3.85 | 0.022 | |
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Estimated Cr Production Rate1 | Estimated Cr Production Rate (mg/kg/day) | 17.12 | 1.90 | 14.50 | 1.36 | <0.0001 | |
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Measured GFR | Measured GFR (ml/min/1.73m2) | 81.71 | 35.22 | 78.43 | 34.99 | 0.643 | |
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Estimated GFR2 | Estimated GFR (ml/min/1.73m2) | 80.73 | 28.05 | 76.27 | 22.86 | 0.393 | |
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Measured Cr Clearance | Measured Cr Clearance (ml/min/1.73m2) | 78.75 | 40.76 | 77.37 | 41.08 | 0.874 | |
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Estimated Cr Clearance3 | Estimated Cr Clearance (ml/min/1.73m2) | 103.83 | 38.10 | 102.83 | 40.26 | 0.899 | |
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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.
Mitch and Walser equation38 was used to calculate estimated Cr production rate.
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)
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).