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Clinical Kidney Journal logoLink to Clinical Kidney Journal
. 2020 Sep 12;14(3):1037. doi: 10.1093/ckj/sfaa153

Anti-Müllerian hormone concentrations in women with chronic kidney disease

Kate Wiles, Ellen Anckaert, Francesca Holden, Jan Grace, Catherine Nelson-Piercy, Liz Lightstone, Lucy C Chappell, Kate Bramham
PMCID: PMC7986330  PMID: 33777391

Clinical Kidney Journal, sfz164, doi: 10.1093/ckj/sfz164

In the original article, some of the AMH centile data were wrongly reproduced in Table 1. These have been corrected. In addition, reference 13 was included in error. It has been removed and all subsequent references have been renumbered.

Table 1.

Cohort demographics, serum AMH concentrations and age-corrected AMH centiles according to CKD stage

Demographics and AMH results All CKD CKD 1 CKD 2 CKD 3a CKD 3b CKD 4–5
n 163 30 37 26 31 39
Age (years) 36.5 33.2 38.3 38.0 34.8 41.7
(29.9–42.9) (25.9–36.8) (30.0–44.8) (30.6–42.3) (30.7–44.1) (34.5–44.9)
Ethnicity, n (%)
 White European 84 (62) 16 (64) 17 (63) 16 (67) 17 (63) 18 (55)
 Black 30 (22) 5 (20) 5 (19) 6 (25) 5 (19) 9 (27)
 Southeast Asian 22 (16) 4 (16) 5 (19) 2 (8) 5 (19) 6 (18)
eGFR (mL/min/1.73 m2) 51 (31–80) 116 (109–140) 72 (65–80) 52 (48–56) 38 (34–41) 15 (9–23)
Renal disease aetiology, n (%)
 Non-lupus glomerular disease 42 (26) 11 (37) 9 (24) 6 (23) 9 (29) 7 (18)
 Lupus vasculitis 28 (17) 10 (33) 3 (8) 4 (15) 3 (10) 8 (21)
 Hereditary/congenital 21 (13) 2 (7) 11 (30) 1 (4) 2 (6) 5 (13)
 Reflux 14 (9) 0 (0) 3 (8) 2 (8) 4 (13) 5 (13)
 Diabetic nephropathy 13 (8) 2 (7) 1 (3) 2 (8) 4 (13) 4 (10)
 Hypertensive/renovascular 8 (5) 0 (0) 2 (5) 3 (12) 2 (6) 1 (3)
 Other 15 (9) 0 (0) 4 (11) 3 (12) 2 (6) 6 (15)
 Unknown 22 (13) 5 (17) 4 (11) 5 (19) 5 (16) 3 (8)
Renal transplant, n (%)
 Functioning 37 (23) 1 (3) 3 (8) 10 (38) 14 (45) 9 (23)
 Non-functioning 1 (1) 0 (0) 0 (0) 0 (0) 0 (0) 1 (3)
Current dialysis, n (%) 10 (6) 0 (0) 0 (0) 0 (0) 0 (0) 10 (56)
 Haemodialysis 7 (4) 7 (39)
 Peritoneal dialysis 3 (2) 3 (17)
Regular menstruation, n/N (%) 35/51 (69) 8/11 (73) 5/8 (64) 5/8 (64) 8/12 (67) 9/12 (75)
Oestrogen-containing drug use, n/N (%) 9/133 (7) 2/24 (8) 5/30 (17) 0/20 (0) 0/25 (0) 2/34 (6)
Progesterone-containing contraceptive use, n/N (%) 25/131 (19) 4/24 (17) 5/29 (17) 3/20 (15) 7/25 (28) 6/33 (18)
Serum AMH (pmol/L) 6.33 (1.90–15.65) 10.06 (4.62–20.73) 6.02 (1.79–12.85) 4.27 (1.44–8.79) 8.89 (4.99–19.36) 5.29 (1.27–14.77)
Serum AMH (ng/mL) 0.88 (0.27–2.19) 1.41 (0.65–2.90) 0.84 (0.25–1.80) 0.60 (0.20–1.23) 1.25 (0.70–2.71) 0.74 (0.18–2.07)
AMH centile 19 (8–53) 30 (4–55) 28 (10–53) 11 (4–31) 24 (14–59) 15 (7–60)
AMH predictive of low response to gonadotrophin stimulation  (AMH ≤5.4 pmol/L), n (%)a 95 (58) 9 (30) 18 (47) 17 (65) 8 (26) 20 (51)

Values are median (IQR) unless stated.

a

National Institute for Health and Care Excellence advise that AMH ≤5.4 pmol/L (Beckman-Coulter assay) is used to predict a low ovarian response to gonadotrophin stimulation [5].


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