Evidence map›Paper›PMID 21115623›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2011

Which creatinine and cystatin C equations can be reliably used in children?

Justine Bacchetta, Pierre Cochat, Nicolas Rognant, Bruno Ranchin, Aoumeur Hadj-Aissa, Laurence Dubourg

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed.

  1. Estimated versus measured glomerular filtration rate in children before hematopoietic cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial
  2. Correlation Between Renal Biomarkers, Glomerular Filtration Rate, and Meropenem Clearance in Pediatric Septic Shock.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  3. Retinal vascular density in children with hypertension.Pediatric nephrology (Berlin, Germany) · 2026
    Article
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  6. Continuous frusemide infusion versus intermittent bolus therapy in paediatric intensive care: A single centre retrospective study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
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  11. Childhood Obesity: Insight into Kidney Involvement.International journal of molecular sciences · 2023
    Review
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  18. Renal insufficiency in children born preterm: examining the role of neonatal acute kidney injury.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Justine BacchettaCentre de Référence des Maladies Rénales Rares, Service de Néphrologie et Rhumatologie Pédiatriques Hôpital Femme Mère Enfant, Boulevard Pinel, 69677 Bron Cedex, France. justine.bacchetta@chu-lyon.fr
Pierre Cochat
Nicolas Rognant
Bruno Ranchin
Aoumeur Hadj-Aissa
Laurence Dubourg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesEstimation of GFR in children is challenging; reference methods are cumbersome, and formulas have limitations. The aims of this study were to evaluate (1) the new creatinine-based formula recently proposed by Schwartz using a kinetic colorimetric compensated Jaffe technique; (2) some cystatin C-derived formulas (Hoek, Le Bricon, Larsson, Rule, Filler, and Zappitelli) using a nephelemetric technique; and (3) combined formulas using both cystatin and creatinine (Zappitelli and Bouvet). DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: These formulas were evaluated in a cross-sectional cohort of 252 children with moderate CKD or normal GFR, in comparison with the reference standard (inulin clearance, iGFR). Mean age, body weight, height, creatinine, and cystatin C were 10.7 ± 4.0 years, 35 ± 15 kg, 137 ± 20 cm, 55 ± 30 μmol/L, and 0.91 ± 0.35 mg/L, respectively.

resultsMean ± SD iGFR was 101 ± 32 ml/min per 1.73 m². When evaluating agreement between these formulas and iGFR (e.g. correlation, Bland Altman plots, bias, and accuracies), there was a good correlation between iGFR and all Le Bricon, Larsson, Rule, and Zappitelli (both) and locally adapted Schwartz and 2009 Schwartz formulas; by contrast, Filler and original 1976 Schwartz formulas overestimated iGFR, whereas Hoek and Bouvet formulas underestimated iGFR.

conclusionDifferent cystatin C-derived formulas (at least Larsson and Le Bricon) for estimating GFR as well as the Zappitelli combined formula are accurate in addition to the new Schwartz bedside formula in a general pediatric population.

Indexed as

Glomerular Filtration RateModels, BiologicalAdolescentAge FactorsAnalysis of VarianceBiomarkersBody HeightBody WeightChildChi-Square DistributionColorimetryCreatinineCross-Sectional StudiesCystatin CFemaleFranceBiomarkersCreatinineCST3 protein, humanCystatin CInulin

Identifiers

PMID21115623
PMCPMC3082413

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.