Evidence map›Paper›PMID 25527647›Full record

Trial reportJournal of the American Society of Nephrology : JASN2015

Comparing GFR Estimating Equations Using Cystatin C and Creatinine in Elderly Individuals.

Li Fan, Andrew S Levey, Vilmundur Gudnason, Gudny Eiriksdottir, Margret B Andresdottir, Hrefna Gudmundsdottir, Olafur S Indridason, Runolfur Palsson, Gary Mitchell, Lesley A Inker

Erratum issuedOpen access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% of its field
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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

  1. Global health inequalities of chronic kidney disease: a meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Associations of Blood Mitochondrial DNA Quality and Quantity with Risk of Kidney Function Decline.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. eGFR calculated from cystatin C: implications for dosing of direct oral anticoagulants.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Li FanDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts; Department of Nephrology, The First Affiliated Hospital, Sun Yat-Sen University, Key Laboratory of Nephrology, Ministry of Health of China, Guangdong Provincial Key Laboratory of Nephrology, Guangzhou, China;
Andrew S LeveyDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts;
Vilmundur GudnasonIcelandic Heart Association, Kopavogur, Iceland; Centre for Public Health Sciences, University of Iceland, Reykjavik, Iceland;
Gudny EiriksdottirIcelandic Heart Association, Kopavogur, Iceland;
Margret B AndresdottirDivision of Nephrology, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland; and.
Hrefna GudmundsdottirCentre for Public Health Sciences, University of Iceland, Reykjavik, Iceland; Division of Nephrology, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland; and.
Olafur S IndridasonDivision of Nephrology, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland; and.
Runolfur PalssonCentre for Public Health Sciences, University of Iceland, Reykjavik, Iceland; Division of Nephrology, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland; and.
Gary MitchellCardiovascular Engineering Inc., Norwood, Massachusetts.
Lesley A InkerDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts; LInker@tuftsmedicalcenter.org.
Tufts Medical Center · USIcelandic Heart Association · ISNational University Hospital of Iceland · ISUniversity of Iceland · ISNorwood Hospital · US

Funding

Kidney Function, Aortic Stiffness and AgingR01DK082447 · NIDDK · TUFTS MEDICAL CENTER · PI LEVEY, ANDREW S · 2010 to 2014
$2.4M
NIDDK NIH HHS R01 DK082447NIDDK NIH HHS R01-DK082447
6 · The paper itself

Abstract

Current guidelines recommend reporting eGFR using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations unless other equations are more accurate, and recommend the combination of creatinine and cystatin C (eGFRcr-cys) as more accurate than either eGFRcr or eGFRcys alone. However, preferred equations and filtration markers in elderly individuals are debated. In 805 adults enrolled in the community-based Age, Gene/Environment Susceptibility (AGES)-Reykjavik Study, we measured GFR (mGFR) using plasma clearance of iohexol, standardized creatinine and cystatin C, and eGFR using the CKD-EPI, Japanese, Berlin Initiative Study (BIS), and Caucasian and Asian pediatric and adult subjects (CAPA) equations. We evaluated equation performance using bias, precision, and two measures of accuracy. We first compared the Japanese, BIS, and CAPA equations with the CKD-EPI equations to determine the preferred equations, and then compared eGFRcr and eGFRcys with eGFRcr-cys using the preferred equations. Mean (SD) age was 80.3 (4.0) years. Median (25th, 75th) mGFR was 64 (52, 73) ml/min per 1.73 m(2), and the prevalence of decreased GFR was 39% (95% confidence interval, 35.8 to 42.5). Among 24 comparisons with the other equations, CKD-EPI equations performed better in 9, similar in 13, and worse in 2. Using the CKD-EPI equations, eGFRcr-cys performed better than eGFRcr in four metrics, better than eGFRcys in two metrics, and similar to eGFRcys in two metrics. In conclusion, neither the Japanese, BIS, nor CAPA equations were superior to the CKD-EPI equations in this cohort of community-dwelling elderly individuals. Using the CKD-EPI equations, eGFRcr-cys performed better than eGFRcr or eGFRcys.

Indexed as

Glomerular Filtration RateAgedAged, 80 and overAlgorithmsCreatinineCystatin CFemaleHumansMaleCreatinineCystatin CCKDcreatininecystatin CelderlyGFR

Identifiers

PMID25527647
PMCPMC4520174
OpenAlexW2098684703

What OpenQuestion holds

Textmetadata
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.