ArticlePediatric nephrology (Berlin, Germany)2016
Longitudinal analysis of serum cystatin C for estimating the glomerular filtration rate in preterm infants.
Article in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The progression of serum cystatin C concentrations within the first month of life after preterm birth-a worldwide systematic review.Pediatric nephrology (Berlin, Germany) · 2021Pooled it
- Prognostic value of cystatin C for chronic kidney disease in pediatric urologic malformations.Pediatric research · 2026Article
- Advocating for the inclusion of kidney health outcomes in neonatal research: best practice recommendations by the Neonatal Kidney Collaborative.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Artificial intelligence in early detection and prediction of pediatric/neonatal acute kidney injury: current status and future directions.Pediatric nephrology (Berlin, Germany) · 2024Review
- Glomerular Filtration Rate Assessment in Children.Children (Basel, Switzerland) · 2022Review
- The influence of hyperbilirubinemia on indexes of kidney function in neonates.Pediatric nephrology (Berlin, Germany) · 2021Article
- Cystatin C: A more reliable biomarker of renal function in young infants? A longitudinal cohort study.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
- Reference intervals for serum cystatin C in neonates and children 30 days to 18 years old.Pediatric nephrology (Berlin, Germany) · 2020Observational
- Cystatin C as a biomarker of chronic kidney disease: latest developments.Expert review of molecular diagnostics · 2020Review
- Measurement and Estimation of Glomerular Filtration Rate in Children.Advances in chronic kidney disease · 2017Review
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundCystatin C (Cys-C) is a more sensitive marker of renal function than creatinine (Cre) in pediatric and adult populations. However, the reference values of serum Cys-C for estimating glomerular filtration rates (eGFRs) in premature infants during the first year of life have not been sufficiently studied.
methodsIn this prospective study, 481 blood samples were collected from 261 preterm infants with uncomplicated clinical courses during their first year of life. Infants were divided into three groups according to gestational age at birth: 27-30 weeks, 31-33 weeks, and 34-36 weeks. Serum Cys-C and Cre levels were measured at 6-30 days, 3-5 months, 7-9 months, and 12-14 months after birth and the eGFR was calculated using two previously published equations.
resultsThe median serum Cys-C levels were 1.776, 1.248, 1.037, and 0.960 mg/L at the first, second, third, and fourth measurement time-point, respectively, with the value significantly decreasing with age up to 12-14 months. Cys-C levels were independent of gestational age and gender. In contrast to Cys-C, serum Cre values declined rapidly up to 3-5 months, then remained constant up to 12-14 months. Using the Cys-C-based equation, the eGFR significantly increased with increasing age until approximately 1 year after birth; however, no such trend was noted using the equation based on Cys-C + Cre.
conclusionsReference ranges for Cys-C in premature infants decline gradually over the first year after birth. Cys-C appears to be a more reliable marker than Cre for estimating GFR in preterm infants.
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