Evidence map›Paper›PMID 30294399›Full record

ArticleEuropean geriatric medicine2018

Clinical factors increasing discrepancies of renal function assessment with MDRD and Cockcroft-Gault equations in old individuals.

Jerzy Chudek, Aureliusz Kolonko, Aleksander J Owczarek, Katarzyna Wieczorowska-Tobis, Katarzyna Broczek, Anna Skalska, Andrzej Więcek

Open access · hybridAbstract read
In one paragraph

Article in European geriatric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Comparison of Different Hydration Strategies in Patients with Very Low-Risk Profiles of Contrast-Induced Nephropathy.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Trial
  2. Article
  3. Observational
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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

7 authors at 4 institutions in 1 country.

Jerzy ChudekPathophysiology Unit, Department of Pathophysiology, Medical Faculty in Katowice, Medical University of Silesia in Katowice, Medyków 18, 40-752, Katowice, Poland. chj@poczta.fm.ORCID http://orcid.org/0000-0002-6367-7794
Aureliusz KolonkoDepartment of Nephrology, Transplantation and Internal Medicine, Medical Faculty in Katowice, Medical University of Silesia in Katowice, Francuska 20-24, 40-027, Katowice, Poland.ORCID http://orcid.org/0000-0002-9647-1872
Aleksander J OwczarekDepartment of Statistics, Department of Instrumental Analysis, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia, Ostrogórska Str. 30, Sosnowiec, 41-200, Katowice, Poland.
Katarzyna Wieczorowska-TobisDepartment of Palliative Medicine, Laboratory for Geriatrics, Poznan University of Medical Sciences, Rusa Str. 55, 61-245, Poznan, Poland.
Katarzyna BroczekDepartment of Geriatrics, Medical University of Warsaw, Oczki 4, 02-007, Warsaw, Poland.
Anna SkalskaDepartment of Internal Medicine and Gerontology, Jagiellonian University Medical College, Śniadeckich 10, 31-531, Kraków, Poland.
Andrzej WięcekDepartment of Nephrology, Transplantation and Internal Medicine, Medical Faculty in Katowice, Medical University of Silesia in Katowice, Francuska 20-24, 40-027, Katowice, Poland.
Medical University of Silesia · PLJagiellonian University · PLMedical University of Warsaw · PLPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractIn a daily clinical practice, glomerular filtration rate (GFR) is still estimated on the basis of short MDRD formula, whereas medications' Summaries of Product Characteristics suggest that GFR used for the dosage adjustment should be estimated based on the Cockcroft-Gault (C-G) equation. The aim of the study was to compare eGFR values calculated on the basis of short and full MDRD and C-G equations in PolSenior study participants with decreased eGFR.

methodsWe have assessed differences in the estimation of GFR between short and full MDRD, as well as C-G formula, all equations utilizing non-isotope-dilution mass spectrometry-calibrated measurements of serum creatinine, in the community-based population of 760 persons aged 65 years or above (mean age 82 ± 8 years) with estimated GFR < 60 ml/min/1.73 m

resultsThe better concordance, precision, and accuracy with MDRD short formula were found for MDRD

conclusionsIn very old subjects, especially females, dependent patients and those with visceral obesity, estimation of GFR based on short MDRD formula should not be used interchangeably with Cockcroft-Gault equation for the medicines dose tailoring.

Indexed as

Activities of daily livingAgeDrug dosageGenderGlomerular filtration rateOlder patients

Identifiers

PMID30294399
PMCPMC6153700
OpenAlexW2808515838

What OpenQuestion holds

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LicenceCC BY
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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.