Evidence map›Paper›PMID 33257944›Full record

ArticleClinical chemistry2021

Long-Term Longitudinal Stability of Kidney Filtration Marker Measurements: Implications for Epidemiological Studies and Clinical Care.

Amy B Karger, John H Eckfeldt, Gregory P Rynders, Juhi Chaudhari, Shiyuan Miao, Frederick Van Lente, Josef Coresh, Andrew S Levey, Lesley A Inker

Open access · bronzeAbstract read
In one paragraph

Article in Clinical chemistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Renal Arteriovenous Gradients for Greater Than 10,000 Circulating Proteins.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Reassessing the Inclusion of Race in Diagnosing Kidney Diseases: An Interim Report From the NKF-ASN Task Force.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
  12. Article
  13. A New Panel-Estimated GFR, Including βAmerican journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
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

9 authors at 5 institutions in 1 country.

Amy B KargerDepartment of Laboratory Medicine & Pathology, University of Minnesota, Minneapolis, MN.
John H EckfeldtDepartment of Laboratory Medicine & Pathology, University of Minnesota, Minneapolis, MN.
Gregory P RyndersDepartment of Laboratory Medicine & Pathology, University of Minnesota, Minneapolis, MN.
Juhi ChaudhariWilliam B. Schwartz Division of Nephrology, Tufts Medical Center, Department of Medicine, Tufts University School of Medicine, Boston, MA.
Shiyuan MiaoWilliam B. Schwartz Division of Nephrology, Tufts Medical Center, Department of Medicine, Tufts University School of Medicine, Boston, MA.
Frederick Van LentePreventive Research Laboratory and Laboratory Diagnostic Core, Cleveland Clinic, Cleveland, OH.
Josef CoreshDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD.
Andrew S LeveyWilliam B. Schwartz Division of Nephrology, Tufts Medical Center, Department of Medicine, Tufts University School of Medicine, Boston, MA.
Lesley A InkerWilliam B. Schwartz Division of Nephrology, Tufts Medical Center, Department of Medicine, Tufts University School of Medicine, Boston, MA.
University of Minnesota · USTufts Medical Center · USTufts University · USCleveland Clinic · USJohns Hopkins University · US

Funding

Improving Kidney Function Assessment in Health and DiseaseR01DK116790 · NIDDK · TUFTS MEDICAL CENTER · PI INKER, LESLEY ANN · 2021 to 2024
$2.9M
NIDDK NIH HHS R01 DK116790
6 · The paper itself

Abstract

backgroundEstablishment and improvement of glomerular filtration rate estimating equations requires accurate and precise laboratory measurement procedures (MPs) for filtration markers. The Advanced Research and Diagnostic Laboratory (ARDL) at the University of Minnesota, which has served as the central laboratory for the Chronic Kidney Disease Epidemiology Collaboration since 2009, has implemented several quality assurance measures to monitor the accuracy and stability of filtration marker assays over time.

methodsTo assess longitudinal stability for filtration marker assays, a 40-sample calibration panel was created using pooled serum, divided into multiple frozen aliquots stored at -80 °C. ARDL monitored 4 markers-creatinine, cystatin C, beta-2-microglobulin (B2M) and beta-trace protein-measuring 15 calibration panel aliquots from 2009 to 2019. Initial target values were established using the mean of the first 3 measurements performed in 2009-10, and differences from target were monitored over time. New MPs for cystatin C and B2M were added in 2012, with target values established using the first measurement.

resultsThe mean percentage difference from mean target values across time was <2% for all original MPs (-0.59% for creatinine; -0.94% for cystatin C; -0.82% for B2M; 1.24% for beta-trace protein).

conclusionsClose monitoring of filtration marker trends with a calibration panel at ARDL demonstrates remarkable long-term stability of the MPs. Routine use of a calibration panel for both research studies and clinical care is recommended for filtration markers where longitudinal monitoring is important to detect analytical biases, which can mask or confound true clinical trends in patients.

Indexed as

Glomerular Filtration Ratebeta 2-MicroglobulinBiomarkersCreatinineCystatin CFemaleHumansIntramolecular OxidoreductasesKidney Failure, ChronicLipocalinsMaleMiddle Agedbeta 2-MicroglobulinBiomarkersCreatinineCystatin CIntramolecular OxidoreductasesLipocalinsprostaglandin R2 D-isomerasebeta-2-microglobulin (B2M)beta-trace protein (BTP)creatininecystatin Cestimated GFRfiltration markersglomerular filtration rate (GFR)

Identifiers

PMID33257944
PMCPMC13037390
OpenAlexW3109310044

What OpenQuestion holds

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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.