Evidence map›Paper›PMID 38427073›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Comparison of estimated GFR using cystatin C versus creatinine in pediatric kidney transplant recipients.

Helen Pizzo, John Nguyen, George J Schwartz, Katherine Wesseling-Perry, Robert Ettenger, Eileen Tsai Chambers, Patricia Weng

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
  4. Article
  5. Article
  6. Transition of patients with hereditary nephropathies from paediatric to adult care.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  7. Article
  8. Review
  9. A population pharmacokinetic approach to comparePediatric nephrology (Berlin, Germany) · 2025
    Article
  10. Article
  11. 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

7 authors at 6 institutions in 1 country.

Helen PizzoDepartment of Pediatrics, Cedars-Sinai Medical Center, 8700 Beverly Blvd., Los Angeles, CA, 90048, USA. Helen.Pizzo@cshs.org.ORCID 0000-0003-2997-7483
John NguyenChildren's Hospital of Orange County, Orange, CA, USA.
George J SchwartzUniversity of Rochester Medical Center, Rochester, NY, USA.ORCID 0000-0002-8291-1355
Katherine Wesseling-PerryPhoenix Children's Hospital, Phoenix, AZ, USA.ORCID 0000-0002-9122-7459
Robert EttengerDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0002-9973-7349
Eileen Tsai ChambersDuke University School of Medicine, Durham, NC, USA.ORCID 0000-0001-7060-9311
Patricia WengDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0003-2020-2729
University of California, Los Angeles · USCedars-Sinai Medical Center · USChildren's Hospital of Orange County · USDuke University · USUniversity of Arizona · USUniversity of Rochester Medical Center · US

Funding

Case Lee Ball FoundationGentian DiagnosticsSCELC, Statewide California Electronic Library ConsortiumUCLA Children’s Discovery and Innovation Institute and Today and Tomorrow’s Children Fund
6 · The paper itself

Abstract

backgroundAn accurate, rapid estimate of glomerular filtration rate (GFR) in kidney transplant patients affords early detection of transplant deterioration and timely intervention. This study compared the performance of serum creatinine (Cr) and cystatin C (CysC)-based GFR equations to measured GFR (mGFR) using iohexol among pediatric kidney transplant recipients.

methodsCysC, Cr, and mGFR were obtained from 45 kidney transplant patients, 1-18 years old. Cr- and CysC-estimated GFR (eGFR) was compared against mGFR using the Cr-based (Bedside Schwartz, U25-Cr), CysC-based (Gentian CysC, CAPA, U25-CysC), and Cr-CysC combination (CKiD Cr-CysC, U25 Cr-CysC) equations in terms of bias, precision, and accuracy. Bland-Altman plots assessed the agreement between eGFR and mGFR. Secondary analyses evaluated the formulas in patients with biopsy-proven histological changes, and K/DOQI CKD staging.

resultsBias was small with Gentian CysC (0.1 ml/min/1.73 m

conclusionsIn this small cohort, CysC-based equations with or without Cr may have better bias, precision, and accuracy in predicting GFR.

Indexed as

CreatinineCystatin CGlomerular Filtration RateKidney TransplantationAdolescentBiomarkersChildChild, PreschoolFemaleHumansInfantIohexolKidneyMaleRenal Insufficiency, ChronicTransplant RecipientsBiomarkersCreatinineCystatin CIohexolAccuracyBiasEstimating equationsKidney functionPrecision

Identifiers

PMID38427073
PMCPMC11147893
OpenAlexW4392357621

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.