Evidence map›Paper›PMID 40175342›Full record

ArticleMicrosystems & nanoengineering2025

A passive flow microreactor for urine creatinine test.

Dumitru Tomsa, Yang Liu, Amanda Stefanson, Xiaoou Ren, AbdulRazaq A H Sokoro, Paul Komenda, Navdeep Tangri, Rene P Zahedi, Claudio Rigatto, Francis Lin

Abstract read
In one paragraph

Article in Microsystems & nanoengineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Dumitru Tomsa *Department of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.
Yang Liu *Department of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.ORCID http://orcid.org/0000-0003-3849-9049
Amanda Stefanson *Department of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.ORCID http://orcid.org/0000-0003-1336-0585
Xiaoou RenDepartment of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.
AbdulRazaq A H SokoroDepartment of Pathology, University of Manitoba, Winnipeg, MB, R3P 3E5, Canada.
Paul KomendaDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada.
Navdeep TangriDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada.
Rene P ZahediDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada.ORCID http://orcid.org/0000-0002-4960-5460
Claudio RigattoDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada. crigatto@sbgh.mb.ca.
Francis LinDepartment of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada. francis.lin@umanitoba.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) significantly affects people's health and quality of life and presents a high economic burden worldwide. There are well-established biomarkers for CKD diagnosis. However, the existing routine standard tests are lab-based and governed by strict regulations. Creatinine is commonly measured as a filtration biomarker in blood to determine estimated Glomerular Filtration Rate (eGFR), as well as a normalization factor to calculate urinary Albumin-to-Creatinine Ratio (uACR) for CKD evaluation. In this study, we developed a passive flow microreactor for colorimetric urine creatinine measurement (uCR-Chip), which is highly amenable to integration with our previously developed microfluidic urine albumin assay. The combination of the 2-phase pressure compensation (2-PPC) technique and microfluidic channel network design accurately controls the fluidic mixing ratio and chemical reaction. Together with an optimized observation window (OW) design, a uniform and stable detection signal was achieved within 7 min. The color signal was measured by a simple USB microscope-based platform to quantify creatinine concentration in the sample. The combination of the custom in-house photomask production techniques and dry-film photoresist-based lithography enabled rapid iterative design optimization and precise chip fabrication. The developed assay achieved a dynamic linear detection range up to 40 mM and a lower limit of detection (LOD) of 0.521 mM, meeting the clinical precision requirements (comparable to existing point-of-care (PoC) systems). The microreactor was validated using creatinine standards spiked into commercial artificial urine that mimics physiological matrix. Our results showed acceptable recovery rate and low matrix effect, especially for the low creatinine concentration range in comparison to a commercial PoC uACR test. Altogether, the developed uCR-Chip offers a viable PoC test for CKD assessment and provides a potential platform technology to measure various disease biomarkers.

Identifiers

PMID40175342
PMCPMC11965425

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Registered trials

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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.