Diagnosing chronic kidney disease

被引:23
作者
Glassock, Richard J. [1 ]
Winearls, Christopher [2 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA
[2] Oxford Radcliffe Hosp, Oxford Kidney Unit, NHS Trust, Oxford, England
关键词
albuminuria; chronic kidney disease; estimated glomerular filtration rate; GLOMERULAR-FILTRATION-RATE; URINARY ALBUMIN EXCRETION; SERUM CYSTATIN-C; RENAL-DISEASE; CREATININE CLEARANCE; COCKCROFT-GAULT; RISK-FACTOR; GFR; AGE; PREDICTION;
D O I
10.1097/MNH.0b013e328335f951
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review To review the current state-of-the art in diagnosing chronic kidney disease (CKD) using classification systems based on estimated glomerular filtration rate (eGFR) and kidney damage. Recent findings CKD, as defined by current classification systems, has many pitfalls, but the presence and stage of CKD has important value in determining prognosis, particularly when the effects of albuminuria are added to eGFR Summary The diagnosis of CKD using current classification schema based on eGFR alone needs to be approached with some caution, particularly in the elderly without concomitant signs of kidney damage. The presence and magnitude of albuminuria has important diagnostic and prognostic significance.
引用
收藏
页码:123 / 128
页数:6
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