Chronic kidney disease: classification of CKD should be about more than prognosis

Nat Rev Nephrol. 2013 Dec;9(12):697-8. doi: 10.1038/nrneph.2013.222. Epub 2013 Oct 15.

Abstract

Cystatin C continues to show its superiority over serum creatinine in predicting mortality among patients with chronic kidney disease (CKD). This superiority is, in part, due to the non-glomerular filtration rate (GFR) determinants of cystatin C associating with CKD risk factors and outcomes. The definition and classification of CKD should not exclusively equate cystatin C with GFR.

MeSH terms

  • Biomarkers / blood
  • Creatinine / blood
  • Cystatin C / blood*
  • Glomerular Filtration Rate*
  • Humans
  • Prognosis
  • Renal Insufficiency, Chronic / blood
  • Renal Insufficiency, Chronic / classification*
  • Risk Assessment

Substances

  • Biomarkers
  • Cystatin C
  • Creatinine