We are being also being asked to provide the MDRD calculation by our
Nephrologists. Whilst participants of this mail base have raised queries,
there seems to be no doubt in the Nephrologists mind that this is the way to
go. Has anyone reviewed this, and would share their findings as to whether
it is the way to go or not.
Lastly, we need to incorporate the equation into our Isoft - Apex laboratory
computer, has anyone done this successfully?
____________________________________________________________
Dr. Helen Grimes, Dept. of Clinical Biochemistry, UCH, Galway, Ireland
-----Original Message-----
From: Myers Martin (Dr) [mailto:[log in to unmask]]
Sent: 19 October 2004 11:39
To: [log in to unmask]
Subject: calculated GFR
Is anyone confident enough to use the Modified MDRD calculation (or one the
many others) as part of an adult electrolyte profile (Na, K, urea,
creatinine) to give a better indication of GFR?
The proposed use of the NKF K/DOQI classification of stages of chronic
kidney disease, using calculated GFR, seems to gaining momentum.
A case being put forward locally is: as creatinine is no good for detecting
early kidney failure, and the "evidence" shows that calculated GFR is as
good as creatinine clearance, and physicians would rather GFR than serum
creatinine, then why not report calculated GFR with all its associated
errors?
regards
Martin Myers
<http://www.kidney.org/professionals/doqi/kdoqi/p5_lab_g4.htm>
<http://bmj.bmjjournals.com/cgi/reprint/325/7355/85>
http://bmj.bmjjournals.com/cgi/reprint/329/7471/912
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