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Thanks. Is there a convenient link to that guidance? How good is eGFR at estimating GFR in patients with rapidly changing cardiovascular or renal function, as typically seen in inpatients? And is there a recent review showing improved outcomes or cost-effectiveness or adverse effects for reporting eGFR or detecting "CKD" in asymptomatic patients primary care? (I only know of GP reimbursement and increased referral to secondary care as studied outcomes. ) Jonathan On 18 Mar 2011, at 11:03, EDMUND LAMB wrote: > Department of Health guidance is quite clear that eGFR should be reported on all adult samples received by the laboratory for creatinine measurement. > I don't understand why this debate exists. > > > > ----------------------------------------------------------------------------------------------------------- > Dr Edmund Lamb PhD FRCPath > >>>> "Patel Bharat (RWG) West Hertfordshire TR" <[log in to unmask]> 17/03/2011 10:41 >>> > Are there any labs reporting eGFR for inpatients? > > BNF does mention eGRF to adjust dosage on eGFR. > > At the moment we do not report eGFR for inpatients for well known > reasons but a number of our drs are calculating (from the NET) eGFR for > their inpatients! > > Would it better for health safety reasons to provide eGFRs for > inpatients as it would be more 'accurate'? > > Many thanks > > > > Bharat > > ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/