We do eGFR by MDRD on all creatinines: It is easier to set it for all and answer the odd query than it is to have rules to decide who gets the calculation. Also, if we don't do the sums, people will use on-line calculators - which do not have the NEQAS correction factors for the assay we use.
 
TIM

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Prof. Tim Reynolds
Consultant Chemical Pathologist / Associate Clinical Director - Diagnostics / R&D Lead
Burton Hospitals NHS Foundation Trust
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From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of IAN WATSON
Sent: 12 December 2011 10:39 AM
To: [log in to unmask]
Subject: eGFR on in-patients

As thromboprophylaxis becomes ubiquitous we are being pushed to provide eGFRs on all in-patients, particularly by the pharmacists. I’ve been resisting as not all in-patients have stable renal function. What is the experience of others? Are your pharmacists still using Cockcroft &Gault? Should we be encouraging eGFR for all? If not, why not [if yes, why yes].

 

Happy to collate responses.

 

Ian

 

Dr Ian D Watson

Clinical Director, Clinical Laboratories

Consultant Biochemist & Toxicologist

Dept Clinical Biochemistry

University Hospital Aintree

Lower Lane

Liverpool

L9 7AL

Tel +44 151 529 3575

Fax +44 151 529 3310

 

 

 

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