Helen,
The MDRD calculation for GFR may form part of the Renal NSF. It is not a
difficult calculation and I have programmed it into our Technidata (ex
Bayer) system. We are trialling it with 2 GP practices and a nephrologist
to see if it picks up renal disease and does not swamp the nephorologist.
Regards,
Martin.
Dr M R Holland
Dept Clinical Chemistry
New Cross Hospital
Wolverhampton.
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 19, 2004 12:52 PM
Subject: Re: calculated GFR
> 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
>
> This message and any files transmitted with it are confidential and
> intended
>
> solely for the individual(s) addressed. If you have received this e-mail
> in
> error, disclosing, copying, distributing or retaining this message or any
> part
> of it is strictly prohibited; please notify the sender immediately and
> delete it
> from your system. Any views or opinions presented are solely those of the
> author
> and do not necessarily represent those of Lancashire Teaching Hospitals
> NHS
> Trust. The Trust accepts no liability for any damage caused by any virus
> transmitted with this e-mail, so although virus checked before
> transmission,
> the
> recipient should also check for the presence of viruses.
>
>
> ------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
> List Archives
> http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
> List Instructions (How to leave etc.)
> http://www.jiscmail.ac.uk/
> The information contained in this email and in any attachments is
> confidential
> and is designated solely for the attention and use of the intended
> recipient(s).
> If you are not the intended recipient of this email, you should not use,
> disclose, copy, distribute or retain this message or any part of it. If
> you
> have
> received this in error, please notify me immediately and delete all copies
> of
> this email from your computer system(s). This email has been processed by
> an automated anti-virus system; however it is the responsibility of the
> recipient
> to ensure that the message (and attachments) is safe and authorized for
> use
> in their own environment.
>
> ------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
> List Archives
> http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
> List Instructions (How to leave etc.)
> http://www.jiscmail.ac.uk/
------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
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|