PMID- 21672534 OWN - NLM STAT- MEDLINE DCOM- 20120809 LR - 20220408 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 412 IP - 19-20 DP - 2011 Sep 18 TI - Reference intervals for serum creatinine with enzymatic assay and evaluation of four equations to estimate glomerular filtration rate in a healthy Chinese adult population. PG - 1793-7 LID - 10.1016/j.cca.2011.05.033 [doi] AB - BACKGROUND: With the wide usage of enzymatic assays to determine serum creatinine (Scr) in China, reference interval (RI) needs to be established. At the same time, the performance of Scr based equations to calculate estimated glomerular filtration rate (eGFR) in healthy Chinese adults has not been extensively investigated. METHODS: This study has strictly followed the International Federation of Clinical Chemistry (IFCC) recommendations and the Clinical Laboratory Standards Institute (CLSI) C28-A2 document. A total number of 778 healthy Chinese adults (male 433, female 345) were enrolled in this study. RESULTS: By nonparametric method, RIs for males were: <60 years, 58-93 mumol/l and >60 years, 54-109 mumol/l; RIs for females were: <60 years, 42-69 mumol/l and >60 years, 43-83 mumol/l. Modification of Diet in Renal Disease (MDRD) equation and MDRD for Japanese made the percentage of eGFR >90 ml/min/1.73 m(2) 31.7% and 4.9%; percentage of eGFR 60-89 ml/min/1.73 m(2) 65.2% and 64.0%, respectively. Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation and CKD-EPI for Asian made the percentage of eGFR >90 ml/min/1.73 m(2) 89.2% and 94.0%; percentage of eGFR 60-89 ml/min/1.73 m(2) 10.3% and 5.7%, respectively. CONCLUSION: Scr RIs of healthy Chinese adults were found to be lower than those of Caucasians. Two MDRD equations underestimated GFR, while two CKD-EPI equations seemed to estimate a reasonable distribution of eGFR in healthy Chinese adult populations. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Wang, XueJing AU - Wang X AD - Department of Clinical Laboratory, Peking University First Hospital, Beijing, China. FAU - Xu, GuoBin AU - Xu G FAU - Li, HaiXia AU - Li H FAU - Liu, Yan AU - Liu Y FAU - Wang, Fang AU - Wang F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110607 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - AYI8EX34EU (Creatinine) SB - IM MH - Adult MH - Aged MH - China MH - Creatinine/*blood/standards MH - *Enzyme Assays MH - Female MH - *Glomerular Filtration Rate MH - Humans MH - Male MH - Middle Aged MH - Reference Values MH - Reproducibility of Results EDAT- 2011/06/16 06:00 MHDA- 2012/08/10 06:00 CRDT- 2011/06/16 06:00 PHST- 2011/01/22 00:00 [received] PHST- 2011/05/30 00:00 [revised] PHST- 2011/05/31 00:00 [accepted] PHST- 2011/06/16 06:00 [entrez] PHST- 2011/06/16 06:00 [pubmed] PHST- 2012/08/10 06:00 [medline] AID - S0009-8981(11)00308-1 [pii] AID - 10.1016/j.cca.2011.05.033 [doi] PST - ppublish SO - Clin Chim Acta. 2011 Sep 18;412(19-20):1793-7. doi: 10.1016/j.cca.2011.05.033. Epub 2011 Jun 7.