PMID- 24790742 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140505 LR - 20211021 IS - 2075-051X (Print) IS - 2075-0528 (Electronic) IS - 2075-051X (Linking) VI - 14 IP - 2 DP - 2014 May TI - Comparison between Three Different Equations for the Estimation of Glomerular Filtration Rate in Omani Patients with Type 2 Diabetes Mellitus. PG - e197-203 AB - OBJECTIVES: Estimated glomerular filtration rate (eGFR) is an important component of a patient's renal function profile. The Modification of Diet in Renal Disease (MDRD) equation and the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation are both commonly used. The aim of this study was to compare the performance of the original MDRD186, revised MDRD175 and CKD-EPI equations in calculating eGFR in type 2 diabetes mellitus (T2DM) patients in Oman. METHODS: The study included 607 T2DM patients (275 males and 332 females, mean age +/- standard deviation 56 +/- 12 years) who visited primary health centres in Muscat, Oman, during 2011 and whose renal function was assessed based on serum creatinine measurements. The eGFR was calculated using the three equations and the patients were classified based on chronic kidney disease (CKD) stages according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative guidelines. A performance comparison was undertaken using the weighted kappa test. RESULTS: The median eGFR (mL/min/1.73 m(2)) was 92.9 for MDRD186, 87.4 for MDRD175 and 93.7 for CKD-EPI. The prevalence of CKD stage 1 was 55.4%, 44.7% and 57% while for stages 2 and 3 it was 43.2%, 54% and 41.8%, based on MDRD186, MDRD175 and CKD-EPI, respectively. The agreement between MDRD186 and CKD-EPI (small ka, Cyrillic 0.868) was stronger than MDRD186 and MDRD175 (small ka, Cyrillic 0.753) and MDRD175 and CKD-EPI (small ka, Cyrillic 0.730). CONCLUSION: The performances of MDRD186 and CKD-EPI were comparable. Considering that CKD-EPI-based eGFR is known to be close to isotopically measured GFR, the use of MDRD186 rather than MDRD175 may be recommended. FAU - Al-Maqbali, Salima R S AU - Al-Maqbali SR AD - Department of Laboratory Medicine, Sohar Hospital, Sohar, Oman. FAU - Mula-Abed, Waad-Allah S AU - Mula-Abed WA AD - Department of Laboratory Medicine, Sohar Hospital, Sohar, Oman. LA - eng PT - Journal Article DEP - 20140407 PL - Oman TA - Sultan Qaboos Univ Med J JT - Sultan Qaboos University medical journal JID - 101519915 PMC - PMC3997536 OTO - NOTNLM OT - Chronic Renal Insufficiency OT - Collaboration OT - Diet Modification OT - Epidemiology OT - Glomerular Filtration Rates OT - Oman OT - Type 2 Diabetes Mellitus EDAT- 2014/05/03 06:00 MHDA- 2014/05/03 06:01 PMCR- 2014/05/01 CRDT- 2014/05/03 06:00 PHST- 2013/07/07 00:00 [received] PHST- 2013/11/11 00:00 [revised] PHST- 2013/12/30 00:00 [revised] PHST- 2014/01/16 00:00 [accepted] PHST- 2014/05/03 06:00 [entrez] PHST- 2014/05/03 06:00 [pubmed] PHST- 2014/05/03 06:01 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - squmj1402-e197-203 [pii] PST - ppublish SO - Sultan Qaboos Univ Med J. 2014 May;14(2):e197-203. Epub 2014 Apr 7.