PMID- 36199035 OWN - NLM STAT- MEDLINE DCOM- 20221007 LR - 20221015 IS - 1471-2369 (Electronic) IS - 1471-2369 (Linking) VI - 23 IP - 1 DP - 2022 Oct 5 TI - Sysmex UN2000 detection of protein/creatinine ratio and of renal tubular epithelial cells can be used for screening lupus nephritis. PG - 328 LID - 10.1186/s12882-022-02953-x [doi] LID - 328 AB - OBJECTIVES: This study is aimed to evaluate if automated urine sediment analysis UN2000 can be used to screen lupus nephritis. METHODS: UN2000 was used to examine 160 urine samples from patients with systemic lupus erythematosus and 124 urine samples from Lupus nephritis. The result of protein/creatinine ratio(P/C) and renal tubular epithelial cells (RTEC) were evaluated. With biochemical analysis and microscopic examination as the gold standard, the Kappa consistency test was used to analyze the accuracy of P/C and RTEC. Analysis was to evaluate the accuracy of P/C single item or RTEC single item and both screening lupusnephritis. RESULTS: The consistency of P/C and the gold standard, and that of RTEC and the gold standard are respectively strong and good (0.858 vs. 0.673). The specificity, positive predictive value, and coincidence were the highest when P/C >/= 2 + was set as the only screening standard for lupus nephritis. When the standard was selected between P/C >/= 2 + or RTEC > 2.8 cells/microl, the sensitivity and negative predictive value were the highest. CONCLUSION: UN 2000 can be used to screen lupus nephritis by detecting P/C and RTEC. CI - (c) 2022. The Author(s). FAU - Chen, Yabin AU - Chen Y AD - Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. FAU - Zhao, Yuan AU - Zhao Y AD - Department of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), 127 Changle West Road, 710032, Xi'an, Shaanxi, China. FAU - Zhang, Zhishan AU - Zhang Z AD - Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. FAU - Cheng, Xiang AU - Cheng X AD - Department of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), 127 Changle West Road, 710032, Xi'an, Shaanxi, China. FAU - Lin, Jie AU - Lin J AD - Department of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), 127 Changle West Road, 710032, Xi'an, Shaanxi, China. FAU - Li, Jiaming AU - Li J AD - Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. FAU - Wu, Yibo AU - Wu Y AD - Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. FAU - Lin, Zhen Zhong AU - Lin ZZ AD - Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. FAU - Jing, Jing AU - Jing J AD - Department of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), 127 Changle West Road, 710032, Xi'an, Shaanxi, China. sevencee@sina.com. LA - eng PT - Journal Article DEP - 20221005 PL - England TA - BMC Nephrol JT - BMC nephrology JID - 100967793 RN - AYI8EX34EU (Creatinine) SB - IM MH - Creatinine/urine MH - Epithelial Cells MH - Humans MH - *Lupus Erythematosus, Systemic/complications MH - *Lupus Nephritis/diagnosis/urine MH - Urinalysis PMC - PMC9536011 OTO - NOTNLM OT - Lupus nephritis OT - P/C OT - RTEC OT - Systemic lupus erythematosus OT - UN2000 COIS- No conflict of interest exists in the submission of this manuscript, and this manuscript is approved by all authors for publication. EDAT- 2022/10/06 06:00 MHDA- 2022/10/12 06:00 PMCR- 2022/10/05 CRDT- 2022/10/05 23:37 PHST- 2022/06/07 00:00 [received] PHST- 2022/09/21 00:00 [accepted] PHST- 2022/10/05 23:37 [entrez] PHST- 2022/10/06 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2022/10/05 00:00 [pmc-release] AID - 10.1186/s12882-022-02953-x [pii] AID - 2953 [pii] AID - 10.1186/s12882-022-02953-x [doi] PST - epublish SO - BMC Nephrol. 2022 Oct 5;23(1):328. doi: 10.1186/s12882-022-02953-x.