Creatinin in the modern evaluation of the kidneys functional condition (literature review and own data)
https://doi.org/10.36485/1561-6274-2020-24-4-21-36
Abstract
Glomerular filtration rate (GFR) is a recognized indicator of the functional status of the kidneys. In medical practice, there are various approaches for measuring GFR. However, despite the nearly 100-year history, not all methodological problems of evaluating GFR in clinical practice have been solved. The most physiologically justified (“reference”) methods are not acceptable in routine practice because of the complexity and high cost. Therefore, clinicians have to rely mainly on the results of surrogate methods, most of which use endogenous creatinine as a glomerulotropic test agent. Therefore, the accuracy of determining the concentration of this metabolite in biological media (especially in serum) is often crucially determined by the reliability of the GFR assessment. Manufacturers of creatinine reagent kits should take into account current requirements for accuracy and traceability of measurement results and ensure that their products comply with international standards.
About the Authors
I. G. KayukovRussian Federation
Prof. Ivan G. Kayukov, MD, PhD, DMedSci
197022, Leo Tolstoy st. 17, build 54
Phone: 8(981)8153949
O. V. Galkina
Russian Federation
Olga V. Galkina, PhD in Biology, Center Laboratory of Biochemical Homeostasis, Head
197022, Leo Tolstoy st. 17, build 54
Phone: (812)3386901
E. I. Timshina
Russian Federation
Eugenia I. Timshina, Biochemistry technologist
196006, Tsvetochnaya st. 16,
Phone: 8(921)4019054
I. M. Zubina
Russian Federation
Irina M. Zubina, PhD in Biology, Clinical Research Center Laboratory of Biochemical Homeostasis
197022, Leo Tolstoy st. 17, build54
Phone: (812)3386901
A. U. Miheeva
Russian Federation
Alena U. Miheeva, PhD in Chemistry, Leading researcher, Research department of state standards in the fi eld of organic and inorganic analysis.
196006, Moskovsky pr. 19,
Phone: 8(911)2507022
G. M. Berdichevsky
Russian Federation
Grigory M. Berdichevsky, Engineer 2nd category, Research department of state standards in the fi eld of organic and inorganic analysis
196006, Moskovsky pr. 19
Phone: 8(812)2517601
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Review
For citations:
Kayukov I.G., Galkina O.V., Timshina E.I., Zubina I.M., Miheeva A.U., Berdichevsky G.M. Creatinin in the modern evaluation of the kidneys functional condition (literature review and own data). Nephrology (Saint-Petersburg). 2020;24(4):21-36. (In Russ.) https://doi.org/10.36485/1561-6274-2020-24-4-21-36