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Tuesday, December 8, 2020

A New Panel Estimated GFR, Including β2-Microglobulin and β-Trace Protein and Not Including Race, Developed in a Diverse Population

payt.helady61 shared this article with you from Inoreader
Assessment of glomerular filtration rate (GFR) is critical for many aspects of medical practice. GFR estimation based on creatinine and cystatin C together (eGFRcr-cys) is more accurate than eGFR based on either creatinine or cystatin C alone, but the inclusion of creatinine in eGFRcr-cys requires specification of a person's race. Beta-2-microglobulin (B2M) and beta-trace protein (BTP) are alternative filtration markers that appear to be less influenced by race than creatinine. In a pooled dataset of 7 studies (5017 participants), we developed new estimating equations based on the combinations of these markers, with and without age or sex and race. In a separate pooled dataset of 7 studies (2245 participants) we showed that the equation that used all four markers, age and sex, but not race, was as accurate as eGFRcr-cys. A more accurate race-free eGFR could be an important advance.
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