tag:blogger.com,1999:blog-4230162007222918868.post88733754851095033..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: Time for a change?Gearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4230162007222918868.post-86841741970705833382013-06-18T21:06:22.034-04:002013-06-18T21:06:22.034-04:00True, but the Epi data are clear. Even in elderly ...True, but the Epi data are clear. Even in elderly patients, an eGFR of <60 is associated with increased risk. Maybe this is where cystatin c can be of some value. Also, this is an argument for using CKD-Epi because it has less bias. Gearoid McMahonhttps://www.blogger.com/profile/08049723797363526138noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-261767303251754142013-06-18T20:57:00.050-04:002013-06-18T20:57:00.050-04:00The problem with these equation is that the margin...The problem with these equation is that the margin of error is beyond 30% plus minus (see http://nkdep.nih.gov/lab-evaluation/gfr/estimating.shtml#goto-3 Figure 1) so patients with an eGFR of 60-70 get referred to the renal clinic and are worried that they have kidney disease just because their creatinine is on the upper limit of normal. <br /><br />This creates a huge amount of unnecessary renal referrals and patient worries.Anonymousnoreply@blogger.com