Botev Rossini, Mallié Jean-Pierre
Department of Nephrology, Hawaii Permanente Medical Group, 3288 Moanalua Road, Honolulu, HI 96819, USA.
Clin J Am Soc Nephrol. 2008 Nov;3(6):1606-7. doi: 10.2215/CJN.04560908. Epub 2008 Oct 15.
The process of diagnosing chronic kidney disease using the estimated GFR involves several pitfalls. The estimated GFR laboratory report should be requested only by practitioners who are familiar with how to interpret the result. Until a more reliable method is available to estimate the GFR, the current chronic kidney disease classification should be revised by reducing the central role of the GFR cutoff levels.
使用估算肾小球滤过率(GFR)来诊断慢性肾脏病的过程存在一些缺陷。估算GFR的实验室报告应该仅由熟悉如何解读结果的从业者索取。在有更可靠的方法来估算GFR之前,当前的慢性肾脏病分类应该通过降低GFR临界值的核心作用来进行修订。