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慢性肾脏病:CKD 的分类不应仅仅关乎预后。

Chronic kidney disease: classification of CKD should be about more than prognosis.

机构信息

Division of Nephrology and Hypertension and Division of Epidemiology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.

出版信息

Nat Rev Nephrol. 2013 Dec;9(12):697-8. doi: 10.1038/nrneph.2013.222. Epub 2013 Oct 15.

DOI:10.1038/nrneph.2013.222
PMID:24126591
Abstract

Cystatin C continues to show its superiority over serum creatinine in predicting mortality among patients with chronic kidney disease (CKD). This superiority is, in part, due to the non-glomerular filtration rate (GFR) determinants of cystatin C associating with CKD risk factors and outcomes. The definition and classification of CKD should not exclusively equate cystatin C with GFR.

摘要

半胱氨酸蛋白酶抑制剂 C 在预测慢性肾脏病 (CKD) 患者死亡率方面继续优于血清肌酐。这种优越性部分归因于半胱氨酸蛋白酶抑制剂 C 的非肾小球滤过率 (GFR) 决定因素与 CKD 危险因素和结局相关。CKD 的定义和分类不应将半胱氨酸蛋白酶抑制剂 C 与 GFR 等同起来。

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本文引用的文献

1
Cystatin C versus creatinine in determining risk based on kidney function.胱抑素 C 与肌酐在基于肾功能的风险评估中的比较。
N Engl J Med. 2013 Sep 5;369(10):932-43. doi: 10.1056/NEJMoa1214234.
2
GFR estimating equations: getting closer to the truth?肾小球滤过率估算方程:更接近真相?
Clin J Am Soc Nephrol. 2013 Aug;8(8):1414-20. doi: 10.2215/CJN.01240213. Epub 2013 May 23.
3
Estimating the glomerular filtration rate from serum creatinine is better than from cystatin C for evaluating risk factors associated with chronic kidney disease.
用血清肌酐估算肾小球滤过率比用胱抑素 C 评估与慢性肾脏病相关的危险因素更好。
Kidney Int. 2013 Jun;83(6):1169-76. doi: 10.1038/ki.2013.7. Epub 2013 Feb 20.
4
Comparison of risk prediction using the CKD-EPI equation and the MDRD study equation for estimated glomerular filtration rate.比较 CKD-EPI 方程和 MDRD 研究方程用于估计肾小球滤过率的风险预测。
JAMA. 2012 May 9;307(18):1941-51. doi: 10.1001/jama.2012.3954.
5
Cystatin C identifies chronic kidney disease patients at higher risk for complications.胱抑素 C 可识别出发生并发症风险较高的慢性肾脏病患者。
J Am Soc Nephrol. 2011 Jan;22(1):147-55. doi: 10.1681/ASN.2010050483. Epub 2010 Dec 16.
6
Cathepsins (S and B) and their inhibitor Cystatin C in immune cells: modulation by interferon-β and role played in cell migration.组织蛋白酶(S 和 B)及其抑制剂胱抑素 C 在免疫细胞中的作用:干扰素-β的调节及其在细胞迁移中的作用。
J Neuroimmunol. 2011 Mar;232(1-2):200-6. doi: 10.1016/j.jneuroim.2010.10.015. Epub 2010 Nov 26.
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Cathepsins and cystatin C in atherosclerosis and obesity.组织蛋白酶和胱抑素 C 在动脉粥样硬化和肥胖中的作用。
Biochimie. 2010 Nov;92(11):1580-6. doi: 10.1016/j.biochi.2010.04.011. Epub 2010 Apr 24.
8
Definition and classification of CKD: the debate should be about patient prognosis--a position statement from KDOQI and KDIGO.慢性肾脏病的定义与分类:争论应聚焦于患者预后——来自美国肾脏病预后质量倡议组织(KDOQI)和改善全球肾脏病预后组织(KDIGO)的立场声明
Am J Kidney Dis. 2009 Jun;53(6):915-20. doi: 10.1053/j.ajkd.2009.04.001. Epub 2009 May 5.
9
K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.《肾脏病生存质量指导(K/DOQI)慢性肾脏病临床实践指南:评估、分类及分层》
Am J Kidney Dis. 2002 Feb;39(2 Suppl 1):S1-266.