Department of Public Health and Primary Care, KU Leuven Campus Kulak Kortrijk, Kortrijk, Belgium.
Department of Nephrology-Dialysis-Apheresis, Hôpital Universitaire Carémeau, Nîmes, France.
Ann Lab Med. 2024 Mar 1;44(2):135-143. doi: 10.3343/alm.2023.0237. Epub 2023 Nov 1.
Serum creatinine and serum cystatin C are the most widely used renal biomarkers for calculating the estimated glomerular filtration rate (eGFR), which is used to estimate the severity of kidney damage. In this review, we present the basic characteristics of these biomarkers, their advantages and disadvantages, some basic history, and current laboratory measurement practices with state-of-the-art methodology. Their clinical utility is described in terms of normal reference intervals, graphically presented with age-dependent reference intervals, and their use in eGFR equations.
血清肌酐和血清胱抑素 C 是最常用于计算肾小球滤过率(eGFR)的肾脏生物标志物,用于估计肾脏损伤的严重程度。在这篇综述中,我们介绍了这些生物标志物的基本特征、优缺点、一些基本历史以及当前最先进方法学的实验室测量实践。根据正常参考区间、年龄相关参考区间的图形表示以及在 eGFR 方程中的应用,描述了它们的临床实用性。