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Performance of the Cockcroft-Gault and MDRD equations in adult Nigerians with chronic kidney disease

  • Nephrology - Original Paper
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Abstract

Background

Estimation of the glomerular filtration rate (GFR) is required in the assessment of patients with chronic kidney disease (CKD) in order to provide information regarding the functional status of the kidneys. Current guidelines advocate the use of prediction equations, such as the Cockcroft-Gault (CG) formula and the Modification of Diet in Renal Disease (MDRD) study-derived equations, over clearance of endogenous creatinine (Ccr) in achieving this aim. We were interested in knowing the accuracy of these equations in predicting the GFR in adult Nigerians with CKD.

Methods

We conducted a review of records of patients who were evaluated for CKD at the Nephrology Clinic of the Jos University Teaching Hospital between 2001 and 2003. We compared the CG and MDRD equations against the Ccr in predicting the GFR in 130 patients (88 males and 42 females) with CKD.

Results

The means ± standard deviation (SD) for the measured and predicted GFR by the CG and MDRD equations were similar (17.6 ± 25.8 ml/min, 19.9 ± 24.0 ml/min and 21.5 ± 28.2 ml/min, respectively; analysis of variance [ANOVA], F = 0.68, P = 0.5). The mean difference between CG and Ccr was −2.2 ± 14.8 ml/min, with discordance at Ccr values >25 ml/min. The mean difference between MDRD and Ccr was −3.9 ± 18.1 ml/min, with discordance at Ccr values >40 ml/min.

Conclusion

The CG and MDRD equations provide reliable alternatives to measured Ccr in the estimation of the GFR in Nigerian patients with CKD.

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Acknowledgements

The authors wish to acknowledge Mr. Olumide of the Department of Chemical Pathology, Jos University Teaching Hospital, for the biochemical assays.

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Authors and Affiliations

  1. Nephrology Division, Department of Medicine, Jos University Teaching Hospital, PMB 2076, Jos, Plateau State, Nigeria

    Emmanuel I. Agaba

  2. University of Port-Harcourt Teaching Hospital, Port-Harcourt, Nigeria

    Chinyere M. Wigwe

  3. APIN Center, Jos University Teaching Hospital, Jos, Plateau State, Nigeria

    Patricia A. Agaba

  4. Renal Section, New Mexico Veterans Affairs Health Care System and Department of Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA

    Antonios H. Tzamaloukas

Authors
  1. Emmanuel I. Agaba
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  2. Chinyere M. Wigwe
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  3. Patricia A. Agaba
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  4. Antonios H. Tzamaloukas
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Correspondence to Emmanuel I. Agaba.

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Agaba, E.I., Wigwe, C.M., Agaba, P.A. et al. Performance of the Cockcroft-Gault and MDRD equations in adult Nigerians with chronic kidney disease. Int Urol Nephrol 41, 635–642 (2009). https://doi.org/10.1007/s11255-008-9515-8

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  • DOI: https://doi.org/10.1007/s11255-008-9515-8

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