Abstract

Chronic kidney disease (CKD) is frequently complicated by the coexistence of cardiovascular (CV) events, making it essential to identify CV risk in CKD. Serum cystatin-C is an upcoming renal biomarker, which is used to measure estimated glomerular filtration rate (eGFR) by the CKD-EPI formula.

Highlights

  • Chronic kidney disease (CKD) is a world-wide health problem whose burden continues to increase

  • Serum cystatin-C based estimated glomerular filtration rate (eGFR) was found to be better correlated with the lipid profile, when compared with eGFR estimation using serum creatinine

  • The correlation between cystatin-C based eGFR and lipids might indicate that this eGFR methodology may be a better marker of cardiovascular risk as lipids are a well known traditional risk factor for cardiovascular disease

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Summary

Introduction

Chronic kidney disease (CKD) is a world-wide health problem whose burden continues to increase. CKD encompasses a spectrum of different pathophysiologic processes, associated with abnormal kidney function and a progressive decline in glomerular filtration rate (GFR). The National Kidney Foundation had provided a classification for chronic kidney diseases, which has since evolved through time. This staging of chronic kidney disease, as delineated by the Kidney Dialysis Outcomes Quality Initiative (KDOQI), depends on the estimated glomerular filtration rate (eGFR) [1]. Serum creatinine is the most commonly used marker for eGFR using the Cockcroft-Gault formula or the MDRD (Modification of Diet in Renal Disease) [3]. Serum cystatin-C is an upcoming renal biomarker, which is used to measure estimated glomerular filtration rate (eGFR) by the CKD-EPI formula

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