CYSTATIN C VERSUS CREATININE-BASED GLOMERULAR FILTRATION RATE ESTIMATION IN CHILDREN WITH EARLY-STAGE CHRONIC KIDNEY DISEASE - DIAGNOSTIC ACCURACY, CLINICAL UTILITY, AND PROGNOSTIC IMPLICATIONS
Keywords:
Albuminuria, biomarker, chronic kidney disease, cystatin C, creatinine, glomerular filtration rate, iohexol clearance, nephroprotection, pediatric nephrology, progression, proteinuria, renal fibrosis, Schwartz equation, staging, tubular dysfunction.Abstract
This prospective observational study compared the diagnostic accuracy of cystatin C-based and creatinine-based glomerular filtration rate equations in 112 children aged 3-15 years with stages 1-3 chronic kidney disease. Cystatin C-based estimation achieved significantly higher sensitivity for early renal decline. The combined creatinine-cystatin C equation demonstrated the best accuracy overall, supporting its routine adoption in pediatric nephrology practice.
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