eGFR using Updated MDRD Equation (2006)
Calculate eGFR using the updated MDRD (4 Variables, and Standardized creatinine) Equation (2006)
Questions
About
The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) began a multicenter study named the Modification of Diet in
Renal Disease (MDRD). It was designed to assess the acceptance,
safety, and efficacy of restricted protein and phosphorus diets in
patients with chronic renal disease. One of the results of this study
is the development of the MDRD equation. The original MDRD equation
had been announced in 1999 and developed based on 6 variables: serum
creatinine, age, sex, ethnicity, and serum levels of urea and albumin
[8].
Original MDRD (6 Variables) Equation = 170 * (Scr)-0.999 *
(Age)-0.176 * 0.762 [if female] * 1.180 [if black] *
[SUNb]-0.170 * [Alb]+0.318
Subsequently, in 2000 a simplified equation including 4 variables had
been proposed to simplify its clinical use, and it was consisting of
age, sex, ethnicity, and serum creatinine.
Simplified MDRD (4 Variables) eGFR (ml/min/1.73m2) = 186 * [Scr]-1.154
* [Age] -0.203 * [0.742 if female] * [1.21 if black]
After the great work on the creatinine standardization program , it
was necessary to re-express the MDRD equation to fulfil the new
development. Then the updated MDRD equation has been announced in
2006.
The estimated glomerular filtration rate (GFR) is a quick way to
assess how well the kidneys filter toxins from the blood, balance
fluids, control the production of red blood cells, and more. Estimated
glomerular filtration rate (eGFR) is one of the primary diagnostic
methods for detecting and managing kidney diseases. To find the eGFR,
healthcare professionals use a blood test and a special calculator.
MDRD like other eGFR equations has two benefits in general; help in
the staging of Chronic Kidney Diseases (CKD), assessment of renal
functions of the potential kidney donors and adjustment of drug dosing
in renal impairment cases . Kidney Disease Outcomes Quality Initiative
(K/DOQI) was the first organization that recommended using the
simplified MDRD equation in clinical practice in 2002 and after
introducing the creatinine standardization program in 2006 , many
other guidelines have recommended the updated MDRD equation.
Equation: eGFR using the Updated MDRD (4 Variables, and
Standardized creatinine) Equation (2006)
= 175 * [Scr]-1.154 * [Age] -0.203 * [0.742 if
female] * [1.21 if black]
where:
Scr = standardized serum creatinine in mg/dL
Age (years)
References
Levey AS, Coresh J, Greene T, Stevens LA, Zhang YL, Hendriksen S, Kusek JW, Van Lente F.
Muhamad Ali Alherk, Mohammad Ammar M. K. Yahia, Kaumudi Bery.
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