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Title: Estimated glomerular filtration rate and functional status among older people: A systematic review
Author: Corsonello, Andrea
Roller-Wirnsberger, Regina
Rosa, Mirko Di
Fabbietti, Paolo
Wirnsberger, Gerhard
Kostka, Tomasz
Guligowska, Agnieszka
Tap, Lisanne
Mattace-Raso, Francesco
Gil, Pedro
Guardado Fuentes, Lara
Meltzer, Itshak
Yehoshua, Ilan
Artzi-Medvedik, Rada
Formiga Pérez, Francesc
Moreno González, Rafael
Weingart, Christian
Freiberger, Ellen
Ärnlöv, Johan
Carlsson, Axel C.
Lattanzio, Fabrizia
Keywords: Insuficiència renal crònica
Chronic renal failure
Issue Date: 1-Oct-2018
Publisher: Elsevier Science B. V.
Abstract: Background: The association between chronic kidney disease (CKD) and functional status may change as a function of the equation used to estimate glomerular filtration rate (eGFR). We reviewed the predictive value of different eGFR equations in regard to frailty and disability outcomes. Methods: We searched Pubmed from inception to March 2018 for studies investigating the association between eGFR and self-reported and/or objective measures of frailty or disability. Cross-sectional and longitudinal studies were separately analysed. Results: We included 16 studies, one of which reporting both cross-sectional and longitudinal data. Three out of 7 cross-sectional studies compared different eGFR equations in regard to their association with functional status: two studies showed that cystatin C-based, but not creatinine-based eGFR may be associated with hand-grip strength or frailty; another study showed that two different creatinine-based eGFR equations may be similarly associated with disability. Four out of 10 longitudinal studies provided comparative data: two studies reported similar association with disability for different creatinine-based eGFR equations; one study showed that creatinine-based eGFR was not associated with frailty, but a not significant trend for association was observed with cystatin C-based eGFR; one study showed that cystatin C-based but not creatinine-based eGFR may predict incident mobility disability, while both methods may predict gait speed decline. High heterogeneity was observed in regard to confounders included in reviewed studies. None of them included the most recently published equations. Conclusion: Available data do not support the superiority of one of the eGFR equations in terms of measuring or predicting functional decline.
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It is part of: European Journal of Internal Medicine, 2018, vol. 56, p. 39-48
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Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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