Author/Editor | Hojs, Radovan | |
Title | Ocena glomerulne filtracije in prevalenca kronične ledvične bolezni | |
Translated title | Evaluation of cognitive state in the general practicioner's [i. e. practitioner's] office | |
Type | članek | |
Source | Družinska medicina | |
Vol. and No. | Letnik 8, št. Suppl 5 | |
Publication year | 2010 | |
Volume | str. 147-53 | |
Language | slo | |
Abstract | Estimation of the glomerular filtration rate is an essential part of the evaluation of patients with renal disease. Plasma creatinine is the most common marker used to estimate the glomerular filtration rate in clinical practice, but it is often non enough accurate. The current guidelines emphasize the need to assess kidney function using predictive serum creatinine-based equations. However, use of serum creatinine and serum creatinine-based equations has also some important limitation and the developing of new markers for more accurate evaluation of renal function is essential. Over the last few years, serum cystatin C was proposed as a new endogenous marker of GER and various serum cystatin C-based and serum creatinine and cystatin-based equations were developed. Prevalence of chronic kidney diseases in the world is approximately 10 %, data for Slovenia are not known. | |
Summary | Ocena glomerulne filtracije je pomemben del obravnave bolnika z ledvično boleznijo. Najpogosteje se v vsakodnevni klinični praksi za oceno glomerulne filtracije uporablja serumska koncentracija kreatinina, ki pogosto ni dovolj natančna. Trenutne smernice priporočajo za oceno glomerulne filtracije uporabo enačb, ki temeljijo na serumskem kreatininu. Žal imajo tudi te številne pomembne omejitve, zato v zadnjem času številni avtorji iščejo nove označevalce ledvične funkcije. Trenutno največ proučujejo serumski cistatin C. V zadnjem času se pojavljajo tudi enačbe za oceno GF, ki vključujejo namesto serumskega kreatinina serumski cistatin C, pa tudi takšne, ki vključujejo tako serumski kreatinin kot tudi serumski cistatin. Prevalenca kronične ledvične bolezni v svetu je ocenjena na okoli 10 %, zanesljivih podatkov za Slovenijo nimamo. | |
Descriptors | KIDNEY FAILURE, CHRONIC CREATININE CYSTATINS GLOMERULAR FILTRATION RATE |