دورية أكاديمية

Age-adapted percentiles of measured glomerular filtration in healthy individuals:extrapolation to living kidney donors over 65 years

التفاصيل البيبلوغرافية
العنوان: Age-adapted percentiles of measured glomerular filtration in healthy individuals:extrapolation to living kidney donors over 65 years
المؤلفون: Delanaye, Pierre, Gaillard, François, van der Weijden, Jessica, Mjøen, Geir, Ferhman-Ekholm, Ingela, Dubourg, Laurence, Ebert, Natalie, Schaeffner, Elke, Åkerfeldt, Torbjörn, Goffin, Karolien, Couzi, Lionel, Garrouste, Cyril, Rostaing, Lionel, Courbebaisse, Marie, Legendre, Christophe, Hourmant, Maryvonne, Kamar, Nassim, Cavalier, Etienne, Weekers, Laurent, Bouquegneau, Antoine, de Borst, Martin H, Mariat, Christophe, Pottel, Hans, van Londen, Marco
المصدر: Delanaye , P , Gaillard , F , van der Weijden , J , Mjøen , G , Ferhman-Ekholm , I , Dubourg , L , Ebert , N , Schaeffner , E , Åkerfeldt , T , Goffin , K , Couzi , L , Garrouste , C , Rostaing , L , Courbebaisse , M , Legendre , C , Hourmant , M , Kamar , N , Cavalier , E , Weekers , L , Bouquegneau , A , de Borst , M H , Mariat , C , Pottel , H & van Londen , ....
سنة النشر: 2022
المجموعة: University of Groningen research database
الوصف: OBJECTIVES: Most data on glomerular filtration rate (GFR) originate from subjects <65 years old, complicating decision-making in elderly living kidney donors. In this retrospective multi-center study, we calculated percentiles of measured GFR (mGFR) in donors <65 years old and extrapolated these to donors ≥65 years old. METHODS: mGFR percentiles were calculated from a development cohort of French/Belgian living kidney donors <65 years (n=1,983), using quantiles modeled as cubic splines (two linear parts joining at 40 years). Percentiles were extrapolated and validated in an internal cohort of donors ≥65 years (n=147, France) and external cohort of donors and healthy subjects ≥65 years (n=329, Germany, Sweden, Norway, France, The Netherlands) by calculating percentages within the extrapolated 5th-95th percentile (P5-P95). RESULTS: Individuals in the development cohort had a higher mGFR (99.9 ± 16.4 vs. 86.4 ± 14 and 82.7 ± 15.5 mL/min/1.73 m2) compared to the individuals in the validation cohorts. In the internal validation cohort, none (0%) had mGFR below the extrapolated P5, 12 (8.2%) above P95 and 135 (91.8%) between P5-P95. In the external validation cohort, five subjects had mGFR below the extrapolated P5 (1.5%), 25 above P95 (7.6%) and 299 (90.9%) between P5-P95. CONCLUSIONS: We demonstrate that extrapolation of mGFR from younger donors is possible and might aid with decision-making in elderly donors.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: https://research.rug.nl/en/publications/17ac3651-3c3d-46fa-81c7-3d48d3e3ac35Test
DOI: 10.1515/cclm-2021-1011
الإتاحة: https://doi.org/10.1515/cclm-2021-1011Test
https://hdl.handle.net/11370/17ac3651-3c3d-46fa-81c7-3d48d3e3ac35Test
https://research.rug.nl/en/publications/17ac3651-3c3d-46fa-81c7-3d48d3e3ac35Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.6F2AF3CF
قاعدة البيانات: BASE