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Clinical Chemistry 35: 2326-2330, 1989;
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Clinical Chemistry, Vol 35, 2326-2330, Copyright © 1989 by American Association for Clinical Chemistry

Assessment of renal function by serum creatinine and creatinine clearance: glomerular filtration rate estimated by four procedures

F Van Lente and P Suit
Department of Biochemistry, Cleveland Clinic Foundation, OH 44195.

We compared creatinine concentrations in serum and urine and creatinine clearances determined by two Jaffe (Beckman's "Astra," Boehringer Mannheim Diagnostics) and two enzymatic (Kodak, Boehringer Mannheim Diagnostics) methods. Serum creatinine and creatinine clearances determined by each method were also compared with the glomerular filtration rate as measured with use of sodium [125I]iothalamate in patients with a wide range of renal function. Results between methods correlated excellently, but we saw clear method-dependent biases of up to 2.9 mg/L for serum. The highest serum creatinine values and the lowest creatinine clearances were obtained with Boehringer Mannheim Diagnostics' Jaffe method. The reciprocal of the serum creatinine and the creatinine clearance also correlated well with the glomerular filtration rate, but all methods over-estimated the glomerular filtration rates to varying degrees. Appropriate standardization of methods appears to be as important as method principle for establishing an accurate relationship between creatinine determinations and glomerular filtration rate.


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