American Journal of Kidney Diseases
Volume 54, Issue 1 , Pages 33-42 , July 2009

Comparison of Drug Dosing Recommendations Based on Measured GFR and Kidney Function Estimating Equations

  • Lesley A. Stevens, MD, MS

      Affiliations

    • Tufts Medical Center, Boston, MA
    • Corresponding Author InformationAddress correspondence to Lesley A. Stevens, MD, MS, Division of Nephrology, Tufts Medical Center, 800 Washington St, Box 391, Boston, MA 02111
  • ,
  • Thomas D. Nolin, PharmD, PhD

      Affiliations

    • University of Pittsburgh School of Pharmacy, Pittsburgh, PA
  • ,
  • Michelle M. Richardson, PharmD

      Affiliations

    • Tufts Medical Center, Boston, MA
  • ,
  • Harold I. Feldman, MD, MSCE

      Affiliations

    • University of Pennsylvania School of Medicine, Philadelphia, PA
  • ,
  • Julia B. Lewis, MD

      Affiliations

    • University of Pennsylvania School of Medicine, Philadelphia, PA
    • Vanderbilt University, Nashville, TN
  • ,
  • Roger Rodby, MD

      Affiliations

    • Rush University Medical Center, Chicago, IL
  • ,
  • Raymond Townsend, MD

      Affiliations

    • University of Pennsylvania School of Medicine, Philadelphia, PA
  • ,
  • Aghogho Okparavero, MBBS, MPH

      Affiliations

    • Tufts Medical Center, Boston, MA
  • ,
  • Yaping (Lucy) Zhang, MS

      Affiliations

    • Tufts Medical Center, Boston, MA
  • ,
  • Christopher H. Schmid, PhD

      Affiliations

    • Tufts Medical Center, Boston, MA
  • ,
  • Andrew S. Levey, MD

      Affiliations

    • Tufts Medical Center, Boston, MA
  • ,
  • Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)

Received 29 December 2008 ,Accepted 18 March 2009.

  • Image Result

    Concordance (Conc) of Modification of Diet in Renal Disease (MDRD) Study, Cockcroft-Gault (CG), and CG adjusted for ideal body weight (CGIBW) equations with measured glomerular filtration rate (GFR) f

    Concordance (Conc) of Modification of Diet in Renal Disease (MDRD) Study, Cockcroft-Gault (CG), and CG adjusted for ideal body weight (CGIBW) equations with measured glomerular filtration rate (GFR) for assignment of kidney function categories by patient subgroup. Each bar indicates the percentage of concordance to measured GFR for each of the 43 different equations. (A) Age (<40, 40 to 65, or >65 years), (B) sex, (C) race (African American or other), (D) weight (<60, 60 to 90, or >90 kg), (E) presence or absence of diabetes, and (F) presence or absence of kidney transplant. The rate of concordance to measured GFR for the CG and CGIBW equations was significantly different (P < 0.001) from concordance to measured GFR for the MDRD Study equation for all subgroups except weight of 60 to 90 kg (CG), weight greater than 90 kg (CGIBW), diabetes (CG), and transplant recipients (CGIBW).

  • Image Result
    Concordance (Conc) of the Cockcroft-Gault (CG) and CG adjusted for ideal body weight (CGIBW) equations with the Modification of Diet in Renal Disease (MDRD) Study equation for assignment of kidney fun

    Concordance (Conc) of the Cockcroft-Gault (CG) and CG adjusted for ideal body weight (CGIBW) equations with the Modification of Diet in Renal Disease (MDRD) Study equation for assignment of kidney function categories by patient subgroups. Each bar indicates the percentage of concordance to the MDRD Study equation for the 2 equations. (A) Age (<40, 40 to 65, or >65 years), (B) sex, (C) race (African American or other), (D) weight (<60, 60 to 90, or >90 kg), (E) presence or absence of diabetes, and (F) presence or absence of kidney transplant. *P < 0.0001 for comparisons of each equation to the MDRD Study equation for each subgroup.

 Originally published online as doi: 10.1053/j.ajkd.2009.03.008 on May 18, 2009.

 A list of the CKD-EPI investigators and collaborators appears at the end of this article.

 Because an author of this manuscript is an editor for AJKD, the peer-review and decision-making processes were handled entirely by an Associate Editor (Kamal Badr, MD, Lebanese American University) who served as Acting Editor-in-Chief. Details of the journal's procedures for potential editor conflicts are given in the Editorial Policies section of the AJKD website.

PII: S0272-6386(09)00601-5

doi: 10.1053/j.ajkd.2009.03.008

American Journal of Kidney Diseases
Volume 54, Issue 1 , Pages 33-42 , July 2009