Your browser doesn't support javascript.
loading
CamGFR v2: A New Model for Estimating the Glomerular Filtration Rate from Standardized or Non-standardized Creatinine in Patients with Cancer.
Williams, Edward H; Flint, Thomas R; Connell, Claire M; Giglio, Daniel; Lee, Hassal; Ha, Taehoon; Gablenz, Eva; Bird, Nicholas J; Weaver, James M J; Potts, Harry; Whitley, Cameron T; Bookman, Michael A; Lynch, Andy G; Meyer, Hannah V; Tavaré, Simon; Janowitz, Tobias.
Afiliación
  • Williams EH; Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, England, United Kingdom.
  • Flint TR; Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, United Kingdom.
  • Connell CM; Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, England, United Kingdom.
  • Giglio D; University of Cambridge, Cambridge, England, United Kingdom.
  • Lee H; Department of Oncology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
  • Ha T; University of Cambridge School of Clinical Medicine, Cambridge, England, United Kingdom.
  • Gablenz E; Cold Spring Harbor Laboratory, Cold Spring Harbor, New York.
  • Bird NJ; Cold Spring Harbor Laboratory, Cold Spring Harbor, New York.
  • Weaver JMJ; Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, United Kingdom.
  • Potts H; The Christie NHS Foundation Trust, Manchester, England, United Kingdom.
  • Whitley CT; University of Manchester, Manchester, England, United Kingdom.
  • Bookman MA; University of Cambridge School of Clinical Medicine, Cambridge, England, United Kingdom.
  • Lynch AG; University of Cambridge School of Clinical Medicine, Cambridge, England, United Kingdom.
  • Meyer HV; Gynecologic Oncology Therapeutics, Kaiser Permanente, San Francisco, California.
  • Tavaré S; Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, England, United Kingdom.
  • Janowitz T; School of Medicine, University of St Andrews, St Andrews, Scotland, United Kingdom.
Clin Cancer Res ; 27(5): 1381-1390, 2021 03 01.
Article en En | MEDLINE | ID: mdl-33303580
PURPOSE: Management of patients with cancer, specifically carboplatin dosing, requires accurate knowledge of glomerular filtration rate (GFR). Direct measurement of GFR is resource limited. Available models for estimated GFR (eGFR) are optimized for patients without cancer and either isotope dilution mass spectrometry (IDMS)- or non-IDMS-standardized creatinine measurements. We present an eGFR model for patients with cancer compatible with both creatinine measurement methods. EXPERIMENTAL DESIGN: GFR measurements, biometrics, and IDMS- or non-IDMS-standardized creatinine values were collected for adult patients from three cancer centers. Using statistical modeling, an IDMS and non-IDMS creatinine-compatible eGFR model (CamGFR v2) was developed. Its performance was compared with that of the existing models Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), Modification of Diet in Renal Disease (MDRD), Full Age Spectrum (FAS), Lund-Malmö revised, and CamGFR v1, using statistics for bias, precision, accuracy, and clinical robustness. RESULTS: A total of 3,083 IDMS- and 4,612 non-IDMS-standardized creatinine measurements were obtained from 7,240 patients. IDMS-standardized creatinine values were lower than non-IDMS-standardized values in within-center comparisons (13.8% lower in Cambridge; P < 0.0001 and 19.3% lower in Manchester; P < 0.0001), and more consistent between centers. CamGFR v2 was the most accurate [root-mean-squared error for IDMS, 14.97 mL/minute (95% confidence interval, 13.84-16.13) and non-IDMS, 15.74 mL/minute (14.86-16.63)], most clinically robust [proportion with >20% error of calculated carboplatin dose for IDMS, 0.12 (0.09-0.14) and non-IDMS, 0.17 (0.15-0.2)], and least biased [median residual for IDMS, 0.73 mL/minute (-0.68 to 2.2) and non-IDMS, -0.43 mL/minute (-1.48 to 0.91)] eGFR model, particularly when eGFR was larger than 60 ml/minute. CONCLUSIONS: CamGFR v2 can utilize IDMS- and non-IDMS-standardized creatinine measurements and outperforms previous models. CamGFR v2 should be examined prospectively as a practice-changing standard of care for eGFR-based carboplatin dosing.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modelos Estadísticos / Creatinina / Tasa de Filtración Glomerular / Neoplasias Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Clin Cancer Res Asunto de la revista: NEOPLASIAS Año: 2021 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modelos Estadísticos / Creatinina / Tasa de Filtración Glomerular / Neoplasias Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Clin Cancer Res Asunto de la revista: NEOPLASIAS Año: 2021 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos