Applicability of Different Estimated Glomerular Filtration Rate Equations in Chinese Healthy Population: A Cross-Sectional Study
Abstract Objective: To estimate kidney function with aging by equations based on serum creatinine (Scr) and investigate the applicability of these equations in estimated glomerular filtration rate (eGFR) in healthy Chinese population. Patients and methods: A total of 34,416 healthy individuals were enrolled in this study, eGFR was calculated by CKD-EPI, FAS and Xiangya equations. Plotted scatter diagrams were adopted to show the difference between eGFR by above three equations. Agreement analysis between these equations was quantified by the linear weighted κ statistic.Results: eGFRs by CKD-EPI and Xiangya equation had a constant decline with aging. eGFR by FAS equation was approximately 116.5 mL/min/1.73m2 under 40 years, then decreased with a rate of 1.27 mL/min/1.73 m2/year. The difference was relatively small, and substantial agreement was observed between CKD-EPI and FAS equations with Scr levels above 0.9 mg/dL in males (κ =0.798) or 0.7 mg/dL in females (κ =0.745). The agreement between CKD-EPI and FAS equations was moderate to near-perfect in non-elderly (κ 0.617-0.901 for males and 0.536-0.861 for females), whereas was fair to moderate in older adults (κ 0.494-0.513 for males and 0.373-0.526 for females). eGFR by CKD-EPI was slightly higher than which by FAS equation in older population. The agreement between Xiangya and CKD-EPI or FAS equation was all slight (κ<0.2).Conclusion: FAS equation could be used to evaluate declining rate of eGFR in healthy population. We recommend FAS or CKD-EPI equation in non-elderly adults, and FAS equation in older adults to calculate eGFR. More verification is needed, especially in older adults and population with low Scr level.