SciELO - Scientific Electronic Library Online

 
vol.60 issue6Common mental disorders and associated factors among final-year healthcare studentsDoppler flowmetry of ophthalmic arteries for prediction of pre-eclampsia author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista da Associação Médica Brasileira

Print version ISSN 0104-4230

Abstract

FONTELA, Paula Caitano; WINKELMANN, Eliane Roseli; OTT, Joice Nedel  and  UGGERI, Douglas Prestes. Estimated glomerular filtration rate in patients with type 2 diabetes mellitus. Rev. Assoc. Med. Bras. [online]. 2014, vol.60, n.6, pp.531-537. ISSN 0104-4230.  http://dx.doi.org/10.1590/1806-9282.60.06.010.

Objective:

to estimate the glomerular filtration using the Cockcroft-Gault (CG), Modification of Diet in Renal Disease (MDRD), and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations, and serum creatinine in the screening of reduced renal function in patients with type two diabetes (T2DM) enrolled in the Family Health Strategy (ESF, Brazilian federal health-care program).

Methods:

a cross-sectional descriptive and analytical study was conducted. The protocol consisted of sociodemographics, physical examination and biochemical tests. Renal function was analyzed through serum creatinine and glomerular filtration rate (GFR) estimated according to the CG, MDRD and CKD-EPI equations, available on the websites of the Brazilian Nephrology Society (SBN) and the (NKF).

Results:

146 patients aged 60.9±8.9 years were evaluated; 64.4% were women. The prevalence of serum creatinine >1.2 mg/dL was 18.5% and GFR <60 mL/min/1.73m2 totaled 25.3, 36.3 and 34.2% when evaluated by the equations CG, MDRD and CKD-EPI, respectively. Diabetic patients with reduced renal function were older, had long-term T2DM diagnosis, higher systolic blood pressure and higher levels of fasting glucose, compared to diabetics with normal renal function. Creatinine showed strong negative correlation with the glomerular filtration rate estimated using CG, MDRD and CKD-EPI (-0.64, -0.87, -0.89) equations, respectively.

Conclusion:

the prevalence of individuals with reduced renal function based on serum creatinine was lower, reinforcing the need to follow the recommendations of the SBN and the National Kidney Disease Education Program (NKDEP) in estimating the value of the glomerular filtration rate as a complement to the results of serum creatinine to better assess the renal function of patients.

Keywords : type 2 diabetes mellitus; kidney function tests; kidney failure; chronic; public health.

        · abstract in Portuguese     · text in English     · English ( pdf )