Best Albuminuria Measurement to Predict Cardiovascular and Renal Events
Author(s) -
Lucie Bauer,
Insa E. Emrich,
John W. Pickering,
Kathrin Untersteller,
F. Sandermann,
Kyrill S. Rogacev,
Sarah Seiler-Mußler,
Danilo Fliser,
Gunnar H. Heine
Publication year - 2016
Publication title -
american journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.394
H-Index - 85
eISSN - 1421-9670
pISSN - 0250-8095
DOI - 10.1159/000446483
Subject(s) - albuminuria , medicine , kidney disease , creatinine , renal function , excretion , endocrinology , urology
Kidney Disease Improving Global Outcomes (KDIGO) guidelines encourage clinicians to estimate 24-hour albuminuria as albumin to creatinine ratio (ACR) from spot urine samples. However, ACR underestimates 24-hour albumin excretion in muscular individuals. Equations that adjust ACR for surrogates of muscle mass to yield an estimated albumin excretion rate (eAER) were developed. We hypothesised that eAER is a better predictor of cardiovascular and renal outcomes than ACR.
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