الملخص الإنجليزي
Objectives: Estimated glomerular filtration rate (eGFR) is an important component of a patient's renal
function profile. The Modification of Diet in Renal Disease (MDRD) equation and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation are both commonly used. The aim of this study was to compare
the performance of the original MDRD186, revised MDRD175 and CKD-EPI equations in calculating eGFR in type
2 diabetes mellitus (T2DM) patients in Oman. Methods: The study included 607 T2DM patients (275 males and
332 females, mean age ± standard deviation 56 ± 12 years) who visited primary health centres in Muscat, Oman,
during 2011 and whose renal function was assessed based on serum creatinine measurements. The eGFR was
calculated using the three equations and the patients were classified based on chronic kidney disease (CKD)
stages according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative guidelines. A
performance comparison was undertaken using the weighted kappa test. Results: The median eGFR (mL/min/1.73
m2
) was 92.9 for MDRD186, 87.4 for MDRD175 and 93.7 for CKD-EPI. The prevalence of CKD stage 1 was 55.4%,
44.7% and 57% while for stages 2 and 3 it was 43.2%, 54% and 41.8%, based on MDRD186, MDRD175 and CKD-EPI,
respectively. The agreement between MDRD186 and CKD-EPI (к 0.868) was stronger than MDRD186 and MDRD175
(к 0.753) and MDRD175 and CKD-EPI (к 0.730). Conclusion: The performances of MDRD186 and CKD-EPI were
comparable. Considering that CKD-EPI-based eGFR is known to be close to isotopically measured GFR, the use of
MDRD186 rather than MDRD175 may be recommended.
