Re: [Gnumed-devel] clinician advice needed

[Liz]

On Sun, 30 Dec 2012 21:07:34 +0000
Adrian Midgley <address@hidden> wrote:

> On 30 December 2012 20:52, Karsten Hilbert <address@hidden>
> wrote:
> > GNUmed will now display the latest reported or an estimated
> > GFR (latest serum creatinin) within the "Add substance
> > intake" edit area.
> 
> http://www.ganfyd.org/index.php?title=Estimated_glomerular_filtration_rate
> 
> 
> 

That equation involves "race", and has a correction factor for "blacks"
I assume that means it works for persons of European and Afro-American
descent.
Specifically noted is that it does not provide a good estimate in
Chinese and has not been tested for Indo-Asians.

I suspect that a series of equations will be required.

Age wise it starts at 18, but doesn't suggest an upper age limit.
I get eGFR from the lab on 90 year olds and find it laughable that a
suggestion is made that "this person be investigated for chronic kidney
disease".

Personally I'd put an arbitrary upper cut off at 85 years.