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Medicina & Laboratorio

2012, Número 03-04

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Medicina & Laboratorio 2012; 18 (03-04)


Enfermedad renal crónica determinada mediante la creatinina sérica

Campuzano MG, Arbeláez GM, Villegas GI, Palacio PD

Idioma: Español
Referencias bibliográficas: 165
Paginas: 109-136
Archivo PDF: 675.89 Kb.


RESUMEN

La enfermedad renal crónica se relaciona con un mayor riesgo de enfermedad renal crónica terminal, de enfermedades cardiovasculares y de muerte, por lo que se requiere su diagnóstico desde las primeras etapas de la enfermedad. Para ello, se disponen de un gran número de ecuaciones para estimar la tasa de filtración glomerular basadas en la concentración de creatinina sérica. Si bien la creatinina no es el analito ideal para estimar la filtración glomerular, ésta continuará empleándose hasta que haya una amplia disponibilidad en el medio de otros marcadores, como la cistatina C, por lo que el laboratorio clínico debe velar por la calidad analítica de los resultados y por lo tanto, debe determinar la creatinina a través de un método estandarizado frente a los procedimientos de medida de referencia. El objetivo de este módulo es revisar la detección de la enfermedad renal crónica desde sus etapas iniciales, a partir de la creatinina sérica y de la estimación de la tasa de filtración glomerular.


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