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Serum Creatinine: Not So Simple!

Pierre Delanaye, Etienne Cavalier, Hans Pottel

Nephron. 2017;136(4):302-308.

PMID: 28441651

Abstract:

Measuring serum creatinine is cheap and commonly done in daily practice. However, interpretation of serum creatinine results is not always easy. In this review, we will briefly remind the physiological limitations of serum creatinine due notably to its tubular secretion and the influence of muscular mass or protein intake on its concentration. We mainly focus on the analytical limitations of serum creatinine, insisting on important concept such as reference intervals, standardization (and IDMS traceability), analytical interferences, analytical coefficient of variation (CV), biological CV and critical difference. Because the relationship between serum creatinine and glomerular filtration rate is hyperbolic, all these CVs will impact not only the precision of serum creatinine but still more the precision of different creatinine-based equations, especially in low or normal-low creatinine levels (or high or normal-high glomerular filtration rate range).

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AS2121435 Human serum (low creatinine) Human serum (low creatinine) Price
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