REVIEW PAPER
Laboratory diagnostics of kidney function and its role in the monitoring of patients taking new oral anticoagulants or contrast agents
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Zakład Diagnostyki Laboratoryjnej, 4. Wojskowy Szpital Kliniczny we Wrocławiu, Polska
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Zakład Diagnostyki Laboratoryjnej, Wojewódzki Szpital Zespolony w Kaliszu, Polska
Submission date: 2021-12-23
Final revision date: 2022-06-14
Acceptance date: 2022-06-24
Publication date: 2022-10-12
Corresponding author
ppłk rez. Jacek Majda
Zakład Diagnostyki Laboratoryjnej, 4. Wojskowy Szpital Kliniczny we Wrocławiu, Weigla 5, 50-981, Wrocław, Polska
LW 2022;100(3):165-171
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ABSTRACT
Evaluation of kidney function is one of the key laboratory elements determining the general condition of a patient, regardless of a disease diagnosis. Serum creatinine concentration usually poses a preliminary assessment of kidney condition. Estimated glomerular filtration rate (eGFR) – calculated from creatinine concentration – is important among others when determining doses of contrast agents used in medical imaging. Tests that most adequately assesses glomerular filtration are so-called clearances. However one should be aware that none of the tests proposed so far is flawless. This study reviews available literature in terms of kidney function assessment methods and their clinical utility. In particular, the emphasis is put on their usefulness in imaging diagnostics and for anticoagulants taking patients.