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Is the height/plasma creatinine formula of Schwartz useful as a screening test in detecting Nigeria children with low GFR?

Journal article published in 1995 by R. A. Gbadegesin, A. O. Asinobi, K. Osinusi, Adebowale A. Adeyemo ORCID
This paper is available in a repository.
This paper is available in a repository.

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Abstract

A group of 42 children with renal diseases seen at the University College Hospital Ibadan were studied in order to evaluate the usefulness of the height/plasma creatinine formula of Schwartz et al i.e. GFR ml/min/1.73 m2 = 0.55 x Height (cm)/Plasma creatinine (mg/dl) in identifying children with renal impairment. The children were divided into 2 groups of those with GFR as measured by endogenous creatinine clearance (Ccr) < 60 ml/min/1.73 cm2 and those with CCr > 60 ml/min/1.73 cm2. There were 21 children in each group. In detecting patients with Ccr less than 60 ml/min/1.73 m2, Schwartz formula had a sensitivity of 52%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 68%. It is concluded that in detecting patients with impaired renal function who may need more accurate methods of estimating GFR, Schwartz formula has a low sensitivity and therefore may not be useful as a screening method.