Prospective validation of an equation based on plasma cystatin C for
monitoring the glomerular filtration rate in children treated with
cisplatin or ifosfamide for cancer
Abstract
We recently proposed an equation to estimate the glomerular filtration
rate (GFR) in children with cancer based on plasma cystatin C and serum
creatinine levels together with body weight (the “CysPed equation”).
The current clinical study reports a prospective evaluation of this
equation in 18 children treated by nephrotoxic chemotherapy. The CysPed
equation resulted in less bias and greater precision compared to two
equations previously proposed equations by Schwartz, with or without
plasma cystatin C. Moreover, the decrease in GFR due to chemotherapy was
clearly identified by the CysPed equation. This equation deserves to be
evaluated by other teams and routinely used in childhood cancer units.