Research Article

No Race-Ethnicity Adjustment in CKD-EPI Equations Is Required for Estimating Glomerular Filtration Rate in the Brazilian Population

Table 6

Performance of the equations according to the range of measured GFR using the threshold of 60 mL/min/1.73 m2.

eGFRCr (no race adjustment)eGFRCr (with race adjustment)eGFRCr-Cys (no race adjustment)eGFRCr-Cys (with race adjustment)

GFR ≥ 60 mL/min/1.73 m2 (n = 27)
 Bias (mL/min/1.73 m2)−4.0 (−11.3–14.6)5.5 (−2.6–21.8)−3.6 (−11.8–10.2)2.4 (−3.8–15.5)
 Precision (mL/min/1.73 m2)12.1 (8.3–19.7)11.6 (4.2–21.8)11.0 (5.5–20.0)8.7 (3.1–17.3)
 Accuracy (P30)85.2 (66.9–94.7)77.8 (58.9–89.7)85.2 (66.9–94.7)88.9 (71.1–97.0)

GFR < 60 mL/min/1.73 m2 (n = 73)
 Bias (mL/min/1.73 m2)0.1 (−4.9–6.4)1.8 (−1.8–7.4)0.1 (−4.1–2.4)1.5 (−3.6–3.7)
 Precision (mL/min/1.73 m2)5.5 (1.6–9.2)5.6 (1.8–10.5)3.4 (1.7–8.2)3.5 (2.2–7.8)
 Accuracy (P30)76.7 (65.7–85.0)72.6 (61.4–81.6)82.2 (71.7–89.4)79.5 (68.7–87.2)

eGFR: estimated glomerular filtration rate; Cr: creatinine; Cys: cystatin C. Bias and precision are expressed as median (interquartile range), and accuracy as percentage (95% confidence interval). vs. eGFRCr without race adjustment and eGFRCr-Cys without race adjustment; vs. eGFRCr-Cys without race adjustment.