loading page

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
  • +7
  • Etienne Chatelut,
  • Marie Lambert,
  • Mathieu Alonso,
  • Caroline Munzer,
  • Marie-Christine Zimoch,
  • Laurence Malard,
  • Marion Gambart,
  • Marie-Pierre Castex,
  • Carla Martins,
  • MARLENE PASQUET
Etienne Chatelut
Centre de Recherche en Cancerologie de Toulouse

Corresponding Author:[email protected]

Author Profile
Marie Lambert
Centre de Recherche en Cancerologie de Toulouse
Author Profile
Mathieu Alonso
Centre Hospitalier Universitaire de Toulouse
Author Profile
Caroline Munzer
Hopital des Enfants
Author Profile
Marie-Christine Zimoch
Institut Claudius Regaud
Author Profile
Laurence Malard
Institut Claudius Regaud
Author Profile
Marion Gambart
Hopital des Enfants
Author Profile
Marie-Pierre Castex
Hopital des Enfants
Author Profile
Carla Martins
Hopital des Enfants
Author Profile
MARLENE PASQUET
Centre de Recherche en Cancerologie de Toulouse
Author Profile

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.