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What is the role for iothalamate clearance testing for glomerular filtration estimation in patients with chronic kidney disease?
Answer from: at Academic Institution
No role in my opinion.
There is a false security for wanting and knowing an "exact" GFR. The eGFR reporting mandate is more a public health issue than useful for individual decision-making. AND iothalamate clearance as a measure of GFR has its own flaw (we did plenty of them in our prior studies wi...
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Answer from: at Community Practice
Not available, and even if available, see a limited application for this test. Renal function/GFR is dynamic; several hemodynamic factors, humoral influences will alter the results of the GFR during the day. Beyond eGFR, a 24-hour urine collection with Creatinine clearance would be informative of th...
Answer from: at Community Practice
eGFR measurements are adequate alone continued monitoring.
Answer from: at Community Practice
It has no clinical relevance. Current eGFR measurements are adequate and serial follow up is essential.