A Systematic Review Evaluating Estimated GFR Performance in South Asian Populations

eGFR equation accuracy in South Asians is suboptimal, consistently below the accepted clinical P30 threshold of 75%. eGFR<sub>CysC</sub> equations had reduced bias compared with eGFR<sub>Cr</sub> or eGFR<sub>Cr-CysC</sub>; however, accuracy was better with eGFR<sub>Cr-CysC</sub>. Emerging equations, such as the CKD-EPI-Pakistan variant and European Kidney Function Consortium (EKFC) equations warrant further investigation in diverse South Asian cohorts with population-specific calibration.

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Publication Details

Journal
Kidney International Reports
Published
2025-11-16
DOI
https://doi.org/10.1016/j.ekir.2025.11.004
Primary Topic
Chronic Kidney Disease and Diabetes
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article
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article

A Systematic Review Evaluating Estimated GFR Performance in South Asian Populations

Kate Bramham, Alexander Sarnowski, Pierre Delanaye, Ayush Sinha et al.
Kidney International Reports
Chronic Kidney Disease and Diabetes
article

A Systematic Review Evaluating Estimated GFR Performance in South Asian Populations

Kate Bramham, Alexander Sarnowski, Pierre Delanaye, Ayush Sinha, Kathryn V. Dalrymple, Rouvick Gama
article en

Abstract

eGFR equation accuracy in South Asians is suboptimal, consistently below the accepted clinical P30 threshold of 75%. eGFR<sub>CysC</sub> equations had reduced bias compared with eGFR<sub>Cr</sub> or eGFR<sub>Cr-CysC</sub>; however, accuracy was better with eGFR<sub>Cr-CysC</sub>. Emerging equations, such as the CKD-EPI-Pakistan variant and European Kidney Function Consortium (EKFC) equations warrant further investigation in diverse South Asian cohorts with population-specific calibration.

Kidney International ReportsVol. 11(2)
University of Liège (BE), King's College London (GB), University of Oxford (GB), Royal Surrey NHS Foundation Trust (GB)
Openalex Percentile: Top 56%
Chronic Kidney Disease and Diabetes
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