Show simple item record

dc.creatorKlisić, Aleksandra
dc.creatorKavarić, Nebojša
dc.creatorNinić, Ana
dc.date.accessioned2019-09-02T12:04:17Z
dc.date.available2019-09-02T12:04:17Z
dc.date.issued2018
dc.identifier.issn1735-1995
dc.identifier.urihttps://farfar.pharmacy.bg.ac.rs/handle/123456789/3082
dc.description.abstractBackground:Since the increase in some tubular damage biomarkers can be observed at the early stage of diabetic nephropathy, even in the absence of albuminuria, we aimed to investigate if urinary albumin is superior than tubular damage marker, such as serum retinol-binding protein 4 (RBP4), in predicting renal function decline (defined as estimated glomerular filtration rate [eGFR] lt 60 mL/min/1.73 m(2)) in the cohort of patients with type 2 diabetes mellitus (T2D).MATERIALS AND Methods:A total of 106 sedentary T2D patients (mean [+/- standard deviation] age 64.9 [+/- 6.6] years) were included in this cross-sectional study. Anthropometric and biochemical parameters (fasting glucose, glycated hemoglobin [HbA1c], lipid parameters, creatinine, RBP4, high sensitivity C-reactive protein [hsCRP], urinary albumin excretion [UAE]), as well as blood pressure were obtained.Results:HsCRP (odds ratio [OR] =0.754, 95% confidence interval [CI] (0.603-0.942), P = 0.013) and RBP4 (OR = 0.873, 95% CI [0.824-0.926], P lt 0.001) were independent predictors of eGFR decline. Moreover, although RBP4 and UAE as single diagnostic parameters of renal impairment showed excellent clinical accuracy (area under the curve [AUC] = 0.900 and AUC = 0.940, respectively), the Model which included body mass index, HbA1c, triglycerides, hsCRP, and RBP4 showed statistically same accuracy as UAE, when UAE was used as a single parameter (AUC = 0.932 vs. AUC = 0.940, respectively; P for AUC difference = 0.759). As well, the Model had higher sensitivity and specificity (92% and 90%, respectively) than single predictors, RBP4, and UAE.Conclusion:Although serum RBP4 showed excellent clinical accuracy, just like UAE, a combination of markers of tubular damage, inflammation, and traditional markers has the higher sensitivity and specificity than UAE alone for prediction renal impairment in patients with T2D.en
dc.publisherWolters Kluwer Medknow Publications, Mumbai
dc.relationinfo:eu-repo/grantAgreement/MESTD/Basic Research (BR or ON)/175035/RS//
dc.rightsopenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/
dc.sourceJournal of Research in Medical Sciences
dc.subjectAlbuminuriaen
dc.subjectdiabetic nephropathyen
dc.subjectinflammationen
dc.subjectretinol-binding protein 4en
dc.titleRetinol-binding protein 4 versus albuminuria as predictors of estimated glomerular filtration rate decline in patients with type 2 diabetesen
dc.typearticle
dc.rights.licenseBY-NC-SA
dcterms.abstractКаварић, Небојша; Клисић, Aлександра; Нинић, Aна;
dc.citation.volume23
dc.citation.other23: -
dc.citation.rankM22
dc.identifier.wos000444504600006
dc.identifier.doi10.4103/jrms.JRMS_893_17
dc.identifier.pmid29937906
dc.identifier.scopus2-s2.0-85048258164
dc.identifier.fulltexthttps://farfar.pharmacy.bg.ac.rs//bitstream/id/1680/3080.pdf
dc.type.versionpublishedVersion


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record