Comparison of four methods of estimating glomerular filtration rate in cats

Kenita S. Rogers From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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 DVM, MS
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Andrea Komkov From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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Scott Anthony Brown From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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George E. Lees From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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Dan Hightower From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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Elizabeth A. Russo From the Departments of Small Animal Medicine and Surgery (Rogers, Lees, Russo) and Veterinary Physiology and Pharmacology (Komkov, Brown, Hightower), College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4474.

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SUMMARY

Four methods of evaluating renal function were performed in 6 cats anesthetized with halothane in oxygen. Glomerular filtration rate (gfr) was measured simultaneously in each cat by exogenous creatinine clearance (ecc), bolus inulin clearance, and 99mTc(Sn)-diethylenetriaminepentaacetic acid (dtpa) clearance determined by 2 different methods. In the first dtpa clearance method (dtpa-1), we measured radioactivity in serial blood specimens to construct plasma disappearance curves for calculation of gfr. In the second dtpa clearance method (dtpa-2), we used serial external head counts of radioactivity and a single blood specimen to construct plasma disappearance curves for calculation of gfr. Bolus inulin clearance was calculated from plasma disappearance curves using a 1-compartment open pharmacokinetic model (IN- 1) and a 2-compartment open pharmacokinetic model (IN- 2). Glomerular filtration rates were measured over 3 hours, for creatinine and dtpa methods, and over 4 hours for the inulin methods.

The gfr obtained with the reference method (ecc) was 2.56 ± 0.61 ml/min/kg of body weight (mean ± SD). Values for gfr determined by ecc and dtpa-1 were significantly correlated (r = 0.852; P ≤ 0.05). Correlation between ecc and dtpa 2 was not as good (r = 0.783; P ≤ 0.10), but the 2 dtpa methods significantly correlated with one another (r = 0.897; P ≤ 0.05). Regardless of the method of calculation, bolus inulin clearance was poorly correlated with ecc (IN-1: r = 0.538, P ≥ 0.10; in-2: r = 0.430, P ≥ 0.10) and dtpa-1 in-1: r = 0.601, P ≥ 0.10; in-2: r = 0.625, P ≥ 0.10). The 2 methods of calculating inulin clearance were highly correlated (r = 0.927; P ≤ 0.01). The dtpa clearance calculated from directly measured plasma disappearance curves (dtpa-1) compared favorably with ecc as an estimate of gfr and appears to be a safe, reliable, and less invasive method of determining gfr in cats.

SUMMARY

Four methods of evaluating renal function were performed in 6 cats anesthetized with halothane in oxygen. Glomerular filtration rate (gfr) was measured simultaneously in each cat by exogenous creatinine clearance (ecc), bolus inulin clearance, and 99mTc(Sn)-diethylenetriaminepentaacetic acid (dtpa) clearance determined by 2 different methods. In the first dtpa clearance method (dtpa-1), we measured radioactivity in serial blood specimens to construct plasma disappearance curves for calculation of gfr. In the second dtpa clearance method (dtpa-2), we used serial external head counts of radioactivity and a single blood specimen to construct plasma disappearance curves for calculation of gfr. Bolus inulin clearance was calculated from plasma disappearance curves using a 1-compartment open pharmacokinetic model (IN- 1) and a 2-compartment open pharmacokinetic model (IN- 2). Glomerular filtration rates were measured over 3 hours, for creatinine and dtpa methods, and over 4 hours for the inulin methods.

The gfr obtained with the reference method (ecc) was 2.56 ± 0.61 ml/min/kg of body weight (mean ± SD). Values for gfr determined by ecc and dtpa-1 were significantly correlated (r = 0.852; P ≤ 0.05). Correlation between ecc and dtpa 2 was not as good (r = 0.783; P ≤ 0.10), but the 2 dtpa methods significantly correlated with one another (r = 0.897; P ≤ 0.05). Regardless of the method of calculation, bolus inulin clearance was poorly correlated with ecc (IN-1: r = 0.538, P ≥ 0.10; in-2: r = 0.430, P ≥ 0.10) and dtpa-1 in-1: r = 0.601, P ≥ 0.10; in-2: r = 0.625, P ≥ 0.10). The 2 methods of calculating inulin clearance were highly correlated (r = 0.927; P ≤ 0.01). The dtpa clearance calculated from directly measured plasma disappearance curves (dtpa-1) compared favorably with ecc as an estimate of gfr and appears to be a safe, reliable, and less invasive method of determining gfr in cats.

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