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Reporting the eGFR and Its Implication for CKD Diagnosis

Rossini Botev^*, and Jean-Pierre Mallié

^* Department of Nephrology, Hawaii Permanente Medical Group, Honolulu, Hawaii; and Department of Medicine, Nancy-Université, Nancy, France

Correspondence: Dr. Rossini Botev, Department of Nephrology, Hawaii Permanente Medical Group, 3288 Moanalua Road, Honolulu, HI 96819. Phone: 808-432-8050; Fax: 808-432-8051; E-mail: rossini.c.botev{at}kp.org

The process of diagnosing chronic kidney disease using the estimated GFR involves several pitfalls. The estimated GFR laboratory report should be requested only by practitioners who are familiar with how to interpret the result. Until a more reliable method is available to estimate the GFR, the current chronic kidney disease classification should be revised by reducing the central role of the GFR cutoff levels.