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Impact of creatinine measurement methods on eGFR and GFR category assignment Cover

Impact of creatinine measurement methods on eGFR and GFR category assignment

Open Access
|Apr 2026

Figures & Tables

Table 1.

Descriptive statistics for patient age and serum creatinine values measured by enzymatic and Jaffe methods.

Variable:AgeFemale ageMen ageSCrEnzymatic (mg/dL)SCrJaffe (mg/dL)
Number427213214427427
Min4242420.660.66
Max98989018.5919.2
Mean/Median6766661.781.79
SD / IQR156.2511.61.72.2

[i] Values are reported as number of observations, minimum and maximum, and either mean ± standard deviation (SD) or median and interquartile range (IQR), depending on the distribution of each variable.

Fig. 1.

Comparison between enzymatic and Jaffe methods for serum creatinine (SCr) measurement. The upper part of the figure shows the analysis for all samples, while the lower part shows the analysis for samples with SCrENZ < 1.5 mg/dL. Bland-Altman plots are shown on the left, and Passing-Bablok regression plots on the right.

Table 2.

Multiple linear regression models for ΔeGFR by sex and eGFR equation (CKD-EPI, EKFC), with SCr (enzymatic, Jaffe) and age as predictors.

SexEquationPredictorBp
MaleΔeGFRCKD-EPISCrEnz−11.579<0.001
SCrJaffe11.17<0.001
Age0.0050.756
ΔeGFREKFCSCrEnz−11.042<0.001
SCrJaffe10.667<0.001
Age0.0040.783
FemaleΔeGFRCKD-EPISCrEnz−8.497<0.001
SCrJaffe8.235<0.001
Age−0.0180.153
ΔeGFREKFCSCrEnz−7.684<0.001
SCrJaffe7.443<0.001
Age−0.0190.097

[i] ΔeGFR - eGFR based on SCrENZ minus eGFR based on SCrJaffe. B = unstandardized regression coefficient. CKD-EPI = Chronic Kidney Disease Epidemiology Collaboration; EKFC = European Kidney Function Consortium.

Table 3.

Agreement in eGFR-based CKD staging between enzymatic and Jaffe methods using CKD-EPI and EKFC equations, assessed by weighted kappa and Kendall’s tau, stratified by sex.

EquationMale patientsFemale patients
Weighted KappaKendall’s TauWeighted KappaKendall’s Tau
CKD-EPI0.928 (CI: 0.900–0.956)0.9490.923 (CI: 0.894–0.951)0.943
EKFC0.916 (CI: 0.885–0.947)0.950.943 (CI: 0.918–0.969)0.959
Fig. 2.

Reclassification matrix of GFR categories in male (left side) and female (right side) patients using CKD-EPI (upper side) and EKFC (down) equations using enzymatic and Jaffe serum creatinine measurement.

DOI: https://doi.org/10.62838/jccm-2026-0007 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 199 - 206
Submitted on: Jun 24, 2025
Accepted on: Jan 30, 2026
Published on: Apr 30, 2026
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Elena-Cristina Preda, Oana Oprea, Zsolt Albert Barabas, Ioana Paula Simion, Ana-Maria Fotache, Minodora Dobreanu, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.