Estimated glomerular filtration rate and functional status among older people: A systematic review

Journal article
(Review article)

Publication Details

Author(s): Corsonello A, Roller-Wirnsberger R, Di Rosa M, Fabbietti P, Wirnsberger G, Kostka T, Guligowska A, Tap L, Mattace-Raso F, Gil P, Guardado-Fuentes L, Meltzer I, Yehoshua I, Artzi-Medevdik R, Formiga F, Moreno-Gonzalez R, Weingart C, Freiberger E, Arnlov J, Carlsson AC, Lattanzio F
Journal: European Journal of Internal Medicine
Publication year: 2018
Volume: 56
Pages range: 39-48
ISSN: 0953-6205


Background: The association between chronic kidney disease (CKD) and functional status may change as a function of the equation used to estimate glomerular filtration rate (eGFR). We reviewed the predictive value of different eGFR equations in regard to frailty and disability outcomes.
Methods: We searched Pubmed from inception to March 2018 for studies investigating the association between eGFR and self-reported and/or objective measures of frailty or disability. Cross-sectional and longitudinal studies were separately analysed.
Results: We included 16 studies, one of which reporting both cross-sectional and longitudinal data. Three out of 7 cross-sectional studies compared different eGFR equations in regard to their association with functional status: two studies showed that cystatin C-based, but not creatinine-based eGFR may be associated with hand-grip strength or frailty; another study showed that two different creatinine-based eGFR equations may be similarly associated with disability. Four out of 10 longitudinal studies provided comparative data: two studies reported similar association with disability for different creatinine-based eGFR equations; one study showed that creatinine-based eGFR was not associated with frailty, but a not significant trend for association was observed with cystatin C-based eGFR; one study showed that cystatin C-based but not creatinine-based eGFR may predict incident mobility disability, while both methods may predict gait speed decline. High heterogeneity was observed in regard to confounders included in reviewed studies. None of them included the most recently published equations.
Conclusion: Available data do not support the superiority of one of the eGFR equations in terms of measuring or predicting functional decline.

FAU Authors / FAU Editors

Freiberger, Ellen PD Dr.
Lehrstuhl für Innere Medizin (Geriatrie)

External institutions with authors

Bellvitge University Hospital / Hospital Universitari de Bellvitge
Ben-Gurion University of the Negev (BGU) / אוניברסיטת בן-גוריון בנגב
Erasmus University Rotterdam (EUR) / Erasmus Universiteit Rotterdam
Hospital Clínico San Carlos
Istituto Nazionale di Riposo e Cura per Anziani (IRCCS INRCA)
Maccabi Healthcare
Medical University of Łódź / Uniwersytet Medyczny w Łodzi
Uppsala University

How to cite

Corsonello, A., Roller-Wirnsberger, R., Di Rosa, M., Fabbietti, P., Wirnsberger, G., Kostka, T.,... Lattanzio, F. (2018). Estimated glomerular filtration rate and functional status among older people: A systematic review. European Journal of Internal Medicine, 56, 39-48.

Corsonello, Andrea, et al. "Estimated glomerular filtration rate and functional status among older people: A systematic review." European Journal of Internal Medicine 56 (2018): 39-48.


Last updated on 2019-01-03 at 12:53