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Do you prefer monitoring creatinine over cystatin C levels in patients with lymphoma and chronic kidney disease given the potential for cystatin C levels to be increased with certain malignancies?
1 Answers
Mednet Member
Nephrology · Yale
My default is to monitor creatinine, not cystatin C, in all patients with malignancies except:
- if patients have had weight loss and down-trending creatinine,
- patients are at eGFR cutoffs for chemotherapy drug dosing, leading to concern for potential over/under-dosing,
- there is concern for pseudo-AKI...