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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?

Hammouda et al., PMID 28282874
1 Answer
Mednet Member
Mednet MemberInvited Expert
Nephrology · Yale
Answered on

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...

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