In which clinical scenarios is relying on the urine protein-to-creatinine ratio as a measure of proteinuria unreliable, and interpretations should be made looking at urine protein and urine creatinine separately?
Answer from: at Community Practice
I typically only use spot UPCRs because (1) they are easy to obtain and thus trend (2) they account for BSA indirectly because it accounts for Cr excretion. The best role of urine protein measurements is really just to trend if your therapy is effective or to screen for disease. When looking at urin...
Comments
at Uniformed Services University of the Health Sciences (USUHS) It is very nice to hear a nephrologist's perspecti...
at University of Colorado School of Medicine Thanks, Dr. @Yau! When using albumin:creatinine ra...
at Ohio State University Medical Center @Jason Kolfenbach Yes, you are correct. The remiss...
at Duke University Medical Center Thanks for the great follow-up question @Jason Kol...
at Medical University of South Carolina I trend UPCRs in almost all of my lupus patients, ...
at Rush Medical College I wrote an editorial on this that @Amy Yau referen...
It is very nice to hear a nephrologist's perspecti...
Thanks, Dr. @Yau! When using albumin:creatinine ra...
@Jason Kolfenbach Yes, you are correct. The remiss...
Thanks for the great follow-up question @Jason Kol...
I trend UPCRs in almost all of my lupus patients, ...
I wrote an editorial on this that @Amy Yau referen...