Urine protein/creatinine ratio

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Urine protein/creatinine ratio is a widely used initial method to estimate daily protein excretion in urine. [1] [2] [3] Since the diagnosis and management of proteinuric diseases, many of which affect the renal system, and the staging of chronic kidney disease depend on accurate identification and quantitation of proteinuria, [4] [1] the implementation of the 24-hour urine collection is the most accurate procedure in practice to figure out the urinary protein excretion. [1] However, in current clinical practice, the urine protein/creatinine ratio is widely used to estimate daily protein excretion by virtue of its convenience and simplicity. [5] [1]

The difference between urine protein/creatinine ratio and 24-hour urine collection is that the former requires a urine sample to be collected only once at any time. [6] [Creatinine(U)] is taken into account due to the notion that creatinine is normally released into the urine at a constant rate. [6] Scientists found that the ratio of protein to creatinine roughly estimates the actual value gained from the 24-hour urine protein test. [6] The normal urine protein/creatinine ratio is less than 200 mg/g. [7]

References

  1. 1 2 3 4 Yang, Chih-Yu; Chen, Fu-An; Chen, Chun-Fan; Liu, Wen-Sheng; Shih, Chia-Jen; Ou, Shuo-Ming; Yang, Wu-Chang; Lin, Chih-Ching; Yang, An-Hang (2015-09-09). Kim, Jayoung (ed.). "Diagnostic Accuracy of Urine Protein/Creatinine Ratio Is Influenced by Urine Concentration". PLOS ONE. 10 (9). Public Library of Science (PLoS): e0137460. Bibcode:2015PLoSO..1037460Y. doi: 10.1371/journal.pone.0137460 . ISSN   1932-6203. PMC   4564100 . PMID   26353117.
  2. "Protein urine test: MedlinePlus Medical Encyclopedia". MedlinePlus. 2019-05-08. Retrieved 2019-05-21.
  3. "Protein in Urine: MedlinePlus Lab Test Information". MedlinePlus. 2019-04-15. Retrieved 2019-05-21.
  4. National Kidney Foundation (2002), "K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification", American Journal of Kidney Diseases, 39 (2 Suppl 1): S1–266, ISSN   0272-6386, PMID   11904577
  5. Ginsberg, Jay M.; Chang, Bruce S.; Matarese, Richard A.; Garella, Serafino (1983-12-22). "Use of Single Voided Urine Samples to Estimate Quantitative Proteinuria". The New England Journal of Medicine. 309 (25). Massachusetts Medical Society: 1543–1546. doi:10.1056/nejm198312223092503. ISSN   0028-4793. PMID   6656849.
  6. 1 2 3 "Urine Protein". Lab Tests Online. Retrieved 2019-05-21.
  7. "Summary of Recommendation Statements". Kidney International Supplements. 3 (1). Elsevier BV: 5–14. 2013. doi:10.1038/kisup.2012.77. ISSN   2157-1716. PMC   4284512 . PMID   25598998.