Inadequacy of predicted creatinine clearance as guide to chemotherapy

Cancer Treat Rep. 1987 Nov;71(11):1067-9.

Abstract

Many chemotherapeutic agents are nephrotoxic and/or excreted via the kidney. Thus, careful evaluation of renal function is important since drug dosages are often lowered in patients with impaired renal function. When the creatinine clearance as calculated by the method of Cockcroft and Gault from the patient's age, weight, and serum creatinine was compared to the measured creatinine clearance in the same patients, the correlation coefficient was low (r = 0.40) and the average difference between the predicted and measured creatinine clearance values was 25.3%. Thus, in our patient population, creatinine clearance calculated by the method of Cockcroft and Gault did not correlate well with measured creatinine clearance and thus was not useful as a clinical tool.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Antineoplastic Agents / adverse effects*
  • Cisplatin / adverse effects
  • Creatine / blood*
  • Doxorubicin / adverse effects
  • Female
  • Humans
  • Kidney / drug effects*
  • Middle Aged
  • Ovarian Neoplasms / drug therapy
  • Uterine Neoplasms / drug therapy

Substances

  • Antineoplastic Agents
  • Doxorubicin
  • Creatine
  • Cisplatin