{"id":"fc95bbe86731","type":"article","url":"https://hartvaat.nl/2026/03/01/gepersonaliseerde-gfr-percentielen-een-nieuw-instrument-voor-ckd-detectie/","title":"Gepersonaliseerde GFR-percentielen: een nieuw instrument voor CKD-detectie","title_en":"Percentiles of estimating glomerular filtration rate: a new personalized tool for detection of chronic kidney disease","category":"chronische nierziekte","category_label":"Nierziekte","professions":["huisarts","internist"],"tags":["anemie-ckd","chronische-nierziekte","cystatine-c"],"journal":"Kidney International","doi":"https://www.kidney-international.org/article/S0085-2538(25)01014-2/fulltext","source_url":"https://doi.org/https://www.kidney-international.org/article/S0085-2538(25)01014-2/fulltext","authors":["Pierre Delanaye","Christophe Mariat"],"significance":7,"published":"2026-03-01","source_date":"2026-03-01","image":"","kennis":["https://hartvaat.nl/kennis/nierziekte/nierziekte-en-cardiovasculair-risico/"],"congress":"","summary_en":"This editorial discussed age- and sex-specific eGFR percentiles as a new personalized approach to CKD detection, addressing limitations of the fixed 60 mL/min threshold that may miss early kidney disease in younger patients.","created":"2026-07-03T10:25:02Z","updated":"2026-07-03T13:24:30Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"De vaste eGFR-drempel van 60 ml/min/1,73 m² is mogelijk misleidend. Dit editorial bespreekt een nieuwe benadering met leeftijds- en geslachtsaangepaste eGFR-percentielen die individuen met een hoog risico op nierfalen en overlijden nauwkeuriger identificeert.","abstract_original":"Detection of chronic kidney disease is based on estimated glomerular filtration rate and urine albumin-to-creatinine ratio. The latter is significantly underused, even in high-risk populations. As previously suggested, the fixed estimated glomerular filtration rate threshold of 60 ml/min per 1.73 m2 is potentially misleading. In this issue of Kidney International, Yang et al. used age- and sex-adjusted estimated glomerular filtration rate percentiles to more accurately identify individuals at high risk for kidney failure and death."}