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Urine protein/creatinine ratio

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(Redirected from UPCR) Ratio of protein excreted in urine

Urine protein/creatinine ratio is a widely used initial method to estimate daily protein excretion in urine. Since the diagnosis and management of proteinuric renal diseases and the staging of chronic kidney disease depend on accurate identification and quantitation of proteinuria, the implementation of the 24-hour urine collection is the most accurate procedure in practice to figure out the urinary protein excretion. 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.

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. is taken into account due to the notion that creatinine is normally released into the urine at a constant rate. Scientists found that the ratio of protein to creatinine roughly estimates the actual value gained from the 24-hour urine protein test. The normal urine protein/creatinine ratio is less than 200 mg/g.

References

  1. ^ 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. ^ "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.
Components and results of urine tests
Components
Chemical properties
Abnormal findings
Red blood cells
White blood cells
Proteinuria
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