Perioperative medicine & outcomes

Discordances between Preoperative Creatinine- and Cystatin C–based Estimated Glomerular Filtration Rate and Outcomes after Noncardiac Surgery: An Observational Study

AnesthesiologyPublished Retrospective cohort study

Authors' conclusion

More negative preoperative eGFRdiff was independently associated with higher risk of postoperative complications in Asian patients undergoing noncardiac surgery.

Study context

Population
Patients undergoing major noncardiac surgery at two large hospitals in China
Participants
35,488 vs 23,417
Exposure
More negative vs less negative preoperative eGFRdiff
  • Nanfangn = 35,488
  • Xinjiangn = 23,417
Outcome
Composite of:
  • Postoperative complications
  • Death
Methodological detailstwo hospitals
  • Two hospitals

Main finding

As reported in the abstract

Nanfang

8.4

%

Xinjiang

14.4%

Adjusted odds ratio per 10 ml · min -1 · 1.73 m -2 decrease in eGFRdiff (95% CI)P value
Nanfang
1.12(1.09–1.15)
P < 0.001
Xinjiang
1.11(1.09–1.14)
P < 0.001

Observational data: associations, not effects.

Further findings

Component outcomes (cardiovascular events, AKI, infections, pulmonary complications, death)

Associations also observed across categories of component outcomes

Original publication

Discordances between Preoperative Creatinine- and Cystatin C–based Estimated Glomerular Filtration Rate and Outcomes after Noncardiac Surgery: An Observational Study. Anesthesiology. Published 10 March 2026. doi:10.1097/aln.0000000000005859

Composed by AI from the published abstract and checked against it. How Briefs are made →

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