Prediction Rule for Renal Artery Stenosis
Authors: Eugene J. Fine, M. Donald Blaufox
Journal: Annals of Internal Medicine (1999)

Letters3 August 1999Prediction Rule for Renal Artery StenosisEugene J. Fine, MD and M. Donald Blaufox, MDEugene J. Fine, MDAlbert Einstein College of Medicine; Bronx, NY 10461Search for more papers by this author and M. Donald Blaufox, MDAlbert Einstein College of Medicine; Bronx, NY 10461Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-3-199908030-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Krijnen and colleagues (1) suggest that a clinical prediction rule may perform as effectively as captopril scintigraphy in identifying patients with RAS. The accompanying editorial (2) embraces this concept but interjects a note of caution. We highlight difficulties in casual comparisons of Krijnen and colleagues' prediction rules with captopril renography.In the Einstein/Cornell study (3), we did show a relatively low sensitivity for captopril renography, as indicated in the editorial. Our study sample, however, was different. Approximately 50% of participants were African American, and 76% of participants had a glomerular filtration rate less than 50 mL/min, bilateral ...References1. Krijnen P, van Jaarsveld BC, Steyerberg EW, Man in 't Veld AJ, Schalekamp MA, Habbema JD. A clinical prediction rule for renal artery stenosis. Ann Intern Med. 1998;129:705-11. LinkGoogle Scholar2. Wilcox CS. Screening for renal artery stenosis: are scans more accurate than clinical criteria? [Editorial]. Ann Intern Med. 1998;129:738-40. LinkGoogle Scholar3. Blaufox MD, Fine EJ, Heller S, Hurley J, Jagust M, Li Y, et al . Prospective study of simultaneous orthoiodohippurate and diethylenetriaminepentaacetic acid captopril renography. The Einstein/Cornell Collaborative Hypertension Group. J Nucl Med. 1998;39:522-8. MedlineGoogle Scholar4. Blaufox MD, Middleton ML, Bongiovanni J, Davis B. Cost efficacy of the diagnosis and therapy of renovascular hypertension. J Nucl Med. 1996;37:171-7. MedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Eugene J. Fine, MD; M. Donald Blaufox, MDAffiliations: Albert Einstein College of Medicine; Bronx, NY 10461 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Clinical Prediction Rule for Renal Artery Stenosis Pieta Krijnen , Brigit C. van Jaarsveld , Ewout W. Steyerberg , Arie J. Man in 't Veld , Maarten A.D.H. Schalekamp , and J. Dik F. Habbema Prediction Rule for Renal Artery Stenosis Vijay Rajput and Faddel Nammour Prediction Rule for Renal Artery Stenosis S.J.C.M.M. Neggers and J. van der Meulen Prediction Rule for Renal Artery Stenosis Pieta Krijnen , Ewout W. Steyerberg , and Brigit C. van Jaarsveld Prediction Rule for Renal Artery Stenosis Michael Bloch , Samuel Mann , and Thomas Pickering Metrics Cited byChapter 2: Definition, identification, and prediction of CKD progressionChapter 5: Referral to specialists and models of careReferencesDevelopment and Validation of a General Population Renal Risk ScoreAlbuminuria: all you need to predict outcomes in chronic kidney disease? 3 August 1999Volume 131, Issue 3Page: 227-228KeywordsGlomerular filtration rateHypertensionKidneysPopulation statisticsProspective studiesRadionuclide imagingRenal arteriesRetrospective studiesSpecificityStenosis ePublished: 15 August 2000 Issue Published: 3 August 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...