Source:http://linkedlifedata.com/resource/pubmed/id/10676731
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2000-3-1
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pubmed:abstractText |
The construct Kt/V is used by the nephrology community in prescribing dialysis dose. The concerns that have been raised as to what value of V to use in the calculation of Kt/V touch on the more central question of whether filtration rate should be normalized by a parameter other than V. Within the animal kingdom, a number of physiological variables scale to body size according to an equation of the form Y = YoMb, where Yo is a constant, M is body mass, and b is a scaling exponent. Glomerular filtration rate (GFR) in mammals weighing from 30 g to 503 kg scales to body weight with an exponent of 0.77. Hence, GFR per unit body weight (or Kt/V) decreases significantly with increasing body size. Metabolic rate also scales to body size in a wide range of mammals according to the same general equation and with a scaling exponent of 0.75. Because GFR and metabolic rate scale to body mass with virtually the same exponent, a ratio of the two yields a constant independent of body size. We propose that the ratio (filtration rate/metabolic rate) replace Kt/V. Such a ratio would underscore the linkage between filtration rate (and dialysis therapy) and the metabolic demands of the body.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1523-6838
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
306-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10676731-Animals,
pubmed-meshheading:10676731-Body Weight,
pubmed-meshheading:10676731-Elephants,
pubmed-meshheading:10676731-Glomerular Filtration Rate,
pubmed-meshheading:10676731-Humans,
pubmed-meshheading:10676731-Mammals,
pubmed-meshheading:10676731-Mice,
pubmed-meshheading:10676731-Renal Dialysis,
pubmed-meshheading:10676731-Urea
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pubmed:year |
2000
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pubmed:articleTitle |
Mouse to elephant: biological scaling and Kt/V.
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pubmed:affiliation |
Department of Medicine, Queen's University, Kingston, Ontario, Canada. armorton@post.queensu.ca
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pubmed:publicationType |
Journal Article
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