Original Investigation

Measured and Estimated Glomerular Filtration Rates and Risk of Adverse Health Outcomes

JAMA 10.1001/jama.2026.9639

June 04, 2026 at 6:45 AM EDT

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What is the association between measured glomerular filtration rate (mGFR) and adverse clinical outcomes?In this observational cohort study of 6174 adults in Sweden, compared with an mGFR of 90 mL/min/1.73 m, mGFR of 60 mL/min/1.73 m was associated with a statistically significant higher rate of all-cause mortality (27.6 vs 22.4 per 1000 person-years) and kidney failure with replacement therapy (1.2 vs 0.4 per 1000 person-years).Among adults in Sweden, compared with an mGFR of 90 mL/min/1.73 m, mGFR of 60 mL/min/1.73 m was associated with higher rates of mortality and kidney failure.

Corresponding Author: Edouard L. Fu, PhD, Department of Clinical Epidemiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the Netherlands (e.l.fu@lumc.nl).

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