PCR Equation:
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The Urine Protein:Creatinine Ratio (PCR) is a diagnostic test that measures the amount of protein in urine relative to the amount of creatinine. It provides a more accurate assessment of proteinuria than a simple dipstick test and helps in monitoring kidney function.
The calculator uses the PCR equation:
Where:
Explanation: The ratio normalizes protein excretion to creatinine excretion, accounting for variations in urine concentration.
Details: PCR is crucial for detecting and monitoring proteinuria, which is a key indicator of kidney damage. It helps in diagnosing and managing various kidney diseases, including diabetic nephropathy and glomerulonephritis.
Tips: Enter urine protein in mg/L and urine creatinine in mmol/L. Both values must be positive numbers. The calculator will compute the PCR in mg/mmol units.
Q1: What is a normal PCR value?
A: A normal PCR is typically less than 15 mg/mmol. Values between 15-50 mg/mmol indicate microalbuminuria, and values above 50 mg/mmol indicate macroalbuminuria.
Q2: Why use PCR instead of 24-hour urine collection?
A: PCR provides a quicker and more convenient alternative to 24-hour urine collection while maintaining good correlation with total protein excretion.
Q3: When should PCR be measured?
A: PCR should be measured when screening for kidney disease in high-risk patients (e.g., diabetics, hypertensives) and for monitoring response to treatment in known kidney disease.
Q4: Are there limitations to PCR measurement?
A: PCR may be less accurate in very dilute or concentrated urine samples, and in patients with extremely high or low muscle mass affecting creatinine excretion.
Q5: How does PCR relate to ACR?
A: While PCR measures total protein, ACR (Albumin:Creatinine Ratio) specifically measures albumin. ACR is more sensitive for detecting early diabetic kidney disease.