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. 2012 Dec;14(12):882-8.
doi: 10.1177/1753193412454519. Epub 2012 Jul 16.

Comparison of urine dipstick, sulfosalicylic acid, urine protein-to-creatinine ratio and a feline-specific immunoassay for detection of albuminuria in cats with chronic kidney disease

Andrew S Hanzlicek  1 , Clinton J Roof, Michael W Sanderson, Gregory F Grauer
Affiliations

Comparison of urine dipstick, sulfosalicylic acid, urine protein-to-creatinine ratio and a feline-specific immunoassay for detection of albuminuria in cats with chronic kidney disease

Andrew S Hanzlicek et al. J Feline Med Surg. 2012 Dec.

Abstract

The performance of the urine dipstick, sulfosalicylic acid (SSA), and urine protein-to-creatinine (UPC) tests for the detection of albuminuria was assessed in cats with chronic kidney disease (CKD). Two hundred and thirty-nine urine samples from 37 cats with CKD were used. Test results were dichotomized as either positive or negative, compared with those for the feline-specific rapid urine albumin immunoassay and test performance variables calculated for each test. A positive urine dipstick (≥ trace) and positive SSA (≥ 5 mg/dl), positive SSA alone or ≥ 2+ urine dipstick alone were indicative of albuminuria. In these cases, protein quantification would be warranted if proteinuria/albuminuria is persistent. In the case of a negative urine dipstick result the addition of the SSA added little diagnostic value. Of the tests investigated, the single best test for the detection of albuminuria was the UP/C (≥ 0.2) in which either a negative or positive test result provided useful information.

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Conflict of interest statement

The authors have no conflicts of interest to report.

Figures

Figure 1
Figure 1
Receiver operator curve (ROC) for urine protein-to-creatinine ratio (UPC) ≥0.2, UPC ≥0.4, sulfosalicylic acid (SSA) test (≥5 mg/dl) and urine dipstick (≥trace) for the detection of albuminuria as identified by the semiquantitative feline-specific immunoassay (ERD) (≥trace) in the same urine samples
Figure 2
Figure 2
Algorithm for the diagnosis of albuminuria in cats with chronic kidney disease. SSA = sulfosalicylic acid; UPC = urine protein-to-creatinine ratio
See this image and copyright information in PMC

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