Introduction Chronic kidney disease is a worldwide health problem that carries a substantial risk for cardiovascular morbidity and death. Current guidelines define chronic kidney disease as kidney damage or glomerular filtration rate (GFR) less than 60 mL/min/1.73 m 2 for 3 months or more, regardless of cause. GFR is the most frequently used criteria in the assessment of renal function. 1-3 GFR is measured by using a clearance determined by a biologically inert substance freely filtered through the glomerular membrane and re-entering circulation. Determination of creatinine clearance is the most widely used method for non-invasive estimation of GFR. However, creatinine evaluation is influenced by muscle mass, body surface and food intake; therefore, one must consider age, sex, height, and body composition when evaluating patient sample. Creatinine clearance leads to significant over estimation on GFR in those patients with highly decreased GFR due to tubular secretion. The collection of 24-hour urine is time consuming and creates additional sources of errors. 3,4 But cystatin C produced at a constant rate and the production rate in humans is remarkably constant over the entire lifetime. Elimination from the circulation is almost entirely via glomerular filtration. For this reason the serum