Elevated creatinine levels (in absence of supplementation) is a sign of kidney issues. There are many studies showing no reverse link i.e. supplementing creatine damaging kidneys
https://link.springer.com/content/pdf/10.1186/s12882-025-045...
https://link.springer.com/content/pdf/10.1186/s12882-025-045...
In other words, it's not a very reliable signal for kidney disease. There is a more reliable blood test called a "Cystatin C" test.
Maybe they aren't! But you can't infer that from the mere correlation. Hence that phrase about its relationship to causation.