Glomerular Filtration Rate (GFR) Calculator | HealthCalculum

Estimate kidney function using CKD-EPI or MDRD formulas

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What is GFR?

Glomerular Filtration Rate (GFR) estimates kidney function by measuring how efficiently kidneys filter waste from blood. It classifies chronic kidney disease (CKD) stages from 1 (normal) to 5 (kidney failure).

How to Calculate

Enter serum creatinine level, age, gender, and race. Choose CKD-EPI (recommended) or MDRD formula. The calculator estimates GFR and classifies CKD stage based on kidney function level.

CKD Stages

Stage 1: GFR ≥90

Normal or high kidney function

Stage 2: GFR 60-89

Mildly decreased kidney function

Stage 3: GFR 30-59

Moderately decreased kidney function

Stage 4: GFR 15-29

Severely decreased kidney function

Stage 5: GFR <15

Kidney failure - dialysis or transplant needed

Limitations

GFR estimates are affected by muscle mass, diet, medications, and acute illness. CKD-EPI is more accurate than MDRD, especially at higher GFR values. Clinical diagnosis requires additional tests and assessment by nephrologist.

Frequently Asked Questions

Which formula should I use: CKD-EPI or MDRD?

CKD-EPI is more accurate and current, especially for GFR >60. It's recommended as the current standard. MDRD tends to underestimate GFR at higher values.

What does each CKD stage mean?

Stages 1-2: normal/mildly decreased function (monitoring). Stage 3: moderate loss (intervention needed). Stage 4: severe loss (prepare for renal therapy). Stage 5: failure (dialysis/transplant).

Does muscle mass affect estimated GFR?

Yes. Creatinine is a product of muscle metabolism. Very muscular people may have higher creatinine without kidney disease. People with low muscle mass may have falsely low values.

How often should I check my GFR?

Depends on CKD stage. Stages 1-2: annually. Stage 3: 6-12 months. Stages 4-5: 3-6 months or as directed by nephrologist. Conditions like diabetes require more frequent monitoring.

Scientific References

  1. 1. Levey AS, Stevens LA, Schmid CH, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150(9):604-612.
  2. 2. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39(2 Suppl 1):S1-266.
  3. 3. Inker LA, Eneanya ND, Coresh J, et al. New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race. N Engl J Med. 2021;385(19):1737-1749.
  4. 4. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Ann Intern Med. 1999;130(6):461-470.