mL/min/1.73m²
Using the GFR Calculator
A gfr calculator is a critical tool used by medical professionals and patients to estimate how well the kidneys are filtering waste from the blood. GFR stands for Glomerular Filtration Rate. Because direct measurement of GFR is complicated and requires specialized clinical settings, mathematical formulas are used to provide an estimate (eGFR) based on a simple blood test called serum creatinine.
By entering your lab results and demographic data into this tool, you can determine your kidney function stage and monitor health over time.
- Serum Creatinine
- Creatinine is a waste product from muscle breakdown. When kidneys aren't working well, creatinine levels in the blood rise.
- Age & Biological Sex
- Kidney function naturally declines with age, and muscle mass (which affects creatinine) differs between sexes.
- Calculation Method
- Choose between the modern CKD-EPI 2021 formula, the older MDRD formula, or the Cockcroft-Gault clearance method.
How It Works: The Formulas
The gfr calculator primarily uses the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation. In 2021, a new version was released that removed race as a variable to increase equity in healthcare. The formula is as follows:
eGFR = 142 × min(Scr/κ, 1)α × max(Scr/κ, 1)-1.200 × 0.9938Age [× 1.012 if female]
- Scr: Serum creatinine in mg/dL
- κ (kappa): 0.7 for females, 0.9 for males
- α (alpha): -0.241 for females, -0.302 for males
- min/max: Mathematical functions to determine the lower or higher of two values
Calculation Example
Example: A 55-year-old male with a serum creatinine level of 1.4 mg/dL.
Step-by-step solution (CKD-EPI 2021):
- Gender: Male (κ = 0.9, α = -0.302)
- Scr/κ: 1.4 / 0.9 = 1.55
- min(1.55, 1) = 1.0
- max(1.55, 1) = 1.55
- Calculate: 142 × (1.0)-0.302 × (1.55)-1.200 × (0.9938)55
- Work: 142 × 1.0 × 0.589 × 0.710
- Result GFR = 59.4 mL/min/1.73m² (Stage 3a)
Stages of Chronic Kidney Disease (CKD)
Doctors use the gfr calculator result to categorize kidney disease into five distinct stages:
| Stage | GFR Range | Description |
|---|---|---|
| Stage 1 | 90 or higher | Normal function, but some signs of kidney damage. |
| Stage 2 | 60 to 89 | Mildly decreased kidney function. |
| Stage 3a | 45 to 59 | Mild to moderate loss of kidney function. |
| Stage 3b | 30 to 44 | Moderate to severe loss of kidney function. |
| Stage 4 | 15 to 29 | Severe loss of kidney function. |
| Stage 5 | Less than 15 | Kidney failure; dialysis or transplant may be needed. |
Common Questions
Why did my GFR change suddenly?
Dehydration, certain medications (like ibuprofen), or a high-protein meal before the test can temporarily lower your GFR. It is always best to look at trends over several months rather than a single reading.
Is the CKD-EPI formula more accurate than MDRD?
Yes, most medical bodies now recommend CKD-EPI because it is more accurate, especially for patients with GFR values above 60 mL/min, where the MDRD formula tends to underestimate function.
Can I increase my GFR?
While you cannot usually reverse permanent kidney damage, you can prevent further decline by managing blood pressure, controlling blood sugar (if diabetic), and eating a kidney-friendly diet as recommended by your physician.