GFR Calculator (CKD-EPI 2021)
Estimate kidney function based on the latest clinical standards.
What is Glomerular Filtration Rate (GFR)?
Glomerular Filtration Rate (GFR) is the best overall index of kidney function. It measures how many milliliters of blood the kidneys filter per minute. A normal GFR for an adult is typically above 90 mL/min/1.73m², although this naturally declines with age.
How to Calculate GFR
This calculator uses the CKD-EPI (2021) Creatinine Equation. This is the current recommended standard by the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) because it does not include a race variable, making it more equitable and accurate for a diverse population.
The mathematical formula is complex, involving the following components:
- Serum Creatinine: A waste product from muscle breakdown filtered by the kidneys.
- Age: Kidney function naturally decreases as we get older.
- Sex: Males generally have higher muscle mass and creatinine production than females.
Understanding the Results (CKD Stages)
Doctors use GFR to categorize Chronic Kidney Disease (CKD) into five stages:
| Stage | GFR Range | Description |
|---|---|---|
| Stage 1 | 90+ | Normal or high function (with evidence of kidney damage) |
| Stage 2 | 60-89 | Mildly decreased function |
| Stage 3a | 45-59 | Mildly to moderately decreased function |
| Stage 3b | 30-44 | Moderately to severely decreased function |
| Stage 4 | 15-29 | Severely decreased function |
| Stage 5 | Below 15 | Kidney failure (End-stage renal disease) |
Example Calculation
If a 55-year-old female has a serum creatinine of 1.2 mg/dL:
- The formula adjusts for the specific constants for females (κ = 0.7).
- The calculation yields an estimated GFR of approximately 56 mL/min/1.73m².
- This would place the patient in Stage 3a (Mildly to Moderately decreased).
Note: This tool is for informational purposes and should not replace professional medical advice. Always consult with a healthcare provider regarding kidney health.