GFR Rate Calculator
Understanding Glomerular Filtration Rate (GFR)
Glomerular Filtration Rate (GFR) is a crucial test that measures how well your kidneys are functioning. Specifically, it estimates the amount of blood that your kidneys filter per minute. This value is a key indicator of kidney health and is used to diagnose and stage chronic kidney disease (CKD).
How is GFR Calculated?
The GFR is typically estimated using formulas that take into account several factors, including:
- Serum Creatinine Level: Creatinine is a waste product produced by muscle metabolism. Healthy kidneys filter creatinine out of the blood. Higher levels in the blood can indicate that the kidneys are not filtering waste effectively.
- Age: GFR naturally tends to decrease with age.
- Gender: Differences in muscle mass can influence creatinine levels.
- Race: Historically, race has been included in some GFR estimating equations due to observed differences in average muscle mass, although its inclusion is now a subject of ongoing discussion and revision in clinical practice.
The most commonly used GFR estimating equation is the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation. This calculator uses a simplified version of the CKD-EPI equation for estimation purposes.
Interpreting GFR Results
GFR results are usually reported in milliliters per minute per 1.73 square meters of body surface area (mL/min/1.73 m²). Lower GFR values indicate poorer kidney function.
- Normal GFR: 90 or higher
- Mildly decreased GFR: 60-89 (may indicate kidney damage)
- Moderately decreased GFR: 30-59 (stage 3 CKD)
- Severely decreased GFR: 15-29 (stage 4 CKD)
- Kidney failure: Less than 15 (stage 5 CKD)
It's important to discuss your GFR results with your healthcare provider to understand what they mean for your specific health situation.
Example Calculation
Let's consider a 65-year-old male who is not Black, and their serum creatinine level is measured at 1.2 mg/dL. Using the CKD-EPI equation, a calculated GFR might be estimated around 70 mL/min/1.73 m², suggesting mild to moderate kidney function impairment.
If the same individual had a serum creatinine of 0.8 mg/dL, their estimated GFR would be significantly higher, likely above 90 mL/min/1.73 m², indicating normal kidney function.