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GFR Calculator

Clinical GFR calculator supporting the modern 2021 race-free CKD-EPI standard, legacy MDRD study formula, Mayo quadratic equation, and pediatric Bedside Schwartz formula for children.

GFR Calculator

Glomerular Filtration Rate using the validated CKD-EPI formula.

Estimated GFR
95 mL/min/1.73 m²
Stage 1: Normal

Clinical Interpretation:

Normal kidney function. (GFR >= 90 mL/min/1.73m²)

In-Depth Scientific & Clinical Guide

Glomerular Filtration Rate (GFR): CKD-EPI Equation, Creatinine & Renal Function

Estimated Glomerular Filtration Rate (eGFR) evaluates kidney filtration capacity and screens for Chronic Kidney Disease (CKD) stages using serum creatinine and validated demographic adjustments.

The CKD-EPI 2021 Clinical Standard

The 2021 CKD-EPI creatinine equation removes race-based coefficients to deliver an unbiased, standardized metric of renal filtration expressed in mL/min/1.73 m².

An eGFR consistently above 90 indicates normal function, while values below 60 persistent for three or more months indicate Chronic Kidney Disease requiring nephrology evaluation.

Step-by-Step Instructions

1

Enter Serum Creatinine Level

Input laboratory blood serum creatinine concentration in mg/dL or µmol/L.

2

Specify Biological Sex & Age

Input age in years and biological sex (assigned at birth for physiological muscle mass baselines).

3

Input Serum Cystatin C (Optional)

Optionally add serum Cystatin C (mg/L) for the combined 2021 CKD-EPI Creatinine-Cystatin C clinical gold standard.

4

Review eGFR & CKD Staging

Evaluate estimated Glomerular Filtration Rate ($ ext{mL/min/1.73m}^2$) and National Kidney Foundation KDIGO chronic kidney disease staging (G1 to G5).

Key Features & Capabilities

  • Official 2021 CKD-EPI Creatinine Equation (race-free clinical standard recommended by NKF and ASN)
  • 2021 CKD-EPI Creatinine-Cystatin C combined equation for high-precision diagnostic confirmation
  • MDRD (Modification of Diet in Renal Disease) legacy clinical equation comparison
  • KDIGO Chronic Kidney Disease (CKD) Stage classification: Stage 1 ($\ge 90$), Stage 2 (60–89), Stage 3a (45–59), Stage 3b (30–44), Stage 4 (15–29), Stage 5 Kidney Failure ($< 15$)

Frequently Asked Questions

What is Glomerular Filtration Rate (GFR) and what does it measure?

Glomerular Filtration Rate (GFR) is the primary clinical biomarker measuring the flow rate of filtered fluid through the kidney's glomerular capillaries. It evaluates how efficiently your kidneys remove metabolic waste products (urea, creatinine, toxins) from blood plasma, normalized to a standard body surface area of 1.73 m².

What is the new 2021 race-free CKD-EPI equation?

In 2021, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) established a standardized race-free CKD-EPI equation that eliminated the historical race modifier. It calculates eGFR strictly using age, biological sex, and serum creatinine: $\text{eGFR} = 142 \times \min(S_{\text{cr}}/\kappa, 1)^\alpha \times \max(S_{\text{cr}}/\kappa, 1)^{-1.200} \times 0.9938^{\text{Age}} \times [1.012\text{ if female}]$. (where $\kappa = 0.7$ female / $0.9$ male; $\alpha = -0.241$ female / $-0.302$ male).

What are the five clinical stages of Chronic Kidney Disease (CKD)?

According to KDIGO clinical practice guidelines: **Stage 1 (Normal/High)**: eGFR ≥ 90 mL/min/1.73m² (with kidney damage/proteinuria); **Stage 2 (Mild Reduction)**: eGFR 60–89; **Stage 3a (Mild-to-Moderate)**: eGFR 45–59; **Stage 3b (Moderate-to-Severe)**: eGFR 30–44; **Stage 4 (Severe Reduction)**: eGFR 15–29; **Stage 5 (Kidney Failure / ESRD)**: eGFR < 15 mL/min/1.73m².

Why can high muscle mass or creatine supplementation artificially lower eGFR?

Creatinine is a breakdown byproduct of muscle creatine phosphate. Highly muscular athletes, bodybuilders, or individuals consuming daily creatine monohydrate supplements produce significantly higher baseline serum creatinine, artificially suppressing creatinine-based eGFR without indicating actual kidney damage. Testing **Serum Cystatin C** provides an accurate kidney evaluation independent of muscle mass.

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