Gfr Calculation

GFR (Glomerular Filtration Rate) Calculator

Use this calculator to estimate your Glomerular Filtration Rate (GFR) based on your serum creatinine, age, sex, and race. GFR is a key indicator of kidney function.

Estimated GFR:

function calculateGFR() { var serumCreatinine = parseFloat(document.getElementById('serumCreatinine').value); var age = parseInt(document.getElementById('age').value); var sexMale = document.getElementById('sexMale').checked; var raceBlack = document.getElementById('raceBlack').checked; if (isNaN(serumCreatinine) || serumCreatinine <= 0 || isNaN(age) || age <= 0) { document.getElementById('gfrResult').innerHTML = 'Please enter valid positive numbers for Serum Creatinine and Age.'; return; } var kappa; // κ var alpha; // α var sexFactor = 1; var raceFactor = 1; if (sexMale) { kappa = 0.9; alpha = -0.411; } else { // Female kappa = 0.7; alpha = -0.329; sexFactor = 1.018; } if (raceBlack) { raceFactor = 1.159; } var minScrOverKappa = Math.min(serumCreatinine / kappa, 1); var maxScrOverKappa = Math.max(serumCreatinine / kappa, 1); var gfr = 141 * Math.pow(minScrOverKappa, alpha) * Math.pow(maxScrOverKappa, -1.209) * Math.pow(0.993, age) * sexFactor * raceFactor; document.getElementById('gfrResult').innerHTML = '' + gfr.toFixed(2) + ' mL/min/1.73 m²'; }

Understanding GFR (Glomerular Filtration Rate)

The Glomerular Filtration Rate (GFR) is a crucial measure of how well your kidneys are functioning. It estimates the amount of blood that passes through the glomeruli (tiny filters in your kidneys) each minute. A healthy GFR indicates that your kidneys are effectively filtering waste products from your blood.

Why is GFR Important?

Monitoring GFR is vital for detecting kidney disease early. Chronic Kidney Disease (CKD) often progresses silently, and a declining GFR can be the first sign. Early detection allows for interventions that can slow the progression of kidney damage and prevent serious complications, including kidney failure.

  • Early Detection: Identifies kidney problems before symptoms appear.
  • Disease Staging: Helps classify the stage of kidney disease, guiding treatment.
  • Treatment Planning: Informs decisions about medications, diet, and lifestyle changes.
  • Monitoring Progression: Tracks the effectiveness of treatments over time.

How is GFR Calculated?

Directly measuring GFR is complex and usually involves injecting a tracer substance. Therefore, GFR is typically estimated using formulas that incorporate readily available blood test results, primarily serum creatinine, along with demographic factors like age, sex, and sometimes race. Common formulas include the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation, MDRD (Modification of Diet in Renal Disease) equation, and Cockcroft-Gault equation.

This calculator uses the CKD-EPI 2009 equation, which is widely recommended due to its improved accuracy, especially at higher GFR values, compared to older formulas. The formula takes into account:

  • Serum Creatinine (mg/dL): A waste product from muscle metabolism, its level in the blood is inversely related to kidney function.
  • Age (years): Kidney function naturally declines with age.
  • Sex: Biological differences in muscle mass and creatinine production influence GFR.
  • Race (Black/Non-Black): Historically, race has been included in GFR equations due to observed differences in creatinine levels. However, there is an ongoing movement in the medical community to remove race-based adjustments from GFR calculations to address health disparities and ensure equitable care. While this calculator includes it for historical accuracy with the CKD-EPI 2009 formula, it's important to be aware of these evolving guidelines.

Interpreting Your GFR Results

GFR values are typically reported in milliliters per minute per 1.73 square meters (mL/min/1.73 m²), which adjusts for average body surface area. Here's a general guide to GFR stages:

  • GFR 90 or higher: Normal kidney function.
  • GFR 60-89: Mildly decreased kidney function. Often no symptoms, but may indicate early kidney disease.
  • GFR 45-59: Moderately decreased kidney function (Stage 3a CKD).
  • GFR 30-44: Moderately to severely decreased kidney function (Stage 3b CKD).
  • GFR 15-29: Severely decreased kidney function (Stage 4 CKD).
  • GFR less than 15: Kidney failure (Stage 5 CKD), often requiring dialysis or kidney transplant.

Important Disclaimer:

This GFR calculator provides an estimate based on standard formulas and should not be used as a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis, treatment, and interpretation of your health results. Factors not included in this calculation (e.g., diet, hydration, certain medications, muscle mass variations) can influence actual kidney function.

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