🧪 eGFR Calculator
Estimated Glomerular Filtration Rate – assess kidney function using race‑free CKD‑EPI 2021, MDRD, and pediatric Schwartz equations.
Used by nephrologists, primary care physicians, and pharmacists. 100% client‑side, private.
📖 Understanding eGFR
Estimated Glomerular Filtration Rate (eGFR) is a key indicator of kidney function. It estimates how much blood passes through the glomeruli (filters) each minute. The NKF recommends the 2021 CKD-EPI race‑free equation as the most accurate method for estimating GFR in adults.[reference:0]
CKD-EPI 2021 Equation:
- eGFR = 142 × min(Scr/κ, 1)ᵅ × max(Scr/κ, 1)⁻¹·²⁰⁰ × 0.9938ᴬᵍᵉ × 1.012 [if female]
- κ = 0.7 (females) or 0.9 (males)
- α = -0.241 (females) or -0.302 (males)[reference:1]
The Bedside Schwartz equation is the international standard for pediatric eGFR in children aged 1–16 years: eGFR = 0.413 × (height in cm / serum creatinine in mg/dL).[reference:2][reference:3]
✨ CKD Staging (KDIGO)
| Stage | eGFR (mL/min/1.73 m²) | Kidney Function |
|---|---|---|
| G1 | ≥ 90 | Normal or high |
| G2 | 60–89 | Mildly decreased |
| G3a | 45–59 | Mild to moderate decrease |
| G3b | 30–44 | Moderate to severe decrease |
| G4 | 15–29 | Severely decreased |
| G5 | < 15 | Kidney failure |
Albuminuria (A1–A3) is also part of CKD staging according to KDIGO guidelines. This calculator provides GFR staging; albuminuria assessment should be added for complete risk stratification.[reference:4]
💡 Why Race‑Free Equations Matter
The 2021 CKD-EPI equation removed race as a variable because race-based adjustments were found to overestimate GFR in Black patients and were not biologically justified. This new equation provides more equitable kidney function assessment for all patients.[reference:5]
⚠️ Important Limitations
- eGFR is an estimate, not a measured value.
- Not validated for acute kidney injury, pregnancy, amputees, or extremes of muscle mass.
- Confirm abnormal results with cystatin C-based eGFR or measured GFR if needed.
- Always interpret with clinical context and albuminuria assessment.