What is Glomerular Filtration Rate (GFR)?
GFR is a key indicator of kidney function, reflecting the volume of blood filtration through the glomeruli per minute. To calculate, a GFR calculator is used, taking into account serum creatinine, age, gender, weight, and race.
GFR norms vary: for men - 90-120 ml/min/1.73m², for women - 85-110 ml/min/1.73m².
CKD-EPI Formula: Gold Standard
Calculating GFR using CKD-EPI is the most accurate method for adults:
GFR = 141 × min(Cr/κ, 1)^α × max(Cr/κ, 1)^-1.209 × 0.993^Age × [1.018 if female] × [1.159 if African American]where κ = 0.7 (female) or 0.9 (male), α = -0.329 (female) or -0.411 (male).
Pros: High accuracy for GFR >60 ml/min.
Cons: Requires calibrated creatinine data.
Online CKD-EPI GFR calculator automates the calculation.
Cockcroft-Gault Formula
Adult GFR calculator based on creatinine uses the method:
GFR = (140 - Age) × Weight (kg) × [0.85 if female] / (72 × Cr)Pros: Simplicity, does not require IFA.
Cons: Errors in obesity/cachexia.
Cockcroft-Gault GFR calculator is used for drug dose adjustments.
GFR Calculation in Children: Schwartz Formula
Schwartz GFR in children :
GFR = k × Height (cm) / Crwhere k=0.55 (children <1 year), 0.45 (adolescent girls), 0.7 (adolescent boys).
Pros: Child's height consideration.
Cons: Not validated for adults.
Child GFR calculator is available online.
GFR Grades and CKD Stages
Results of GFR calculation by calculator are interpreted according to KDIGO classification (2013):
| CKD Stage | Description | GFR Level (ml/min/1.73m²) |
|---|---|---|
| 1 | Kidney damage with normal GFR | ≥90 |
| 2 | Mild decrease in GFR | 60–89 |
| 3a | Moderate decrease in GFR | 45–59 |
| 3b | Significant decrease in GFR | 30–44 |
| 4 | Severe decrease in GFR | 15–29 |
| 5 | Kidney failure | <15 |
CKD GFR calculator automatically determines the CKD stage. Values <60 ml/min/1.73m² for >3 months are criteria for CKD.
GFR Norms and Limitations
- GFR norm in women: 85-110 ml/min.
- GFR norm in men: 90-120 ml/min.
Limitations:
- Pregnancy
- Extreme muscle mass values
- Acute kidney failure
Online creatinine GFR calculator does not replace comprehensive diagnostics!
Practical Use
Universal GFR calculator integrates CKD-EPI, Cockcroft-Gault formulas. For online GFR calculator calculation, creatinine (µmol/l), age, gender, height/weight are required.