eGFR Calculators

Welcome to our suite of eGFR (Estimated Glomerular Filtration Rate) calculators. eGFR is a key indicator of kidney function. Different formulas exist, each with its specific applications and variables. Choose a calculator below to assess kidney function based on various established equations.

Equation Access Calculator
2021 CKD-EPI Creatinine Go to Calculator
2021 CKD-EPI Creatinine-Cystatin C Go to Calculator
2009 CKD-EPI Creatinine Go to Calculator
2012 CKD-EPI Cystatin C Go to Calculator
2012 CKD-EPI Creatinine-Cystatin C Go to Calculator

EVIDENCE APPRAISAL

Development and Methodology

The CKD-EPI (creatinine) was developed by Levey et al in 2009, who measured GFR of 8,254 participants using clearance of iothalamate (the most recent recommended gold standard). Linear regression was used to estimate the logarithm of measured GFR from standardized creatinine levels, sex, race, and age.

Validation and Accuracy

The equation was validated by Inker et al (2012) and found to be more accurate than the MDRD Equation (percentage of estimated GFR within 30% of measured GFR was 84.1% vs. 80.6%). The sensitivity and specificity of estimated GFR <60 mL/min/1.73 m2 were 91% and 87%, respectively, using the CKD-EPI equation and 95% and 82%, respectively, using the MDRD Equation.

Considerations on Race Coefficient

Debate has arisen regarding the use of the adjustment coefficient for black patients. Because of this, Inker et al (2021) updated the CKD-EPI formulae to redevelop the equation so that the race component was removed from the equation.

LITERATURE

ORIGINAL/PRIMARY REFERENCE

Research Paper Levey AS, Stevens LA, Schmid CH, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150(9):604-12.
Research Paper Inker LA, Schmid CH, Tighiouart H, et al. Estimating glomerular filtration rate from serum creatinine and cystatin C. N Engl J Med. 2012;367(1):20-9.
Research Paper Inker LA, Eneanya ND, Coresh J, et al. New creatinine- and cystatin c-based equations to estimate gfr without race. N Engl J Med. Published online September 23, 2021.

CLINICAL PRACTICE GUIDELINES

Research Paper KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease
Research Paper KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease