Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes. The GFR is calculated for every creatinine result. Reporting of the calculated glomerular filtratuion rate (GFR) is recommended by the National Kidney Foundation for use in recognition,treatment, and prevention of chronic kidney disease. The GFR is the best overall indicator of kidney function. AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE, the stage of disease should be assigned based on the following classification. Chronic Kidney Disease is defined as either kidney damage or GFR <60ml/min/1.73m2 for >=3 months. Kidney damage is defined as pathologic abnormalities or markers of damage, including abnormalities in blood, urine tests or imaging studies. Classification of stages of CKD (Chronic Kidney Disease): Stage 1: Kidney damage with normal or increased GFR. GFR>=90 ml/min/1.73m2 Stage 2: Kidney damage with mild reduction of GFR. GFR 60-89 ml/min/1.73m2 Stage 3: Moderate reduction of GFR. GFR 30-59 ml/min/1.73m2 Stage 4: Severe reduction of GFR. GFR 15-29 ml/min/1.73m2 Stage 5: Kidney failure. GFR <15 ml/min/1.73m2
In patients younger than 18 years the additional parameter of height is required for eGFR. Use the Schwartz GFR calculator at:
NIH.gov Bedside IDMS-Traceable Schwartz GFR Calculator for Children