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Official 2021 NKF-ASN Race-Free Standard

eGFR Clinical Calculator

Calculates Estimated Glomerular Filtration Rate using the standardized 2021 CKD-EPI creatinine equation without race coefficients.

Interactive eGFR Calculator

NKF-ASN 2021 Race-Free Refinement
mg/dL
Normal: 0.6 – 1.3 mg/dL
Yrs
Applicable for adults (≥ 18 yrs)
Adjusts baseline muscle mass (κ, α)
Estimated Glomerular Filtration Rate
81mL/min/1.73 m²
G2 Classification
Mildly Decreased Filtration (eGFR 60–89)
0 (Failure)Stage G3 (30–60)120+ (Optimal)
Kidney Status Assessment

Mild filtration reduction. Common with physiological aging; in the absence of kidney damage markers, this may represent normal aging.

KDIGO 2024 Practice Guidance

Evaluate blood pressure, HbA1c, and cardiovascular risk. Repeat test in 12 months to verify filtration trajectory.

KDIGO CKD Staging Classification & Clinical Action Guide

StageeGFR (mL/min/1.73m²)Kidney StatusClinical Action Mandate
G1≥ 90Normal or HighScreen for proteinuria if diabetes or hypertension present; annual observation.
G260 – 89Mild ReductionEstimate rate of progression; review cardiovascular risk factors and medication dosing.
G3a45 – 59Mild to ModerateEvaluate complications (anemia, MBD); adjust renal-cleared drug dosages.
G3b30 – 44Moderate to SevereFrequent monitoring (every 3-6 months); nephrologist co-management recommended.
G415 – 29Severe ReductionFormal nephrology care; prepare vascular access / renal replacement counseling.
G5< 15Kidney Failure (ESRD)Urgent renal replacement therapy (hemodialysis, peritoneal dialysis, or transplant).

Equation Specification: 2021 CKD-EPI Creatinine Refinement

In 2021, the National Kidney Foundation (NKF) and American Society of Nephrology (ASN) Task Force recommended the immediate adoption of the 2021 CKD-EPI creatinine equation without the race coefficient across all clinical laboratories in the United States and globally.

eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(-1.200) × 0.9938^Age × (1.012 if Female)
• Scr = Serum Creatinine (mg/dL)
• κ (kappa) = 0.7 (females) or 0.9 (males)
• α (alpha) = -0.241 (females) or -0.302 (males)
Clinical Utility Standard

This calculator is designed for use by healthcare professionals, clinical pathologists, and patients evaluating renal reserve. It conforms to the 2021 NKF-ASN guidelines and KDIGO 2024 staging protocols.

Last Algorithm Verification: Q1 2026