1. What is the CKD-EPI 2021 Equation?

The CKD-EPI 2021 equation is an updated version that estimates glomerular filtration rate (GFR) from serum creatinine, age, and sex. It provides improved accuracy in GFR estimation compared to previous versions.

2. How Does the Calculator Work?

The calculator uses the CKD-EPI 2021 equation:

Where:

• \( Scr \) — Serum creatinine (mg/dL)
• \( \kappa \) — 0.7 (female) or 0.9 (male)
• \( \alpha \) — -0.241 (female) or -0.302 (male)
• \( age \) — Age in years
• 1.012 — Female multiplier

Explanation: The equation accounts for non-linear relationship between creatinine and GFR, with updated coefficients for improved accuracy.

3. Importance of eGFR Calculation

Details: Accurate GFR estimation is crucial for diagnosing chronic kidney disease, determining disease stage, and guiding medication dosing decisions.

4. Using the Calculator

Tips: Enter serum creatinine in mg/dL, age in years, and select gender. All values must be valid (creatinine > 0, age between 1-120).

5. Frequently Asked Questions (FAQ)

Q1: What's new in the CKD-EPI 2021 equation?
A: The 2021 version features updated coefficients (142, -1.200, 0.9938) and refined gender adjustments for improved accuracy across diverse populations.

Q2: What are normal eGFR values?
A: Normal is generally ≥90 mL/min/1.73m², though values naturally decline with age. Below 60 for 3+ months indicates chronic kidney disease.

Q3: When should creatinine be measured?
A: Morning fasting sample is ideal, but random samples are acceptable. Avoid testing after meat-heavy meals or vigorous exercise.

Q4: Are there limitations to this equation?
A: Less accurate in extremes of age/weight, amputees, pregnant women, and those with rapidly changing kidney function or muscle mass.

Q5: Should this be used for drug dosing?
A: For precise drug dosing, measured GFR may be needed in certain populations. Always consult healthcare providers for medication adjustments.