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. This version provides improved accuracy for chronic kidney disease assessment without race adjustment.

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 different coefficients for males and females.

3. Importance of eGFR Calculation

Details: Accurate GFR estimation is crucial for diagnosing chronic kidney disease, determining disease stage, and guiding medication dosing. The 2021 version eliminates race-based adjustments.

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 CKD-EPI 2021?
A: The 2021 equation removes race adjustment and uses updated coefficients for improved accuracy across diverse populations.

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

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.

Q5: Why no race adjustment in 2021 version?
A: To promote health equity and eliminate potential bias in kidney function assessment across all racial groups.