GFR Calculation from Urine Creatinine:
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The GFR (Glomerular Filtration Rate) calculated from urine creatinine provides an estimate of kidney function by measuring how much creatinine is cleared from the blood into the urine over a specific time period.
The calculator uses the following equation:
Where:
Explanation: This calculation estimates how much plasma is cleared of creatinine per minute by the kidneys.
Details: Measuring GFR from urine creatinine provides a more direct assessment of kidney function than estimation equations, especially in patients with non-steady-state conditions or unusual muscle mass.
Tips: Enter urine creatinine in mg/dL, urine flow rate in mL/min, and plasma creatinine in mg/dL. All values must be positive numbers.
Q1: When is this method preferred over estimation equations?
A: This method is preferred when precise measurement is needed, in patients with rapidly changing kidney function, or when estimation equations may be inaccurate.
Q2: How is urine flow rate (V) determined?
A: Urine flow rate is calculated from timed urine collections (e.g., 24-hour collection) by dividing total volume by collection time in minutes.
Q3: What are potential sources of error?
A: Incomplete urine collection, improper timing, and variations in creatinine metabolism can affect accuracy.
Q4: How does this compare to inulin clearance?
A: While inulin clearance is the gold standard, creatinine clearance provides a practical alternative that correlates well in most clinical situations.
Q5: Should patients prepare specially for this test?
A: Patients should avoid strenuous exercise before testing and follow instructions for proper urine collection.