Table 1: Available methods to estimate glomerular filtration rate in CKD patients.
Methods Equation Remarks
Serum creatinine (Cr) ___ • Pitfalls in patients with low muscle mass and significant peripheral edema
• Prone to drug disturbances (interference with tubular excretion of Cr & Cr assays)
24-hr urine collection (24-hr urine Cr ÷24-hr serum Cr ) x 0.7 • Prone to error of collection • Cumber and not welcomed by patients
Plasma Cystatin C ___ • More sensitive than serum Cr to detect early renal dysfunction
• Expensive and not widely available
CG equation CrCl (mL/min) = [(140-Age) x lean BW (kg)] ÷ [Serum Cr (mg/dL) x 72]
x 0.85 (if female)
• Convenient
• Accurate in stable renal function
• Can be problematic in changing clinical conditions and renal function
MDRD equation GFR (mL/min/1.73m2) = 175 x(SCr)-1.154 x (Age)-0.203 x (0.742 if female) x (1.212 if African American) • Accurate in moderate renal impairment
• Can be imprecise in extremes of renal function
CKD-EPI equation GFR = 141 x min (SCr/α 1) x max (SCr/K, 1)-1.209 x 0.993(Age) x 1.108 (if female) x 1.159 (if black)

K=0.7 if female & 0.9 if male
α = -0.392 if female & -0.411 if male

Min – The minimum of SCr/K or 1
Max – The maximum of SCr/K or 1

SCr (mg/dL)
• Less bias than MDRD equation especially in patients with higher GFR
• Not widely adopted in many laboratories