Sei sulla pagina 1di 2

Understanding Your Lab Results:

GFR (Glomerular Filtration Rate)

Your Lab Results: GFR (Glomerular Filtration Rate) Introduction You have just received your lab results. One

Introduction

You have just received your lab results. One result you may not understand is your “GFR”. This fact sheet will help explain:

• What the GFR number means

• How the test is done

• Stages of Chronic Kidney Disease

• GFR differences for African Americans

• Ways to prevent or slow chronic kidney disease

• Where to find more help

What is GFR?

Knowing your GFR (Glomerular Filtration Rate) is the best way to tell how your kidneys are doing. This test can tell your doctor how well your kidneys clean your blood. If the GFR and other tests show your kidneys have permanent damage, it is called chronic kidney disease.

How is the Test Done?

Your doctor will test your blood for creatinine. Then, your doctor or lab will put the result from the test into a math formula. Your age, race, and gender will also be used to figure out your GFR.

How important is my GFR?

Your doctor will use your GFR number as one clue to how well your kidneys are working. Your doctor will also look at other factors, including:

• protein (albumin) in your urine

• diabetes (sometimes called “sugar”)

• high blood pressure

• anemia

What Does my GFR Mean?

A GFR below 60 suggests you may

have some kidney damage. This means your kidneys may not be

working at full strength. If your GFR

is

less than 60, make an appointment

to

see your doctor soon.

GFR is an estimate of how well your kidneys are working. The test is not always accurate for GFRs above 60.

It is important for your doctor to look

at other tests to find out if you may have kidney disease.

®
®
other tests to find out if you may have kidney disease. ® What Should my GFR

What Should my GFR Be?

A normal GFR is between 90-130.

The normal ranges and five stages

of chronic kidney disease are listed

below:

GFR

Stage

What it

Results

Means

90-130, no

Normal

normal kidney

protein in

function

the urine

90

or more,

Stage 1

Slight

protein in

decrease

the urine

in kidney

function

60

to 89

Stage 2

Mild decrease

 

in kidney

function

30

a 59

Stage 3

Moderate

 

decrease

in kidney

function

15

a 29

Stage 4

Severe

 

decrease

in kidney

function

Less than

Stage 5

Kidney failure

15

(dialysis or

transplant will

be needed

soon)

From the National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative

If you are African American

your

GFR is estimated differently.

Some doctors and labs do not yet use your race when estimating your GFR. Ask your doctor or lab if they have accounted for your race when they estimated your GFR. If they did not, you will need to multiply your GFR result by 1.2.

Example:

• 58 year-old African American woman.

• Her doctor tells her that the lab did not account for her race.

• Her lab report showed that her GFR was 50.

Using a calculator, she can quickly get a more accurate GFR:

Using a calculator, she can quickly get a more accurate GFR: 50 (her GFR from her

50 (her GFR from her lab results)

x 1.2 (correction for race)

= 60.5 her corrected GFR

If you are part of any other ethnic group

your

GFR is estimated with the

standard method. You should use the GFR number provided by your doctor or lab result.

What Can I Do to Improve my GFR?

Unfortunately, damage to your kidneys can not be reversed. But, there are some steps you can take to help prevent or slow chronic kidney disease.

If your GFR is 60 or higher:

See your doctor regularly

Get checked for and control diabetes and high blood pressure

Take any medicines prescribed by your doctor

Exercise regularly

Avoid tobacco use

Drink alcohol only in moderation

If your GFR is less than 60:

Follow the tips above

See your doctor soon!

60 : • Follow the tips above • See your doctor soon! Where Can I Get

Where Can I Get More Information?

For more information on GFR and Chronic Kidney Disease (CKD), order the American Kidney Fund’s bro- chure Living Well with Chronic Kidney Disease. Call 800.638.8299 or visit http://www.kidneyfund.org and click “Order Brochures”

http://www.kidneyfund.org and click “Order Brochures” American Kidney Fund 6110 Executive Boulevard Suite 1010

American Kidney Fund 6110 Executive Boulevard Suite 1010 Rockville, MD 20852 Phone: 301.881.3052 Fax: 301.881.0898 Toll-Free: 800.638.8299 Informacion En Español:

866.300.2900

HelpLine@kidneyfund.org

http://MikeHelps.org

http://www.kidneyfund.org

Combined Federal Campaign #0508

© Copyright 2006 American Kidney Fund. No portion of this publication may be duplicated without written permission from the American Kidney Fund.