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如何计算G F R Staging

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Glomerular filtration rate stages kidney disease and guides treatment intensity. GFR <15 indicates near end-stage renal disease.

分步指南

  1. 1Calculate GFR from serum creatinine using MDRD or CKD-EPI formula
  2. 2Stage 1: GFR ≥90, Stage 2: 60-89, Stage 3a: 45-59, Stage 3b: 30-44, Stage 4: 15-29, Stage 5: <15
  3. 3Each stage guides specific interventions

例题解析

输入
Age 65, female, African American, Cr 1.4, race factor applied
结果
GFR ≈ 45 (Stage 3b)
Moderate kidney disease

常见错误注意事项

  • Using MDRD in patients not meeting formula criteria
  • Not adjusting for race or body composition

常见问题

Why stage kidney disease?

Each stage has different risk of progression, complications, and treatment urgency.

Why do GFR estimates differ?

Different formulas (MDRD, CKD-EPI) account for different populations. CKD-EPI more accurate.

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