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🧪 Calculators

eGFR (MDRD)

Estimates GFR via simplified MDRD using serum creatinine, age, sex and ethnicity.

MDRD: estimating glomerular filtration rate

The MDRD equation (Modification of Diet in Renal Disease, 4-variable IDMS-traceable) estimates GFR normalized to 1.73 m²: eGFR = 175 · Scr^(−1.154) · age^(−0.203) · (0.742 if female) · (1.212 if Black) in mL/min/1.73 m². Take a man of 60 with Scr 1.0 mg/dL who is non-Black, and you get eGFR ≈ 175 · 1.0^(−1.154) · 60^(−0.203) ≈ 77 mL/min/1.73 m². Above 60 mL/min/1.73 m² it loses accuracy and reads low against the true GFR.

Clinical context

For years MDRD was the standard for CKD screening and staging under KDIGO criteria. CKD-EPI 2021 has since taken its place, since it's more accurate (especially for eGFR > 60) and carries no race coefficient. That race adjustment in MDRD drew criticism for having no biological basis and for feeding healthcare inequity. Reach for MDRD only when there's a historical reason, like legacy reports or a comparison against old measurements. When you're staging fresh, go with CKD-EPI 2021.

FAQ

MDRD or CKD-EPI? CKD-EPI 2021. MDRD is dated, and the race coefficient is no longer recommended.

Does it work for dose adjustment? No. For drug dosing you want Cockcroft-Gault, which gives absolute ClCr rather than a value normalized to 1.73 m².

Does it work in AKI? No. The formula assumes creatinine is at steady state, so it falls apart while renal function is still changing.

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The results provided by this tool are for general informational and educational purposes only and do not constitute professional, financial, medical, legal, tax or accounting advice. Always confirm important decisions with a qualified professional and official sources.