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About

Creatinine clearance (CrCl) measures the volume of blood plasma that is cleared of creatinine per unit of time. It provides a more direct measurement of Glomerular Filtration Rate (GFR) than serum-only estimates like Cockcroft-Gault, particularly when muscle mass is atypical.

This tool calculates clearance based on a strict 24-hour urine collection protocol. It flags results falling below the critical threshold of 60 mL/min, often indicating Stage 3 Chronic Kidney Disease (CKD). It supports instant switching between standard US units (mg/dL) and international SI units (ยตmol/L).

nephrology kidney function GFR medical calculator urine test

Formulas

The uncorrected creatinine clearance is derived from the ratio of urine creatinine to serum creatinine, adjusted for the urine flow rate.

ClCr = UCr × VurinePCr × 1440

Where:

  • UCr = Urine Creatinine Concentration
  • Vurine = 24-Hour Urine Volume (mL)
  • PCr = Serum Creatinine
  • 1440 = Minutes in 24 hours

Reference Data

CKD StageDescriptionGFR Range (mL/min)Action
1Normal function 90Observation
2Mild loss60 to 89Estimate Progression
3aMild to moderate45 to 59Treat Complications
3bModerate to severe30 to 44Treat Complications
4Severe loss15 to 29Prepare for Dialysis
5Kidney Failure< 15Dialysis / Transplant

Frequently Asked Questions

No. eGFR is an *estimate* based solely on blood work (serum creatinine), age, and gender. This calculator determines the *measured* clearance using actual urine output over 24 hours, which is often considered more accurate for patients with extremes in muscle mass or diet.
The formula specifically divides by 1440 minutes (24 hours). If the collection period was shorter or longer, the result will be invalid. You must strictly adhere to the start and stop times of the collection.
Standard GFR values are often normalized to a BSA of 1.73 mยฒ. This tool calculates the raw clearance. To normalize it, you would multiply the result by (1.73 / Patient BSA).