CrCl ≈ GFR + tubular secretion
Compares CrCl vs GFR.
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Creatinine clearance (CrCl) and glomerular filtration rate (GFR) are both measures of kidney function. CrCl approximates GFR plus tubular secretion, providing insight into both filtration and secretion functions of the kidneys.
The calculator compares creatinine clearance and glomerular filtration rate values:
Where:
Explanation: The difference and ratio between these values can indicate the extent of tubular secretion contributing to creatinine clearance.
Details: Comparing these values helps clinicians understand the contribution of tubular secretion to overall creatinine clearance, which can be important in certain kidney conditions and for medication dosing decisions.
Tips: Enter both CrCl and GFR values in mL/min. Both values must be valid positive numbers for accurate comparison.
Q1: Why is CrCl typically higher than GFR?
A: CrCl includes both glomerular filtration and tubular secretion of creatinine, while GFR measures only filtration, making CrCl typically 10-20% higher than true GFR.
Q2: When might CrCl be significantly higher than GFR?
A: This may occur in conditions with increased tubular secretion or in the presence of certain medications that affect creatinine transport.
Q3: What is the clinical significance of a large difference?
A: A large difference may indicate altered tubular function or suggest the need for alternative methods of kidney function assessment.
Q4: Are there limitations to this comparison?
A: Yes, both measures have limitations and can be affected by various factors including muscle mass, diet, medications, and certain medical conditions.
Q5: How often should these values be compared?
A: The frequency depends on the clinical context, but comparison is particularly important when kidney function is unstable or when making significant medication adjustments.