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Question
Hello doctor,
I just discovered that I have kidney failure 4 months ago. The initial index was 260, now it's 279. Initially, the doctor diagnosed him with grade 2 kidney failure, now it's level 4. The doctor calculates the glomerular filtration rate, but he doesn't understand. I want to ask the doctor if my 279 index is a grade 4 kidney failure because my health hasn't changed much. Thank you doctor!
Anonymous customer
Answer
Answered by Master, Doctor Nguyen Quoc Tuan - Head of Internal Medicine Unit - Dialysis, Department of General Internal Medicine - Vinmec Times City International Hospital.
Hello,
With the question “Is the index 279 grade 4 kidney failure? ", the doctor would like to answer as follows:
To assess the degree of kidney failure people rely on the glomerular filtration rate (GFR). In clinical practice, it will be based on creatinine clearance (24h urine collection) or based on serum creatinine concentration and then use the formula to estimate GFR. Currently, there are many formulas to estimate GFR from serum creatinine, two commonly used formulas are CKD-EPI (recommended by KDIGO) and MDRD (commonly used in the US). With your current creatinine of 279mcmol/l, according to the MDRD formula your current estimated GFR is 25.1 ml/min/1.73m2. Thus, your chronic kidney disease is classified as stage 4, you need to visit a nephrologist periodically for appropriate treatment and advice.
If you still have questions about grade 4 kidney failure, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
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