CHRONIC KIDNEY DISEASE WORKSHEET MDRD Calculator with SI Units by Stephen Z. Fadem, M.D., FACP and Brian Rosenthal
Plasma creatinine mg/dL umol/L
Age
Race	Black White*
Gender	Male Female
Evaluation of patients at risk	Potential risks present
Hypertension	BP > 140/90
Proteinuria	Proteinuria present
Other markers of kidney damage	Markers present
CKD	Kidney damage or GFR <60 over 3 months
Diabetes	Diabetes present
Clear	Resets all values when checked
Name
GFR value: (Age, Race, Gender, Plasma creatinine)
Kidney Failure. Risks: No potential risks for CKD are present. Proteinuria: Proteinuria is not present. Recheck at periodic health evaluation. Markers: No other markers of chronic kidney disease were noted Hypertension: Normotensive. Hypertension is not present. Diabetes: Diabetes mellitus is not present. Pediatrics: centimeters inches Schwartz Formula (Creatinine Clearance) = cc/min Counahan-Barratt (GFR) = cc/min The serum albumin is . Serum albumin concentrations is one of the most important markers of protein energy malnutrition (PEM). PEM develops during the course of chronic kidney disease, and is associated with worse outcomes. The mechanism by which chronic kidney diease leads to a decline in nutrient intake has not been defined. Low protein and calorie intake are an important cause of malnutrition in CKD. Metabolic acidosis and proinflammatory cytokines may also play a role. (Table 81). (Guideline 9). Table 81). See Clinical Practice Guidelines for Nutrition in Chronic Renal Failure,Guideline 23 and 26.
*All ethnic groups other than black
(**Fig 12: Stages of Chronic Kidney disease)
NKF K/DOQI CKD GUIDELINE QUICKLINKS, REFERENCES AND OTHER RESOURCES 1. Definition and stages of chronic kidney disease 9. Association of level of GFR with nutritional status MDRD Calculator - Extended version - Defaults to SI Units 2. Evaluation and treatment 10. Bone disease and disorders of calcium and phosphorus metabolism Cockcroft-Gault Calculator 3. Individuals at increased risk of chronic kidney disease 11. Neuropathy Cockcroft-Gault Calculator (defaults to SI Units) 4. Estimation of GFR 12. Association of Level of GFR with indices of functioning and well-being MDRD Calculator - Extended version 5. Assessment of proteinuria 13. Factors associated with loss of kidney function in chronic kidney disease **The National Kidney Foundation K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease, American Journal of Kidney Disease, 39:S1,S1-S266, 2002 6. Markers of chronic kidney disease other than proteinuria 14. Association of chronic kidney disease with diabetic complications A.S. Levey, T. Greene, J.W. Kusek, G.L. Beck, MDRD Study Group. A simplified equation to predict glomerular filtration rate from serum creatinine (abstract) J Am Soc Nephrol 2000 Sep; 11:155A. 7.Association of level of GFR with hypertension 15. Association of chronic kidney disease with cardiovascular disease he National Kidney Foundation K/DOQI Clinical Practice Guidelines for Nutrition in Renal Failure (C. Appendices - Adult guidelines) Appendix IX. Estimation of Glomerular Filtration Rate 8. Association of level of GFR with anemia   A.S. Levey, J.P. Bosch, J.B. Lewis, T. Greene, N. Rogers and D. Roth. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study GroupAnn Intern Med 1999 Mar 16; 130 (6): 461-70. National Kidney Foundation K/DOQI Guidelines: http://www.kidney.org/doqi/kdoqi/toc.htm MDRD Calculator and CKD Worksheet © 2000 - 2002, Nephron Information Center and licensed to The National Kidney Foundation