The Kidney Function Test measures various blood and urine parameters that provide information about kidney function and the excretion of waste products.
Based on the current test panel, this test includes:
- creatinine;
- urea;
- albumin;
- eGFR according to CKD-EPI;
- Urinalysis.
What do these values mean?
Creatinine is a waste product excreted by the kidneys. An elevated creatinine level may indicate reduced kidney function, but it is also influenced by factors such as muscle mass.
The eGFR is calculated using the CKD-EPI formula based on creatinine levels, age, and gender. The eGFR is an estimate of how well the kidneys filter the blood.
Urea is a waste product of protein breakdown. Its level can be influenced by factors such as kidney function, diet, and fluid balance.
Albumin in the blood is a protein produced by the liver, among other organs. The blood level of albumin is not the same as a test for albumin loss in the urine.
The urinalysis provides additional information about the urine. Please note: a general urinalysis is not automatically the same as a specific albumin-to-creatinine ratio (ACR).
What does an abnormal eGFR mean?
An eGFR below 60 ml/min/1.73 m² is considered abnormal. However, a single low eGFR does not automatically indicate chronic kidney damage.
Factors to consider during the evaluation include:
- previous creatinine and eGFR values;
- changes in kidney function;
- possible abnormalities in the urine;
- conditions such as high blood pressure and diabetes;
- medication and personal circumstances.
If chronic kidney damage is suspected, an additional urine test to measure the albumin-to-creatinine ratio (ACR) may be relevant.
Discuss any unexpected or clearly abnormal results with your primary care physician or treating healthcare provider.
This information is intended as a general explanation and is not a substitute for personal medical advice or a diagnosis. A blood test alone does not provide a diagnosis.
See here the instruction for collection of urine tube for Urinary Status Examination: