WellSpan Home

Stages of Chronic Kidney Disease

Topic Overview

The stages of chronic kidney disease are determined by the glomerular filtration rate. Glomerular filtration is the process by which the kidneys filter the blood, removing excess wastes and fluids. Glomerular filtration rate (GFR) is a calculation that determines how well the blood is filtered by the kidneys. It is one way to measure kidney function.

Glomerular filtration rate is usually calculated using a formula that includes a person's age, gender, race, and serum creatinine levels. A GFR under 60 mL/min/1.73 m² may indicate kidney disease. The lower the GFR number, the worse the kidney function. This number is an estimate. It may not be a good measure of kidney health in some people, such as the very young or very old, amputees, or obese people. In some cases, GFR may also be estimated with a 24-hour urine collection.

Chronic kidney disease is defined as either kidney damage or GFR of less than 60 for longer than 3 months.

Stages of chronic kidney disease

Stage

Description

GFR

What this means to you

1

Kidney damage with normal or high GFR

90 or above

  • Your doctor will try to find the cause of your kidney disease and begin treatment.
  • Manage other health problems, such as diabetes and high blood pressure.
  • See your doctor regularly to monitor your condition.

2

Kidney damage with mildly low GFR

60-89

  • Your doctor will estimate how quickly your disease is progressing.
  • Manage other health problems, such as diabetes and high blood pressure.
  • Continue regular monitoring.

3

Kidney damage with moderately low GFR

30-59

  • Your doctor will check you for complications, such as anemia and bone disease, and begin treatment if needed.
  • Continue monitoring.

4

Kidney damage with severely low GFR

15-29

  • Decide what type of treatment you want if kidney failure develops.
  • Continue treatment and monitoring.

5

Kidney failure

Below 15

  • Start dialysis, have a kidney transplant, or choose palliative care.
  • Continue to see your doctor for treatment and testing.

Credits

ByHealthwise Staff
Primary Medical ReviewerAnne C. Poinier, MD - Internal Medicine
Kathleen Romito, MD - Family Medicine
Adam Husney, MD - Family Medicine
Specialist Medical ReviewerTushar J Vachharajani, MD, FASN, FACP - Nephrology

Current as ofMarch 15, 2018


Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

×

Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.

×