Creatinine Clearance Formula:
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Creatinine clearance without weight refers to the measurement of kidney function using urine and plasma creatinine levels without requiring body weight information. This method provides a direct assessment of glomerular filtration rate using timed urine collection.
The calculator uses the urine-based creatinine clearance formula:
Where:
Explanation: This equation directly measures the rate at which creatinine is cleared from the blood by the kidneys, providing an accurate assessment of renal function without body weight adjustments.
Details: Urine-based creatinine clearance is considered the gold standard for measuring glomerular filtration rate and is particularly useful when accurate weight-based calculations are not possible or when dealing with patients with abnormal body composition.
Tips: Enter urine creatinine in mg/dL, urine volume in mL/min (calculated from timed urine collection), and plasma creatinine in mg/dL. All values must be positive numbers greater than zero.
Q1: Why use urine-based creatinine clearance instead of estimated formulas?
A: Urine-based measurement provides direct assessment of kidney function without estimation errors and is not affected by variations in muscle mass or body composition.
Q2: How do I collect urine for this test?
A: Typically, a 24-hour urine collection is performed, where all urine is collected over a full day and the total volume and creatinine content are measured.
Q3: What are normal creatinine clearance values?
A: Normal values range from 90-130 mL/min for men and 80-125 mL/min for women, though values decline with age.
Q4: When is this method preferred over weight-based calculations?
A: This method is preferred in obese patients, amputees, patients with edema, or when accurate body weight measurement is not available.
Q5: Are there limitations to urine-based creatinine clearance?
A: Requires complete and accurate urine collection, which can be challenging. Incomplete collection is the most common source of error.