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Classification: Stage G4
eGFR 18 is severe (stage G4) CKD — approaching the kidney-failure range. Dialysis planning should already be underway.
Estimated glomerular filtration rate — the best overall measure of kidney function. It is calculated from creatinine, age, and sex (CKD-EPI 2021 equation) and used to stage chronic kidney disease.
Calculated from a serum creatinine blood test. No extra sample needed — labs report eGFR automatically with any creatinine.
Reference: KDIGO CKD classification; CKD-EPI 2021 equation (NEJM 2021) • Normal range: ≥90 mL/min/1.73m² (declines with age)