KFRE (kidney failure risk equation)

Kidney Failure Risk Equation (Tangri 2011/2016): the 2- and 5-year probability of treated kidney failure in CKD G3-G5, in the 4-variable or 8-variable form.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Equation
4-variable (age, sex, eGFR, ACR)
Age
60 years
Male sex
Yes
eGFR
30 mL/min/1.73m2
Urine albumin-creatinine ratio
300 mg/g

Result: KFRE (4-variable): 3.3% 2-year and 10% 5-year probability of treated kidney failure.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Form
risk = 1 - S0^exp(sum of centered terms); 4-variable (age, sex, eGFR, ACR) or 8-variable (+ Ca, PO4, HCO3, albumin). North American baseline survivals.
Units
ACR entered in mg/g and converted to mg/mmol (divide by 8.84) before the log; reports 2- and 5-year probability of treated kidney failure.

What you enter

  • Equation (4- or 8-variable)
  • Age
  • Male sex
  • eGFR
  • Urine albumin-creatinine ratio
  • Serum calcium (8-variable)
  • Serum phosphate (8-variable)
  • Serum bicarbonate (8-variable)
  • Serum albumin (8-variable)
How this is calculated

Tangri N, Stevens LA, Griffith J, et al. A predictive model for progression of chronic kidney disease to kidney failure. JAMA. 2011;305(15):1553-1559. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.