With chronic kidney disease, the kidneys don’t usually fail all at once. Instead, kidney disease often progresses slowly over a period of years. This is good news because if CKD is caught early, medicines and lifestyle changes may help slow its progress and keep you feeling your best for as long as possible.
To help improve the quality of care for people with kidney disease, the National Kidney Foundation (NKF) created a guideline to help doctors identify each level of kidney disease. The NKF divided kidney disease into five stages. When the doctor knows what stage of kidney disease a person has they can provide the best care, as each stage calls for different tests and treatments.
Glomerular filtration rate (GFR) is the best measure of kidney function. The GFR is the number used to figure out a person’s stage of kidney disease. A math formula using the person’s age, race, gender and their serum creatinine is used to calculate a GFR. A doctor will order a blood test to measure the serum creatinine level. Creatinine is a waste product that comes from muscle activity. When kidneys are working well they remove creatinine from the blood. As kidney function slows, blood levels of creatinine rise.
Below shows the five stages of CKD and GFR for each stage:
Dialysis or a kidney transplant needed in order to maintain health.
Once you know the GFR you can determine a stage of kidney disease and read about that particular stage by clicking on a link below:
If you would like to see a doctor who specializes in the care of kidneys, called a nephrologist, you can use DaVita's Find a Kidney Doctor tool to locate a nephrologist in your area.
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Chronic kidney disease (CKD) is divided into five stages. The last stage is called end stage renal disease (ESRD) and is the time when dialysis or transplant is needed to stay alive. Learn what is happening in the body during ESRD and how to live better with this condition.Learn More »
The National Kidney Foundation (NKF) has divided chronic kidney disease into five stages to create a guideline to identify and treat each level of kidney disease. The first four stages focus on ways to preserve kidney function for as long as possible, while the final stage—kidney failure—reviews treatment choices. Learn about the five different stages.Learn More »
In chronic kidney disease (CKD), the kidneys don’t usually fail all at once. Instead, kidney disease often progresses slowly over a period of years. CKD is measured in five stages. Here you'll learn about stage 5 of CKD, also known as end stage renal disease (ESRD).Learn More »
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