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Great to talk to this group! I lost my left kidney in 2018 with no explanation at to why it stopped functioning. They removed the kidney and life went on. I’ve had several kidney stones in the right kidney and my eGFR is currently at 58.
My new neurologist has indicted that kidney disease is no longer staged by eGFR but by creatine. Creatine number that is over 100 now is the standard for the diagnosis of kidney disease?

September 6
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MyKidneyDiseaseTeam

What a journey — losing a kidney with no clear explanation, navigating kidney stones, and now getting some confusing information from a new doctor. That's a lot to process, and it's completely understandable to want some clarity here.

To address the question directly: eGFR remains the standard measurement used to stage Show Full Answer

What a journey — losing a kidney with no clear explanation, navigating kidney stones, and now getting some confusing information from a new doctor. That's a lot to process, and it's completely understandable to want some clarity here.

To address the question directly: eGFR remains the standard measurement used to stage kidney disease. It hasn't been replaced. Creatinine is actually an important *part* of how eGFR is calculated — along with age and sex — but it isn't used alone to stage kidney disease. Here's a quick breakdown of how eGFR staging still works:

- Stage 1: eGFR 90 or above (normal, but albumin present in urine)
- Stage 2: eGFR 60–89 (mild damage, kidneys still function well)
- Stage 3a: eGFR 45–59 (mild to moderate damage)
- Stage 3b: eGFR 30–44 (moderate damage)
- Stage 4: eGFR 15–29 (severe damage)
- Stage 5: eGFR below 15 (kidney failure)

With an eGFR of 58, that would place someone in Stage 3a territory — something worth discussing closely with a nephrologist (kidney specialist), who would be the most reliable source for kidney disease staging guidance.

It may be worth getting a second opinion from a nephrologist, as they specialize specifically in kidney disease and would be most up to date on current diagnostic standards.

September 6

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