Article | March 2007
Estimated Glomerular Filtration Rate (eGFR) Reporting
Help slow the progress of your patient's chronic kidney disease
Adverse outcomes of chronic kidney disease (CKD) can often be prevented or delayed through early detection and treatment.
Who It's For
The eGFR is a value based on a patient's serum creatinine, age, gender, and race. This calculation only applies to patients 18 years and older and provides results for both African and non-African Americans.
Cigna advises physicians to automatically include the eGFR on lab reports for its participants when a serum creatinine has been requested and the age and gender is provided. Since a separate lab test is not required, including the eGFR won't increase the cost of the lab test.
National Kidney Foundation Guidelines
Among patients with chronic kidney disease, the stage of disease should be assigned based on the level of kidney function, irrespective of diagnosis, as described by the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) CKD Classification.
National Kidney Foundation CKD Classification
Error loading table data.
Loading data...
Patients with CKD should be referred to a specialist for consultation and co-management if:
- The clinical action plan cannot be prepared
- The prescribed evaluation of the patient cannot be carried out, or
- The recommended treatment cannot be carried out
In general, patients with GFR; 30 mL/min/1.73m2 should be referred to a nephrologist. However, patients with eGFR results between 30 and 60 mL/min/1.73m2 should be evaluated for the presence of urine microalbumin and other risk factors associated with CKD such as hypertension and diabetes.
More Programs for Patients
Other Featured Topics
Page Footer
I want to...
Audiences
Secure Member Sites
The Cigna Group Information
Disclaimer
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see
All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.