What UACR indicates high risk?

UACR >=300 mg/g (severely increased) indicates high CKD progression risk and cardiovascular risk. Combined with eGFR <60 mL/min/1.73m2, it places patients in KDIGO high/very high risk categories.

How often should UACR be measured in CKD?

UACR monitoring frequency depends on KDIGO risk category: low risk annually, moderate risk twice yearly, high risk three times yearly per KDIGO 2022 guidelines.

Does first-morning urine vs random urine affect UACR accuracy?

First-morning void UACR is most reproducible. Random spot UACR is acceptable but may vary 30-50% day to day; confirmation with repeat testing is recommended.

UACR Albumin-Creatinine Ratio Risk Stratification

Stratify CKD progression risk using urine albumin-creatinine ratio (UACR): normal <30 mg/g, moderately increased 30-300 mg/g, severely increased >300 mg/g.

⚕ Clinical Disclaimer: These calculators are for educational and reference purposes only. Always verify results with qualified clinical judgment and current clinical guidelines. Do not use as a sole basis for medical decisions.

How It Works

Stratify CKD progression risk using urine albumin-creatinine ratio (UACR): normal <30 mg/g, moderately increased 30-300 mg/g, severely increased >300 mg/g

Each component has a specific meaning:

Urine albumin-creatinine ratio : normal <30 mg/g — The urine albumin-creatinine ratio : normal <30 mg/g recorded for the scenario being assessed.
Moderately increased 30-300 mg/g — The moderately increased 30-300 mg/g recorded for the scenario being assessed.
Severely increased >300 mg/g — The severely increased >300 mg/g recorded for the scenario being assessed.

Note: Interpret the uacr risk stratification result against the thresholds and context described above.

How to Use

Enter the urine albumin-creatinine ratio : normal <30 mg/g, moderately increased 30-300 mg/g, severely increased >300 mg/g for the scenario you are assessing. Stratify CKD progression risk using urine albumin-creatinine ratio (UACR): normal <30 mg/g, moderately increased 30-300 mg/g, severely increased >300 mg/g. Use the uacr risk stratification result to inform your calculation.