Kidney Function
Creatinine, eGFR, and BUN: key kidney markers.
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Included Markers
3 markersThis kidney function test measures three markers that reflect how well your kidneys are filtering waste products from the blood. The kidneys play a central role in maintaining fluid balance, electrolyte levels, and waste removal.
Why this test?
The kidneys filter blood continuously, removing waste products and excess fluid. Changes in kidney filtration can develop gradually and may not produce noticeable symptoms until function has declined significantly. Measuring creatinine, eGFR, and urea together provides a practical overview of how well the kidneys are performing their filtration role.
Who is this test for?
This test may be relevant for:
- People who want to check their kidney health as part of a general wellness check
- Those with a family history of kidney conditions
- Anyone taking medications that may affect kidney function
- People with conditions such as high blood pressure or diabetes, which may influence kidney health over time
- Those who have had previously abnormal kidney values and want to follow up
What is tested?
This panel includes three kidney-related markers:
- Creatinine: a waste product from normal muscle metabolism, filtered by the kidneys. Elevated levels may suggest reduced filtration.
- eGFR (estimated Glomerular Filtration Rate): calculated from creatinine and other factors, it estimates how efficiently the kidneys are filtering. A lower eGFR may indicate reduced kidney function.
- Urea (BUN): a waste product from protein metabolism, also filtered by the kidneys. Levels can be influenced by diet, hydration, and kidney function.
What can this test tell you?
Elevated creatinine combined with a reduced eGFR may suggest that the kidneys are not filtering as efficiently as expected. Urea provides additional context, as it can be affected by protein intake and hydration as well as kidney function. Together, these three markers give a clearer picture than any one of them alone.
A single set of results is a snapshot. Values can fluctuate based on hydration, diet, and physical activity. A healthcare provider can help determine whether your results indicate a trend or a temporary variation.
How is the sample collected?
This test uses a blood sample collected at a certified sample point (afnamepunt). With over 750 partner locations across the Netherlands, you can select a location that suits you. A trained phlebotomist performs the blood draw, and results are typically available within a few working days.
When is this test useful?
This test may be useful when:
- You want a focused check on kidney filtration without a full metabolic panel
- You are taking medications that can affect kidney function, such as certain pain relievers or blood pressure medications
- You have a condition that may influence kidney health over time
- You want to establish a baseline for future comparison
What do the results mean?
Each marker is shown with your value and the reference range. An eGFR above 90 is generally considered normal. Values between 60 and 89 may or may not indicate an issue, depending on other factors. An eGFR below 60 on repeated testing may suggest reduced kidney function that warrants further evaluation.
Your report includes explanations for each marker. We recommend discussing the results with a healthcare provider, especially if values fall outside the expected range or if you have risk factors for kidney conditions.
Preparation
No specific preparation is needed for this test. Staying well hydrated before your appointment may make the blood draw more comfortable and can help ensure accurate results, as dehydration may temporarily affect creatinine levels.
What happens after the results?
Your results are typically available within a few working days. The report includes your values with reference ranges and clear explanations. If any value falls outside the expected range, this is highlighted. We recommend reviewing the results with a healthcare provider, who can interpret them alongside your medical history and advise on any follow-up steps.
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Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your results and writes a personal report. On your dashboard within a few business days.
Choose your blood test
Browse our blood tests and pick what you want checked. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your results and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 450+ certified phlebotomy points across the Netherlands.
What We Test
This health panel includes 3 biomarkers to give you a comprehensive picture of your health.
BUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
Learn moreCreatinine is a waste product of creatine, a substance your muscles use for energy supply. The kidneys filter creatinine from your blood and excrete it through urine. When the kidneys function less well, creatinine accumulates in the blood. The creatinine level is therefore one of the most important markers for assessing kidney function. It is often measured alongside eGFR, which gives a more precise estimate of how well your kidneys are working.
Learn moreThe eGFR (estimated glomerular filtration rate) estimates how much blood your kidneys filter per minute. It is calculated from your creatinine level, age, sex, and ethnicity using the CKD-EPI formula. eGFR is more accurate than creatinine alone and is used to classify kidney function loss into stages. An eGFR above 90 ml/min is normal; below 60 ml/min indicates clinically relevant kidney function reduction.
Learn moreUrea (BUN)
KidneyBUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
BUN is a valuable marker for assessing how effectively your kidneys are filtering waste from your blood. Elevated levels may indicate that the kidneys are not functioning optimally, which can be associated with dehydration, kidney disease, or other underlying conditions. Monitoring BUN alongside other kidney markers such as creatinine and eGFR provides a more comprehensive picture of renal health and helps detect potential problems early.
Creatinine
KidneyCreatinine is a waste product of creatine, a substance your muscles use for energy supply. The kidneys filter creatinine from your blood and excrete it through urine. When the kidneys function less well, creatinine accumulates in the blood. The creatinine level is therefore one of the most important markers for assessing kidney function. It is often measured alongside eGFR, which gives a more precise estimate of how well your kidneys are working.
Chronic kidney damage often progresses silently and rarely causes symptoms in early stages. Your kidneys can lose up to 50% of their function before you notice anything. Creatinine and eGFR are the standard markers for early detection. In diabetes and high blood pressure — the two leading causes of chronic kidney damage — periodic creatinine monitoring is part of clinical guidelines. Kidney function monitoring is also recommended during long-term use of NSAIDs (painkillers such as ibuprofen and diclofenac), ACE inhibitors, or certain antibiotics. An elevated creatinine does not always indicate kidney damage. In people with high muscle mass (strength athletes) or high protein intake, the value can naturally be higher. Conversely, low creatinine in the elderly or in people with little muscle mass can mask reduced kidney function — eGFR is more reliable in those cases.
eGFR (Estimated Glomerular Filtration Rate)
KidneyThe eGFR (estimated glomerular filtration rate) estimates how much blood your kidneys filter per minute. It is calculated from your creatinine level, age, sex, and ethnicity using the CKD-EPI formula. eGFR is more accurate than creatinine alone and is used to classify kidney function loss into stages. An eGFR above 90 ml/min is normal; below 60 ml/min indicates clinically relevant kidney function reduction.
Chronic kidney damage is largely irreversible, but progression can be slowed or stopped if detected early. eGFR is the cornerstone of that early detection. Diabetes and high blood pressure together account for more than 60% of all cases of chronic kidney damage — periodic eGFR monitoring in these patient groups is therefore essential. At an eGFR below 60 ml/min, medication adjustments are often needed because many drugs are excreted by the kidneys. The dosage of contrast agents for CT scans must also be adjusted.
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