Wednesday, March 1, 2023

Evaluating kidney patients and donors without consideration of race

 Somewhere in the history of nephrology, a patient's race was included as a factor in estimating their kidney function.  This has at various times been important for various kinds of treatment, including of course preventive treatment, as well as starting dialysis, and entry and perhaps priority on kidney transplant waitlists. And it has also been important for evaluating the quality of deceased donor kidneys that can be offered for transplantation. There have been important recent changes in this, and more may be on the way. The current issue of JAMA devotes a number of articles to that, linked below.


Viewpoint

Redressing the Harms of Race-Based Kidney Function Estimation

Dinushika Mohottige, MD, MPH; Tanjala S. Purnell, PhD, MPH; L. Ebony Boulware, MD, MPH

Audio: Race-Neutral Estimates of Kidney Function: Enhancing Equity

Video: Race-Neutral Estimates of Kidney Function: Enhancing Equity

Time to Abolish Metrics That Sustain Systemic Racism in Kidney Allocation

John S. Gill, MD, MS; Burnett Kelly, MD, MBA; Marcello Tonelli, MD, SM

Medical News & Perspectives

Race-Based Equations Delayed Black Patients From Getting Onto Kidney Transplant Lists—An Unprecedented New Policy Seeks to Undo the Damage

Jennifer Abbasi

PREVIOUSLY PUBLISHED

JAMA | Research

Association of Estimated GFR Calculated Using Race-Free Equations With Kidney Failure and Mortality by Black vs Non-Black Race

Orlando M. GutiĆ©rrez, MD, MMSc; Yingying Sang, MS; Morgan E. Grams, MD, MHS, PhD; et al

JAMA | Opinion

Race-Free Estimation of Kidney Function: Clearing the Path Toward Kidney Health Equity

L. Ebony Boulware, MD, MPH; Dinushika Mohottige, MD, MPH; Matthew L. Maciejewski, PhD

JAMA Network Open | Research

Association of the Estimated Glomerular Filtration Rate With vs Without a Coefficient for Race With Time to Eligibility for Kidney Transplant

Leila R. Zelnick, PhD; Nicolae Leca, MD; Bessie Young, MD, MPH; et al

Audio

Race-Neutral Estimates of Kidney Function: Enhancing Equity

Video


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