Use of Race in Kidney Function Estimation: Lessons Learned and the Path Toward Health Justice

Dinushika Mohottige, Opeyemi Olabisi, L. Ebony Boulware

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

In 2020, the nephrology community formally interrogated long-standing race-based clinical algorithms used in the field, including the kidney function estimation equations. A comprehensive understanding of the history of kidney function estimation and racial essentialism is necessary to understand underpinnings of the incorporation of a Black race coefficient into prior equations. We provide a review of this history, as well as the considerations used to develop race-free equations that are a guidepost for a more equity-oriented, scientifically rigorous future for kidney function estimation and other clinical algorithms and processes in which race may be embedded as a variable.

Original languageEnglish
Pages (from-to)385-400
Number of pages16
JournalAnnual Review of Medicine
Volume74
DOIs
StatePublished - 27 Jan 2023
Externally publishedYes

Keywords

  • clinical algorithms
  • equity
  • kidney function
  • kidney function estimation
  • race-based medicine

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