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

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Annual review of medicine Pub Date : 2023-01-27 DOI:10.1146/annurev-med-042921-124419
Dinushika Mohottige, Opeyemi Olabisi, L Ebony Boulware
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引用次数: 1

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.

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种族在肾功能评估中的应用:经验教训与健康公正之路。
2020年,肾脏病学界正式质疑该领域长期使用的基于种族的临床算法,包括肾功能估计方程。全面了解肾功能估计和种族本质主义的历史对于理解将黑人种族系数纳入先前方程的基础是必要的。我们对这段历史进行了回顾,并对用于开发无种族方程的考虑进行了回顾,这些方程为未来更加公平、科学严谨的肾功能估计和其他临床算法和过程提供了指导,其中种族可能作为一个变量嵌入。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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