Journal article
Using race to estimate glomerular filtration and its impact in kidney transplantation
Clinical transplantation, Vol.35(1), pp.e14136-n/a
01/01/2021
DOI: 10.1111/ctr.14136
PMID: 33232529
Abstract
Since direct measurement of glomerular filtration rate (GFR) is time-consuming and more expensive, estimated GFR (eGFR) based on measured laboratory values is widely used to determine kidney function. Commonly used formulae to calculate eGFR are dependent on variables, which include filtration markers like serum creatinine and patient characteristics including race. Medical algorithms which utilize race are increasingly being scrutinized, as race is recognized to be a social construct rather than a biologic one. eGFR calculations have important implications for kidney transplantation, both in the listing of candidates as well as in the evaluation of potential kidney donors. This review considers the specific implications of race-based eGFR calculations on recipient evaluation and on decisions related to living kidney donation. We suggest a potential policy solution to ensure that racial and ethnic minority patients are not disadvantaged by eGFR as a result of current calculation methods.
Details
- Title: Subtitle
- Using race to estimate glomerular filtration and its impact in kidney transplantation
- Creators
- Sarat Kuppachi - University of Iowa Hospitals and ClinicsSilas P. Norman - University of MichiganKrista L. Lentine - Saint Louis UniversityDavid A. Axelrod - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Clinical transplantation, Vol.35(1), pp.e14136-n/a
- DOI
- 10.1111/ctr.14136
- PMID
- 33232529
- NLM abbreviation
- Clin Transplant
- ISSN
- 0902-0063
- eISSN
- 1399-0012
- Publisher
- Wiley
- Number of pages
- 5
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Stead Family Department of Pediatrics; Surgery; Nephrology; Internal Medicine
- Record Identifier
- 9984322829102771
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