Reevaluating race and the glomerular filtration rate calculator.
Journal
JAAPA : official journal of the American Academy of Physician Assistants
ISSN: 1547-1896
Titre abrégé: JAAPA
Pays: United States
ID NLM: 9513102
Informations de publication
Date de publication:
01 Dec 2021
01 Dec 2021
Historique:
entrez:
23
11
2021
pubmed:
24
11
2021
medline:
26
11
2021
Statut:
ppublish
Résumé
Estimated glomerular filtration rate (eGFR) calculators have included a race adjustment to help approximate measured GFR. Over the past several years, as more attention has been directed toward uncovering racial bias, the appropriateness of including race in these calculators has been called into question. The American Society of Nephrology and the National Kidney Foundation convened an expert task force to review the inclusion of race in eGFR. The deliberative review showed that race can be removed from eGFR calculators without causing adverse reactions in any group of patients. This new, refitted CKD-EPI equation can be used immediately by all laboratories in the United States. The task force also recommended greater use of cystatin C nationally in eGFR calculations. This would enable the new CKD-EPI equation to incorporate both creatinine and cystatin C without race and would yield better accuracy than a calculator that uses creatinine alone.
Identifiants
pubmed: 34813537
doi: 10.1097/01.JAA.0000800284.39341.3b
pii: 01720610-202112000-00013
doi:
Substances chimiques
Creatinine
AYI8EX34EU
Types de publication
Journal Article
Langues
eng
Pagination
59-61Informations de copyright
Copyright © 2021 American Academy of Physician Assistants.
Références
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