![]() ![]() The study said that “previous studies have shown that on average, black persons have greater muscle mass than white persons” but that assertion relied on 3 small studies published in between the 1970s and 1990s. The 1999 landmark study that proposed the eGFR and included a coefficient for Black patients did so on the basis of 3 flawed, small, poor quality studies, Eneanya said, and these faulty assumptions were carried forward through later iterations. ![]() Using serum creatine, factoring in age, height, weight, and gender, gives an estimate. GFR is the total volume of filtrate passing through the glomeruli each minute, but that is challenging to assess in real-time in a physician’s office. Her talk, part of a wider session on race and ethnicity in chronic kidney disease (CKD), comes as more institutions have moved to stop relying on the eGFR, such as the University of Washington, Beth Israel Deaconess Medical Center, and Mass General Brigham. Eneanya, MD, MPH, a nephrologist and assistant professor of medicine at the Hospital of the University of Pennsylvania, walked attendees at an ASN Kidney Week session this weekend through the history, hazards, and pitfalls of using estimated glomerular filtration rate (eGFR) equations, which use a multiplier to assign higher values to Black patients.Īs higher values indicate better kidney function, there has been increasing recognition that this may lead to inequitable and delayed care.Įneanya, one of the members of the task force, also discussed how she uses alternative diagnostic approaches with her patients, ones that meet the standards of transparency and shared decision making. The inclusion of race can affect care decisions, according to proponents of making a change. In August, the American Society of Nephrology (ASN) and the National Kidney Foundation (NKF) created a joint task force to reevaluate the long-standing use of including race in a calculation to diagnose kidney disease. ![]()
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