University of Maryland Medical System drops race-based algorithm officials say harms Black patients

Posted in Articles, Health/Medicine/Genetics, Media Archive, Politics/Public Policy, United States on 2021-11-27 23:29Z by Steven

University of Maryland Medical System drops race-based algorithm officials say harms Black patients

The Washington Post
2021-11-17

Ovetta Wiggins, Local reporter covering Maryland state politics

Uchenna Ndubisi, who is undergoing dialysis treatment, was pleased to learn that her hospital is getting rid of a race-based algorithm for a kidney diagnostic test. (Astrid Riecken for The Washington Post)

Uchenna Ndubisi was blown away when she first noticed the “African American” notation on a diagnostic test designed to show doctors how well her kidneys are working.

What did her race have to do with the toll lupus was taking on her body? The answer left her more resigned than surprised: an equation used to estimate how well a person’s organs filter waste included a decades-old racist assumption about Black bodies.

In this case, clinicians assumed Ndubisi had more muscle mass than a White patient would. For many Black kidney patients, like Ndubisi, the equation overestimates how well their kidneys are functioning, leading to the loss of critical time for necessary treatment.

“It’s being Black in America,” said Ndubisi, 35, who lives in Prince George’s County. “Another reminder . . . that there’s hurdles into health care for African Americans in this country.”…

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NKF and ASN Release New Way to Diagnose Kidney Diseases

Posted in Articles, Health/Medicine/Genetics, Media Archive on 2021-09-27 19:08Z by Steven

NKF and ASN Release New Way to Diagnose Kidney Diseases

National Kidney Foundation
2021-09-23

Both Organizations Recommend Race-Free Approach to Estimate GFR

Sept. 23, 2021, New York, NY – Today, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) Task Force on Reassessing the Inclusion of Race in Diagnosing Kidney Diseases has released its final report, which outlines a new race-free approach to diagnose kidney disease. In the report, the NKF-ASN Task Force recommends the adoption of the new eGFR 2021 CKD EPI creatinine equation that estimates kidney function without a race variable. The task force also recommended increased use of cystatin C combined with serum (blood) creatinine, as a confirmatory assessment of GFR or kidney function. The final report, published today online in the American Journal of Kidney Diseases (AJKD) and the Journal of the American Society of Nephrology (JASN), was drafted with considerable input from hundreds of patients and family members, medical students and other trainees, clinicians, scientists, health professionals, and other stakeholders to achieve consensus for an unbiased and most reasonably accurate estimation of GFR so that laboratories, clinicians, patients and public health officials can make informed decisions to ensure equity and personalized care for patients with kidney diseases…

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