GFR

Race and Kidney Function

In development…

National Petition for Abolishing Race-Based eGFR

This national petition is addressed to the National Kidney Foundation-American Society of Nephrology (NKF-ASN) Task Force on Reassessing the Inclusion of Race in Diagnosing Kidney Disease. They make an excellent argument for abolishing race-based eGFR, laying out the problems with this specific concept and the problem of race-based medicine in general. Consider reading their well-laid out arguments and signing their petition.

 

Abolish race-based medicine in kidney disease and beyond

In this SF Examiner opinion piece, several physicians lay out the issues with race-based eGFR and how it can perpetuate disparities.

 

Is Patient Race Important — Or Just Convenient?

In this 5 minute video from Medscape, a nephrologist talks about the use of race in calculating GFR and briefly reviews the disparate impact this calculation can have on patient’s treatment.


Resources

Beydoun MA, Poggi-Burke A, Zonderman AB, Rostant OS, Evans MK, Crews DC. Perceived Discrimination and Longitudinal Change in Kidney Function Among Urban Adults. Psychosom Med. 2017 Sep; 79 (7): 824-834.

Cobb RJ, Thorpe RJ, Norris KC. Everyday Discrimination and Kidney Function Among Older Adults: Evidence From the Health and Retirement Study. J Gerontol A Biol Sci Med Sci. 2020 Feb 14;75(3): 517-521.

Eneanya ND, Yang W, Reese PP. Reconsidering the Consequences of Using Race to Estimate Kidney Function. JAMA. 2019 Jul 9; 322(2): 113-114.

Levey AS, Tighiouart H, Titan SM, Inker LA. Estimation of Glomerular Filtration Rate With vs Without Including Patient Race. JAMA Intern Med. 2020 Mar16. doi: 10.1001/jamainternmed.2020.0045. [Epub ahead of print]