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December 2, 2020

Removal of Race From Estimates of Kidney Function: First, Do No Harm

Author Affiliations
  • 1Division of General Internal Medicine, David Geffen School of Medicine, Los Angeles, California
  • 2Renal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 3Division of General Internal Medicine, Duke University School of Medicine, Durham, North Carolina
JAMA. 2021;325(2):135-137. doi:10.1001/jama.2020.23373

Chronic kidney disease (CKD) is a major public health problem, and it provides an important example of health disparities in the US. Black individuals are 2 to 4 times more likely than others to progress to kidney failure and are less likely to receive optimal therapies, including kidney transplants. Reasons that contribute to these disparities include a variety of factors that are a direct result of structural racism, including poor access to health care, low educational attainment, and poverty.1-3

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