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Research Letter
December 2, 2020

Clinical Implications of Removing Race From Estimates of Kidney Function

Author Affiliations
  • 1Computational Health Informatics Program, Boston Children’s Hospital, Boston, Massachusetts
  • 2Cardiovascular Research Institute, Morehouse Medical School, Atlanta, Georgia
  • 3Division of Renal Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
  • 4Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California
  • 5Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts
JAMA. 2021;325(2):184-186. doi:10.1001/jama.2020.22124

Over the past year, medical centers across the US have removed race adjustment from estimated glomerular filtration rate from serum creatinine (eGFRcr), with many now reporting the “White/other” value for all patients. These changes follow calls to reconsider the use of race in estimating kidney function1 and in medicine broadly.2 We analyzed potential changes in recommended care using eGFRcr with and without race among Black individuals in the US (individuals who are not Black would not be affected).

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