(HealthDay)-Including racial factors in the estimated glomerular filtration rate (eGFR) calculation contributed to racial disparity in the preemptive list of kidney transplant candidates, according to a study published online on December 23. increase. Clinical Kidney Journal..
Mersema Abate, MD and colleagues at Norwell Health in Manhasset, NY, evaluated differences in racial distribution on the preemptive list before and after dietary changes (MDRD) and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) in renal disease. did. Use the Scientific Registry of Transplant Recipients database to calculate race coefficients for all preemptively listed non-black kidney transplant candidates (eGFR modulation). Preemptive list odds were calculated by race before and after eGFR modulation. Blacks were used as the standard.
Researchers found that between January 1, 2010 and December 2, 2020, 30.7 percent of the 385,087 kidney-only transplant candidates were identified as a preemptive list (71.7 percent Caucasian, 19). Percentage Blacks, 7.8% Asians, 0.6% Multiethnics, 0.6% Native Americans, and 0.3% Pacific Islands). The adjusted odds of the white preemptive list compared to the black candidate decreased from 2.01 before eGFR modulation to 1.18 for MDRD and 1.37 for the CKD-EPI equation after adjusting the race coefficients.
One author revealed an economic relationship with the biopharmacy and medical technology industries.
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Quote: Kidney transplant obtained from https: //medicalxpress.com/news/2022-01-equity-preemptive-kidney-transplant.html on January 7, 2022 (January 7, 2022) ) May increase the fairness of the preemptive list
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Removing race may up equity in preemptive listing for kidney transplant Source link Removing race may up equity in preemptive listing for kidney transplant
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