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Race Based Medicine

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Race Based Medicine

Neda Frayha, MD and Jay-Sheree Allen, MD
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21:16

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Tags Clinical Approach · Education · health care outcomes · Public Health

Have you ever wondered why there’s a Black and Non Black eGFR for our patients or why is race even a factor in pulmonary function tests? Dr. Jay-Sheree Allen and Dr. Neda Frayha discuss the use of race in clinical decision making tools. Think calculators, algorithms, where you insert your patient’s demographic data - including race - and the outcome disparities depending on what data you put in.

Posted 3/8/21

References: 

 

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  1. Vyas, D. A., Jones, D. S., Meadows, A. R., Diouf, K., Nour, N. M., & Schantz-Dunn, J. (2019). Challenging the Use of Race in the Vaginal Birth after Cesarean Section Calculator. Women's health issues : official publication of the Jacobs Institute of Women's Health, 29(3), 201–204. https://doi.org/10.1016/j.whi.2019.04.007

 

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  1. Jones CP. Levels of Racism: A Theoretic Framework and a Gardener’s Tale. American Journal of Public Health, 2000; (90)8: 1212-1215. Accessed 11 June 2020. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.90.8.1212

 

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  1. Brewster, L. M., & Seedat, Y. K. (2013). Why do hypertensive patients of African ancestry respond better to calcium blockers and diuretics than to ACE inhibitors and β-adrenergic blockers? A systematic review. BMC medicine, 11, 141. Retrieved 2013/05//, from http://europepmc.org/abstract/MED/23721258 https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23721258/?tool=EBI https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23721258/pdf/?tool=EBI https://doi.org/10.1186/1741-7015-11-141 https://europepmc.org/articles/PMC3681568 https://europepmc.org/articles/PMC3681568?pdf=render 

 

  1. Hsu, J., Johansen, K. L., Hsu, C.-y., Kaysen, G. A., & Chertow, G. M. (2008). Higher Serum Creatinine Concentrations in Black Patients with Chronic Kidney Disease: Beyond Nutritional Status and Body Composition. Clinical Journal of the American Society of Nephrology, 3(4), 992. https://doi.org/10.2215/CJN.00090108

 

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  1. Vyas, D. A., Eisenstein, L. G., & Jones, D. S. (2020). Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms. New England Journal of Medicine, 383(9), 874-882. https://doi.org/10.1056/NEJMms2004740

 

  1. Williams, S. K., Ravenell, J., Seyedali, S., Nayef, H., & Ogedegbe, G. (2016). Hypertension Treatment in Blacks: Discussion of the U.S. Clinical Practice Guidelines. Progress in Cardiovascular Diseases, 59(3), 282-288. https://doi.org/https://doi.org/10.1016/j.pcad.2016.09.004

 

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  1. Gendered Innovations in Science, Medicine, and Engineering Project Director Professor Londa Schiebinger John L. Hinds Professor of History of Science Stanford University https://genderedinnovations.stanford.edu/terms/race.html Accessed 20 January 2021.

 

  1. Revisions to the Standards for Classification of Federal Data on Race and Ethnicity. https://obamawhitehouse.archives.gov/omb/fedreg_1997standards Accessed 20 January 2021.

 

  1. Okah E, Westby A. Why we care about how race is used in medical research, practice and clinical decision-making, and why you should, too. Minnesota Family Physicians. Fall 2019. https://mafpadvocacy.org/2019/11/03/whats-race-got-to-do-with-it/

 

  1. UW Medicine to exclude race from calculation of eGFR (measure of kidney function) https://medicine.uw.edu/news/uw-medicine-exclude-race-calculation-egfr-measure-kidney-function#:~:text=As%20of%20June%201%2C%202020,excludes%20race%20as%20a%20variable Accessed 20 January 2021.

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