Race-Based eGFR Assessment for Kidney Transplantation
Open accessAbstract
The search for a reliable strategy to easily measure kidney function has been likened to the search for the holy grail in nephrology because the interpretation of the measured blood creatinine requires an understanding of the nonlinear and reciprocal relationship between renal function and
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Race corrections in clinical algorithms often have the effect of requiring patients of color to be sicker before they qualify for the same level of care as a White patient.
“Such “corrections” are used in a variety of areas of medicine, from endocrinology and nephrology to oncology and obstetrics, which often have the effect of requiring patients of color to be sicker before they qualify for the same level of care as a White patient.24–26”
From Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race (2023) · cites this paper as [25]
The passage on UNOS waiting-time reinstatement (section and page unavailable) describes a Black transplant recipient who, at the same creatinine level as another recipient, would not regain waiting time. This supports the claim for a kidney-transplant eligibility decision, but the paper does not establish the broader claim across the other areas of medicine named in the citing sentence. (LLM, conf=0.86)
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Cites
Epstein, A. M., Ayanian, J. Z., Keogh, J. H., Noonan, S. J., Armistead, N. C., Cleary, P. D., Weissman, J. S., David-Kasdan, J. A., CARLSON, D. M., Fuller, J., et al. (2000) · New England Journal of Medicine · doi:10.1056/nejm200011233432106 · Cited by 568 · see citing works
Delgado, C., Baweja, M., Crews, D. C., Eneanya, N. D., Gadegbeku, C. A., Inker, L. A., Mendu, M. L., Miller, W. G., Moxey‐Mims, M., Roberts, G. V., et al. (2021) · Journal of the American Society of Nephrology · doi:10.1681/asn.2021070988 · Cited by 434 · see citing works
Reese, P. P., Mohan, S., King, K. L., Williams, W. W., Potluri, V. S., Harhay, M. N., & Eneanya, N. D. (2020) · American Journal of Transplantation · doi:10.1111/ajt.16392 · Cited by 70 · see citing works
Roberts, D. E. (2021) · The Lancet · doi:10.1016/s0140-6736(20)32716-1 · Cited by 63 · see citing works
Hoenig, M. P., Mann, A., & Pavlakis, M. (2021) · Clinical Transplantation · doi:10.1111/ctr.14467 · Cited by 29 · see citing works
Self-citationTransplant Clinician Opinions on Use of Race in the Estimation of Glomerular Filtration Rate
Doshi, M. D., Singh, N. K., Hippen, B. E., Woodside, K. J., Mohan, P., Byford, H. L., COOPER, M. M., Dadhania, D. M., Ainapurapu, S., & Lentine, K. L. (2021) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.05490421 · Cited by 25 · see citing works
Utility of Estimated Glomerular Filtration Rate in Live Kidney Donation
Parasuraman, R., & Venkat, K. K. (2008) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.04840908 · Cited by 16 · see citing works
Suitability of Estimated Glomerular Filtration Rate for Live Kidney Donor Selection
Akhimiona, C. O., Nguyen, D. T., Graviss, E. A., Gaber, A. O., & Suki, W. N. (2018) · Transplantation Proceedings · doi:10.1016/j.transproceed.2018.09.013 · Cited by 4 · see citing works
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Retaining Race in Chronic Kidney Disease Diagnosis and Treatment
Williams, P. (2023) · Cureus · doi:10.7759/cureus.45054 · Cited by 12 · see citing works
Ae index is an independent predictor of kidney stone recurrence in overweight and obese patients
Xia, K., Xu, Y., Qi, Q., Pan, J., Yao, R., Huang, Q., & Hao, Z. (2023) · BMC Urology · doi:10.1186/s12894-023-01321-7 · Cited by 10 · see citing works
Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race
Skinner-Dorkenoo, A. L., Rogbeer, K. G., Sarmal, A., Ware, C., & Zhu, J. (2023) · Health Equity · doi:10.1089/heq.2023.0036 · Cited by 6 · see citing works
Xia, K., Xu, Y., Qi, Q., Pan, J., Yao, R., Huang, Q., & Hao, Z. (2023) · Figshare · doi:10.6084/m9.figshare.24187894
Obayemi, J. E., Fonteh, A., Ladner, D. P., Desai, A., & Simpson, D. C. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-025-02573-9
- Authors
- Hoenig, M. P., & Pavlakis, M.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Venue
- Clinical Journal of the American Society of Nephrology
- Published
- 2021-10
- Volume
- 16
- Issue
- 10
- Pages
- 1464-1466
- ISSN
- 1555-9041 (ISSN-L)
- 1555-905X
- PMC
- PMC8499009
- OpenAlex
- W3201729890
- Cited by
- 5
- References
- 8
- Citations by year
- 2026: 1 · 2023: 4
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Journal of the American Society of Nephrology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Keywords
- estimated glomerular filtration rate, kidney transplantation, renal function assessment, creatinine
- MeSH terms
- Creatinine, Glomerular Filtration Rate, Humans, Kidney Transplantation
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