Erschienen in:
19.09.2023 | Concise Research Report
Impact of Race-Free eGFR on Racial Disparity in Receiving Timely Outpatient Nephrology Care: an Observational Study
Racial Disparities in Outpatient Nephrology Care
verfasst von:
David J. Gunderman, PhD, Gabrielle E. Fricker, Kasyap Kondury, Sharon M. Moe, MD, Akram Al-Makki, MD
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 16/2023
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Excerpt
In September 2021, a task force of kidney experts recommended immediate implementation of a new eGFR formula without a race term to replace the previous race-based CKD-EPI formula [
1]. This change resulted in a slight decrease in eGFR for Black patients and a slight increase in eGFR for non-Black patients [
2]. The effect of the new eGFR formula on racial disparities in CKD care has been studied in relation to progression to dialysis, eligibility for kidney transplant, and accuracy of eGFR itself [
2‐
4], but existing studies have not assessed its impact on the timeliness of CKD patients’ first nephrology clinic visit, a factor which has been shown to be strongly associated with slowed progression and reduced costs of CKD [
5]. In this study, we aimed to examine changes in the racial disparity in the timeliness of CKD patients’ first nephrology clinic visit before and after the implementation of the new race-free eGFR formula. …
