Annals On Call - Should Race Be Part of Glomerular Filtration Rate Estimation?
Authors: Robert M. Centor, Ashwini R. Sehgal
Journal: Annals of Internal Medicine (2020)

Web Exclusives3 November 2020Annals On Call - Should Race Be Part of Glomerular Filtration Rate Estimation?FREERobert M. Centor, MD and Ashwini R. Sehgal, MDRobert M. Centor, MDHuntsville Regional Medical Campus, University of Alabama Birmingham School of Medicine, Birmingham, Alabama (R.M.C.)Search for more papers by this author and Ashwini R. Sehgal, MDCase Western Reserve University, Cleveland, Ohio (A.R.S.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/A19-0041 Eligible for CME Point-of-CareCME/MOC SectionsAboutVisual Abstract ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this episode of Annals On Call, Dr. Centor discusses the rationale for and against incorporating race into equations used to estimate glomerular filtration rate with Dr. Ashwini R. Sehgal.Annals articles discussed include...Race and the False Precision of Glomerular Filtration Rate Estimates: https://www.acpjournals.org/doi/10.7326/M20-4951About Annals On CallAnnals On Call focuses on a clinically influential article published in Annals of Internal Medicine. Dr. Robert Centor shares his own perspective on the material and interviews topic area experts to discuss, debate, and share diverse insights about patient care and health care delivery.For more information on Annals On Call and for more episodes, visit go.annals.org/OnCall. Comments0 CommentsSign In to Submit A Comment Philip KlemmerDuke University27 July 2022 GFR Race is a social construct. Creatinine production and excretion are functions of muscle mass. GFR should, therefore, be corrected for muscle mass. DEXA and underwater weighing are cumbersome. The solution: cystatin C measurement. It is worth the added money to eliminate all of the controversy. Author, Article, and Disclosure InformationAffiliations: Huntsville Regional Medical Campus, University of Alabama Birmingham School of Medicine, Birmingham, Alabama (R.M.C.)Case Western Reserve University, Cleveland, Ohio (A.R.S.)Disclosures: Dr. Centor has disclosed the following: Consultancy: DynaMed, MDCalc, Medscape, National Kidney Foundation, The Curbsiders. Employment: U.S. Department of Veterans Affairs. Dr. Sehgal has disclosed no conflicts of interest.Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Stephanie Chang, MD, MPH, Deputy Editor, reports employment with the Agency for Healthcare Research and Quality, travel compensation from the Guidelines International Network, and participation in the Patient-Centered Outcomes Research Institute methodology committee. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interests to disclose. Eliseo Guallar, MD, MPH, DrPH, Deputy Editor, Statistics, reports that he has no financial relationships or interests to disclose. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRace and the False Precision of Glomerular Filtration Rate Estimates Ashwini R. Sehgal Metrics 3 November 2020Volume 173, Issue 9Page: OC1 ePublished: 3 November 2020 Issue Published: 3 November 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.Loading ...