Year: 2023
Type: letter
Abstract: Fueled by realization that structural racism exists in law enforcement and health care in the US, the last 3 years have witnessed heightened and unprecedented concern for disparities in kidney transplant waitlisting and transplantation for Black Americans. Assertions have been made that race-based estimated glomerular filtration rate (eGFR) equations prohibit access. Access to the waitlist is governed in large part by use of a threshold level eGFR and influenced by other factors, including the time of application for waitlisting. Although the move away from race-based equations for estimation of eGFR is praiseworthy, the attribution of race-based equations as causes or promulgators of disparities and the coupling of equal eGFR thresholds to waitlisting (versus an equity approach) needs clarification and re-examination. Lost in translation: Misguided application of a laudable and well-intentioned policyAmerican Journal of TransplantationVol. 23Issue 8Preview“Two wrongs don’t make a right, but they make a good excuse.” - Thomas Szasz Full-Text PDF
Authors: Neil R. Powe, Chi D. Chu, Dorry L. Segev
Language: English
Subfield: Transplantation
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,300
OpenAlex ID: W4385411820