Calculating estimated glomerular filtration rate without the race correction factor: Observations at a large academic medical system.

ABSTRACT:

Background and aims

Creatinine-based MDRD and CKD-EPI equations include a race correction factor, which results in higher eGFR in Black patients. We evaluated the impact on our patient population upon adoption of the CKD-EPI equation and the removal of the race correction factor from the equation.

Materials and methods

Retrospective analysis of blood creatinine results and respective eGFR values calculated by the MDRD or CKD-EPI equation without the race correction factor (CKD-EPI_NoRace) in a large academic medical system over a 20.5-month period.

Results

In our population, when changing from MDRD to CKD-EPI_NoRace, we observed that 3.5% of all patients were reclassified to categorically have worse kidney function. However, we also observed fewer

SUBMITTER: Shi J 

PROVIDER: S-EPMC8286343 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature