SCCM Resource Library-Creatinine and Its Influence on Racial Disparities

Video Transcription

Video Summary

Dr. Christian Bimi, a pulmonary critical care doctor, emphasizes the limitations of using race-based equations to estimate kidney function in the ICU. Traditionally, renal function has been assessed through glomerular filtration rate (GFR) using creatinine levels, often adjusted for race, which has introduced inaccuracies and biases. Research indicated race-based adjustments, initially justified by unverified assumptions, inaccurately estimated GFR for black patients, impacting medical decisions like drug dosing and dialysis initiation. Recent studies advocate replacing race-based equations with biomarkers like cystatin C, which offer more accurate, race-agnostic estimates. These findings highlight the necessity to develop and adopt formulas that reflect diverse population data and rely on more precise biomarkers. Overall, eliminating race adjustment and incorporating more comprehensive biomarkers promise better accuracy and equity in estimating kidney function.

Asset Caption

One-Hour Concurrent Session | Free Your Mind: Sources of Systematic Bias in the ICU

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

race-based equations

kidney function

glomerular filtration rate

cystatin C

biomarkers

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.