REBEL Core Cast – Basics of EM – Introduction

by Anthony CatapanoAirway, Cardiology, Endocrine, ENT, Genitourinary, Heme/Onc, Infectious Disease, Neuro, OB/GYN, Orthopedics, Renal, Silk City Blog, Surgery, The Tox Box, TraumaPosted on Comments are Disabled

Written by EJ Wright, MD
This post first appeared on REBEL Cast

Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the following series is an all encompassing approach to the most common chief complaints in the ED based on the well known EMRA Basics of Emergency Medicine, A Chief Complaint-Based Guide. Each cast will highlight myself and a guest attending physician as we take new learners through the differentials, red flags, physical exam findings, and a sample presentation that you need to know to treat patients in the ED.

Race Multiplier in the eGFR Equation: What’s the impact for African-Americans?

by Anthony CatapanoEDI, Renal, Silk City BlogPosted on Comments are Disabled

Written by Amanda Russo, DO
This post first appeared on REBEL EM

Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups.  This in turn affects clinical outcomes.  Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology referral, dialysis fistula/graft placement, adequate dialysis treatment, and access to transplantation. The precise reason for this difference is unclear but one proposed cause is the race multiplier term in estimated glomerular filtration rate (eGFR) equations.

The MDRD and CKD-EPI studies developed the equations most commonly used for eGFR in hospitals today. This article aims to illuminate how the race multiplier in the eGFR equations impacts care for African Americans with chronic kidney disease. 

Clinical Question: What is the impact of the race multiplier for African-Americans in the CKD-EPI eGFR equation on CKD classification and healthcare delivery?