Joel M. Topf, MD FACP Profile picture
Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼

Aug 5, 2020, 13 tweets

Inker's lecture is really interesting. Learning lots.

removing race and replacing it with height and weight results in a lot of excess bias in both black and white subjects

cystatin c is no panacea in this discussion (if you care about an unbiased and accurate test)

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Neil Howe of the UCSF is up next

consequences of using race for use of eGFR

280 million creatinine measured in the US every year (and it feels like I order half of them)

removal of race from eGFR balance sheet:

I hate this type of thinking. Really in the box thinking. Using eGFR to determine all of these things is not written in stone.

Now showing data that eGFR equations do not seem to be driving the lack of blacks getting listed for transplant.

Really thoughtful discussion about removing the race coefficient. It is ignoring all of the black research participants. It is turning our diverse data collection sources into purely European American participants. Disenfranchises AA research participants.

this lecture is amazing

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