Racial Disparities in Creatinine-based Kidney Function Estimates Among HIV-infected Adults
Author(s) -
Naomi Anker,
Rebecca Scherzer,
Carmen A. Peralta,
Neil R. Powe,
Tanushree Banjeree,
Michael G. Shlipak
Publication year - 2016
Publication title -
ethnicity and disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.767
H-Index - 67
eISSN - 1945-0826
pISSN - 1049-510X
DOI - 10.18865/ed.26.2.213
Subject(s) - medicine , renal function , kidney disease , cohort , creatinine , veterans affairs , human immunodeficiency virus (hiv) , retrospective cohort study , urology , immunology
The aim of our study was to investigate whether current eGFR equations in clinical use might systematically over-estimate the kidney function, and thus misclassify CKD status, of Black Americans with HIV. Specifically, we evaluated the impact of removing the race coefficient from the MDRD and CKD-EPI equations on comparisons between Black and White HIV-infected veterans related to: 1) the prevalence of reduced eGFR; 2) the distribution of eGFR values; and 3) the relationship between eGFR and all-cause mortality.
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