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Publication Information
Affiliation
1University of California San Francisco, Department of Medicine, Division of Nephrology
2University of California San Francisco, Department of Epidemiology and Biostatistics
3University of California San Francisco, Department of Pediatrics, Division of Nephrology
4Children’s Hospital of Philadelphia, Division of Pediatric Nephrology, Department of Pediatrics and Epidemiology, University of Pennsylvania Perelman School of Medicine
5Hennepin County Medical Center, Division of Nephrology, Department of Medicine & University of Minnesota, Department of Medicine
Authors
Adey DB, Johansen KL, Ku E, Li L, McCulloch CE
Studies
Abstract
Kidney function is the primary criterion for determining eligibility for registration on the kidney transplant waitlist in patients not yet treated with dialysis.1,2 According to current national policy, patients can accrue waittime for transplantation when their glomerular filtration rate (GFR) is ?20 ml/min. We previously demonstrated that use of the 2012 CKD-EPI equations to estimate GFR and determine waitlist eligibility may lead to racial inequities in the time that could be accrued before initiation of kidney replacement therapy.1 Our objective was to determine whether using the refitted CKD-EPI equations3,4 (which exclude race terms) to estimate GFR would theoretically improve racial inequities in access to preemptive waitlisting.