Structural racism and neighborhood health are connected. Insights from North Carolina may help identify interventions.
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To earn trust, we must eliminate race-based medicine and redress it's harmful effects. Recent Organ Procurement Transplant Network policy sets an example for all of medicine. jamanetwork.com/journals/jama/… Wake Forest University School of Medicine Tanjala Purnell, PhD, MPH, FASN Dinushika Mohottige

Primary care is the right place to address root causes for kidney health inequity. We need more research and innovation! Duke GIM
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Race-free estimation of kidney function is superior and sets an example for all of medicine. But it’s only one of many factors which must be addressed to achieve kidney health equity. jamanetwork.com/journals/jama/…

Clinical and Translational Science can pave the way toward an equitable science enterprise by changing structures, providing opportunities, engaging our communities, and re-thinking our studies. nejm.org/doi/full/10.10… Duke Clinical and Translational Science Institute NCATS @CLIC_CTSA

Sincere intent to dismantle structural inequities in science and medicine will require thoughtful planning, real investments, and accountability. nejm.org/doi/full/10.10…

Achieving pharmacoequity is a key pillar of efforts to improve health and health equity overall. See this important policy prescription by Utibe R. Essien, MD MPH in @JAMA jamanetwork.com/journals/jama/…

It's time to dismantle structural racism in science, medicine, and medical publishing. Let's learn from a teachable moment.
jamanetwork.com/journals/jama/… @DukeGIM Duke Department of Medicine Duke Clinical and Translational Science Institute Giselle Corbie Dinushika Mohottige Kirsten Bibbins-Domingo Utibe R. Essien, MD MPH Clyde Yancy, MD, MSc

Racialized kidney medicine harms our patients and our equity practices. Here's how to fight it.
Dinushika Mohottige Camara Jones @rheaboyd @dorothyroberts @chandraford UNC Center for Health Equity Research Autorité de sûreté nucléaire (ASN) @NKF AbDuLLaH ALhArTHi Amaka Eneanya, MD, MPH Dr. Vanessa Grubbs (she/her) The Patient-Centered Outcomes Research Institute
Kevin J. Fowler Principal The Voice of the Patient
@AAKP Deidra Crews, MD, ScM, FASN, MACP ajkd.org/article/S0272-…

Very pleased to join Dr. Ebony Boulware in announcing that Rasheed Gbadegesin, M.D., has been named associate dean for physician-scientist development and director of the Office of Physician-Scientist Development. bit.ly/3dfzS1B Duke Office of Physician-Scientist Development Ebony Boulware

It’s time to re-think our thinking. Let’s move science and medicine forward by abandoning embedded racist rationalizations. Here’s an elegant explanation of the harms of race based medicine, using kidney care as the example.
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Removal of the race modifier from eGFR estimates could confer substantial benefits while minimizing harms for the vast majority of Black individuals who are in greatest need of guideline-based kidney care ja.ma/3oQkThz Ebony Boulware

Race-based medicine is harmful for population health and health equity. See clear evidence in kidney care. jamanetwork.com/journals/jaman…
Duke Department of Population Health Sciences Lesley Curtis Gbenga Ogedegbe, MD Rainu Kaushal Weill Cornell Medicine Population Health Sciences Population Health Giselle Corbie UNC Center for Health Equity Research Camara Jones APHA SGIM

Data scientists take note. Use of race in medical algorithms can lead to unintended harms for Black individuals and reinforce systemic racism. See this JAMA Network commentary on kidney transplantation. @dukeforge Warren Kibbe @eperakslis Michael Pencina, PhD
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Next generation doctors should be on the lookout for potentially harmful race-based medical practices. Kidney care provides important lessons. The Student National Medical Association (SNMA) Lou Astri Duke University School of Medicine Dinushika Mohottige Tanjala Purnell, PhD, MPH, FASN Johns Hopkins Medicine Johns Hopkins Bloomberg School of Public Health JHU Welch Center
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Future physicians should prepare for equitable, anti-racist medicine. See our recommendations for kidney care. The Student National Medical Association (SNMA) Lou Astri LaShyra “Lash” Nolen Dinushika Mohottige Duke University School of Medicine
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Structural racism is a fundamental cause of kidney health inequity, and anti-racist policies and practices must undergird our goal of achieving health equity for all. More on this by Ebony Boulware and I in cjasn.asnjournals.org/content/early/…

Racialized kidney function estimation does not promote anti-racist equity consciousness in medicine. It delays transplant for Black individuals. See analysis by Ebony Boulware Tanjala Purnell, PhD, MPH, FASN of the critical study by Nisha Bansal MD Leila Zelnick and UW team. jamanetwork.com/journals/jaman…

Cohort study shows race-based eGFR equations are associated with delay in timing of key threshold for kidney #transplant eligibility in Black participants with #CKD . Leila Zelnick Nisha Bansal MD University of Washington CRIC Study Ebony Boulware Tanjala Purnell, PhD, MPH, FASN Dinushika Mohottige ja.ma/2KkDRxK

Black patients should know how racialized kidney function equations contribute to delays in their receipt of kidney transplants. jamanetwork.com/journals/jaman…
Kevin J. Fowler Principal The Voice of the Patient National Kidney Foundation American Society of Nephrology Dr. Teri Browne American Association of Kidney Patients @donortodonor Susan Quaggin Curtis Warfield Kidney Care Partners Richard Knight