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Racialized algorithms for kidney function: Erasing social experience.

Lundy Braun1, Anna Wentz2, Reuben Baker3

  • 1Box 1904, Departments of Africana Studies, Brown University and Pathology and Laboratory Medicine, Warren Alpert Medical School of Brown University, Providence, RI, 02912, USA.

Social Science & Medicine (1982)
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Summary
This summary is machine-generated.

Race correction algorithms in kidney function assessments are a racialized practice. These algorithms, used widely in the US, mask societal neglect

Keywords:
AlgorithmsChronic kidney diseaseEstimated glomerular filtration rateRacialization

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Area of Science:

  • Biomedical Science
  • Medical Informatics
  • Social Science

Background:

  • Evidence-based medicine and algorithms are increasingly used in medical decision-making.
  • Concerns exist regarding the assumptions and health consequences of race-based algorithms.
  • Debates on race and racism in medicine highlight the social and scientific aspects.

Purpose of the Study:

  • To examine the socio-scientific processes behind a race-based algorithm for kidney function in African Americans.
  • To critically analyze the development, adoption, and normalization of this algorithm.
  • To understand how race correction impacts knowledge production in chronic kidney disease (CKD).

Main Methods:

  • Textual analysis of the biomedical literature.
  • Application of science and technology studies theoretical frameworks.
  • Critical examination of the race-based algorithm's history and impact.

Main Results:

  • The race-corrected algorithm for kidney function is a routine clinical practice in the US.
  • This practice is a racialized biomedical intervention.
  • The algorithm reinforces existing racial hierarchies within medicine.

Conclusions:

  • Race correction in kidney function assessment is a flawed biomedical practice.
  • It obscures the health impacts of societal neglect on specific populations.
  • This practice contributes to a hierarchy of difference in medical knowledge and practice.