Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms | NEJM

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Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms | NEJM
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Analysis forecasts effects of new race-free kidney-function testing harvardmed

In such cases, race adjustment would do nothing to address the cause of the disparity. Instead, if adjustments deter clinicians from offering clinical services to certain patients, they risk baking inequity into the system.

A second problem arises from the ways in which racial and ethnic categories are operationalized. Clinicians and medical researchers typically use the categories recommended by the Office of Management and Budget: five races and two ethnicities. But these categories are unreliable proxies for genetic differences and fail to capture the complexity of patients’ racial and ethnic backgrounds.Race correction therefore forces clinicians into absurdly reductionistic exercises.

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