Classification and Risk Assessment of Chronic Kidney Disease慢性肾脏病的分类与风险评估
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S Gunning, J Alexander
JAMA, 2025
jamanetwork.comS Gunning, J Alexander
JAMA, 2025
jamanetwork.com
Discussion The guideline advises against inclusion of race in eGFR equations due to use of 讨论 该指南建议在估算肾小球滤过率（eGFR）方程中不纳入种族因素，原因是race as a binary variable and limited improvement in accuracy of the estimation when race is 种族被用作二元变量，且纳入种族对估算准确性的改善有限。included. The 2 most commonly used equations for eGFR (CKD-EPI 2021 and EKFC) 包含。两种最常用的估算肾小球滤过率（eGFR）公式（CKD-EPI 2021 和 EKFC）include age and sex but do not include race. The CKD-EPI 2021 equation, which uses both 纳入了年龄和性别，但未纳入种族因素。CKD-EPI 2021 公式同时采用creatinine and cystatin C but not race, was associated with a P30 of more than 90% for Black 肌酐和胱抑素 C 指标而不考虑种族，该公式在黑人与非黑人群体中均达到and non-Black individuals, which supports the recommendation to exclude race as it is an …超过 90%的 P30 准确率，这支持了排除种族变量的建议，因为它是…
