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🗓️ 2 December 2022
⏱️ 31 minutes
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0:00.0 | The reason I became kind of a central figure in this controversy is not because I'm an |
0:11.0 | equation person. |
0:12.0 | I have family members that were affected by the use of this. |
0:16.7 | That's Dr. Amaka Inanya. |
0:18.9 | She's an aphrologist or kidney doctor. |
0:21.4 | And the controversy she's referring to has to do with an equation that doctors have |
0:26.3 | used for decades to estimate kidney function. |
0:30.4 | That number determines crucial things about a patient's care, including whether they're |
0:35.3 | eligible for a spot on the wait list or a kidney transplant. |
0:40.0 | But the problem is there are actually two equations, one for black patients and one for |
0:45.4 | everyone else. |
0:47.6 | If you took two patients with identical health profiles, one black and one white, the |
0:52.6 | black patients estimated kidney function would look better than the white patients, even |
0:58.1 | if it wasn't. |
0:59.5 | This can have all sorts of implications, but perhaps most critically, the black patient |
1:04.7 | might have to wait longer for a spot on the transplant wait list. |
1:09.3 | I have kidney disease that runs in my family and I saw explicitly how that number affected |
1:14.8 | an individual's care in my family. |
1:17.4 | And so I just really could not walk away from this controversy. |
1:21.2 | It's deeply personal and I think it's deeply wrong. |
1:27.1 | There are huge disparities in health care and health outcomes across racial groups in |
1:31.6 | the United States. |
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