In 2020, the nephrology community formally interrogated long-standing race-based clinical algorithms used in the field, including the kidney function estimation equations. A comprehensive understanding of the history of kidney function estimation and racial essentialism is necessary to understand underpinnings of the incorporation of a Black race coefficient into prior equations. We provide a review of this history, as well as the considerations used to develop race-free equations that are a guidepost for a more equity-oriented, scientifically rigorous future for kidney function estimation and other clinical algorithms and processes in which race may be embedded as a variable.

中文翻译：

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在肾功能评估中使用种族：经验教训和通往健康正义的道路

2020 年，肾脏病学界正式质疑了该领域​​长期使用的基于种族的临床算法，包括肾功能估计方程。为了理解将黑人种族系数纳入先验方程的基础，有必要全面了解肾功能估计和种族本质主义的历史。我们回顾了这段历史，以及用于开发无种族方程的考虑因素，这些方程为肾功能估计和其他可能嵌入种族的临床算法和过程提供了更加公平导向、科学严谨的未来的指南作为变量。