Organ support & nutrition

Toward Equitable Kidney Function Estimation in Critical Care Practice: Guidance From the Society of Critical Care Medicine’s Diversity, Equity, and Inclusion in Renal Clinical Practice Task Force

Crit Care MedPublished Guidance document

Methodological detailsliterature review and expert consensus, implementation science methodology
  • Literature review and expert consensus
  • Implementation science methodology

Recommendations

As issued by the authors

  1. New creatinine-based glomerular filtration rate (GFR) equation: implementation facilitated by low cost and ease of incorporation into electronic health records; key barrier is lack of direct evidence in critically ill patients

  2. Cystatin C-based GFR estimation: barriers are higher cost, lack of test availability in most laboratories, and influence of inflammation on concentrations

  3. Further research needed evaluating GFR equations in critically ill patients and novel approaches to dynamic kidney function estimation

Original publication

Toward Equitable Kidney Function Estimation in Critical Care Practice: Guidance From the Society of Critical Care Medicine’s Diversity, Equity, and Inclusion in Renal Clinical Practice Task Force. Crit Care Med. Published 26 February 2024. doi:10.1097/ccm.0000000000006237

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