Non-Race-Based eGFR Equations: Implications for Medication-Related Decision Making
Planned in cooperation with the ASHP Section of Inpatient Practitoners’ Educational Steering Committee
ACPE Activity Number: 0204-0000-22-581-H01-P
Release Date: Sept 22, 2022
Expiration Date: Sept 22, 2025
Activity Type: Knowledge-based
CE Credits: 1.0 contact hour, (0.10 CEU)
Activity Fee: Member – Free / Non-Member – Not Available
This activity is a recording from a live webinar and those that claim credit for the live webinar should not claim credit for this activity.
Race is a social construct used to group people based on physical characteristics, behavioral patterns, and geographic location. The race categories are poorly defined since they vary by country and evolve. People assigned to a specific racial category do not necessarily share the same genetic ancestry; therefore, this could be misleading when generalizing concepts related to genetic or biological factors within the same category. If race is used as a treatment variable for a specific disease state, the actual health status may not be accurately assessed, and potential harm could occur. Using this approach has no scientific basis, but unfortunately, this belief has perpetuated generations of harm.
A common example cited as race-based medicine is the use of race adjustments in clinical algorithms, such as the estimated glomerular filtration rate (eGFR) equations. There is concern that using these equations to assess kidney function may lead to disparities in health care and produce adverse health outcomes.
The purpose of this webinar is to highlight healthcare disparities in patients with chronic kidney disease (CKD), educate clinicians on the evaluation, and use non-race-based eGFR for medication decision-making. The speakers will highlight action steps that pharmacists can take to reduce medication-related health disparities in patients with CKD.
The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
After completing this activity, the learner should be able to…
1. Identify health inequities and disparities in patients with kidney diseases in the United States.
2. Describe the development of non-race-based equations to assess kidney function.
3. Summarize best practices for the use of non-race-based eGFR equations.
4. List the limitations of non-raced based eGFR equations and the Cockroft-Gault CrCL equation for purposes of drug-related decision making.
5. Identify actions that pharmacists can take to address medication-related disparities in people with CKD.
Schedule of Activities
Introduction and Announcements
Questions, Answers, and Discussion
Professor, Department of Pharmaceutical Care and Health Systems
University of Minnesota College of Pharmacy
Dr. Eva M. Vivian, PharmD, PhD, MS, CDCES, BC-ADM, FADCES
UW-Madison School of Pharmacy
Dr. C. Whitney White, PharmD, BCPS, FASHP, FALSHP
Associate Professor of Pharmacy Practice
Samford University, McWhorter School of Pharmacy
Relevant Financial Relationship Disclosure
In accordance with our accreditor’s Standards of Integrity and Independence in Accredited Continuing Education, ASHP requires that all individuals in control of content disclose all financial relationships with ineligible companies. An individual has a relevant financial relationship if they have had a financial relationship with an ineligible company in any dollar amount in the past 24 months and the educational content that the individual controls is related to the business lines or products of the ineligible company.
An ineligible company is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The presence or absence of relevant financial relationships will be disclosed to the activity audience.
No one in control of the content of this activity has a relevant financial relationship (RFR) with an ineligible company.
Methods and CE Requirements
This activity consists of recordings of faculty slides presentations, active learning activities, discussion, and handouts. Participants must participate in the activity in its entirety to claim continuing pharmacy education credit online at ASHP Learning Center. Follow the prompts online to complete the evaluation, claim credit and view the statement of credit immediately after completing the activity.
Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. Once you have processed and claimed your CE credit, we encourage you to check your NABP eProfile account to verify your credits were transferred successfully before the ACPE 60-day deadline. It is an electronic direct-report process so your credits should appear in your account within a few minutes. After the 60 day deadline, ASHP will no longer be able to report your credit(s) for this activity.