Category: NEJM

New Creatinine- and Cystatin C–Based Equations to Estimate GFR without Race

The glomerular filtration rate (GFR) is generally estimated from serum concentrations of endogenous filtration markers such as creatinine or cystatin C. During the past two decades, automated clinical laboratory reporting of GFR estimated with the use …

Time to Eliminate Health Care Disparities in the Estimation of Kidney Function

In the wake of the racial reckoning since the spring of 2020 in the United States, efforts have emerged to identify hidden structural determinants of systemic racism in medicine. Such efforts have led to examination of traditional medical algorithms th…

Uncomfortable Truths — What Covid-19 Has Revealed about Chronic-Disease Care in America

“Jump off the cliff and figure it out on the way down. People think that improvisation is moving forward,” comedian Keegan-Michael Key has said about improvisational comedy. “What improvisation really is, it’s walking backward.…It’s backing up that giv…

The 2021 Reauthorization of CAPTA — Letting Public Health Lead

The Child Abuse Prevention and Treatment Act (CAPTA), the foundational child-protection legislation in the United States, has been revised more than 20 times since its original passage in 1974. For nearly 30 years, CAPTA didn’t cover infants who had be…

Point-of-Care Ultrasonography

Point-of-care ultrasonography (POCUS) is defined as the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician at the patient’s bedside rather than by a radiologist or cardiologist….

Blood Donation by Gay and Bisexual Men — The Need for a Policy Update

Many gay and bisexual men in the United Kingdom first became eligible to donate blood on June 14 of this year. The United Kingdom recently amended its eligibility criteria for blood donation to screen out potential donors on the basis of individualized…

Peak Moments — When Kindergarten Is High Risk

Before my son left home on the first day of school, I took his photo — attempting, like generations of parents before me, to hit the “pause” button on life for a few seconds, capturing the start of a new chapter of childhood. The photo contained 5 year…

Is It Finally Time for a Medicare Dental Benefit?

In 1958, the American Medical Association, the American Dental Association, and several other health professional organizations created the Joint Council to Improve the Health Care of the Aged, which was dedicated to opposing the creation of the progra…

Closing the Gender Pay Gap in Medicine

The Association of American Medical Colleges (AAMC) has issued a new assessment of salary disparities among U.S. physicians according to gender, race, and their intersection that reaffirms a persistent gender pay gap. Building on decades of research de…

Data in Crisis — Rethinking Disaster Preparedness in the United States

In 2017, Hurricane Maria’s devastating impact in Puerto Rico exposed significant flaws in the U.S. medical and public health response to natural disasters. The majority of the nearly 3000 excess deaths caused by the hurricane were attributable not to i…