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Informatics algorithms & POC decision support tools/apps may bias us inadvertently. Been wondering about this.
How do we check for bias?
@sagar_ankita @TLeungMD
@meggerber @XimenaLevander @littleorphannie
1/ https://www.nytimes.com/2020/06/17/health/many-medical-decision-tools-disadvantage-black-patients.html?referringSource=articleShare
How do we check for bias?
@sagar_ankita @TLeungMD
@meggerber @XimenaLevander @littleorphannie
1/ https://www.nytimes.com/2020/06/17/health/many-medical-decision-tools-disadvantage-black-patients.html?referringSource=articleShare
Examples:
1) eGFR calculations differ for black and non-blacks
Could change who is referred to nephrology and when, or who should or should not be prescribed metformin or SGLT 2 inhibitors.
2/
@EileenBarrettNM @sue_bornstein @SusanHingle @InduPartha https://www.nejm.org/doi/full/10.1056/NEJMms2004740?referringSource=articleShare
1) eGFR calculations differ for black and non-blacks
Could change who is referred to nephrology and when, or who should or should not be prescribed metformin or SGLT 2 inhibitors.
2/
@EileenBarrettNM @sue_bornstein @SusanHingle @InduPartha https://www.nejm.org/doi/full/10.1056/NEJMms2004740?referringSource=articleShare
Example 2:
Risk calculators for Breast cancer aid is in screening recommendations.
Frax scores aid in determining need for osteoporosis fracture risk reduction w/meds.
Who do we screen?
@JenS94102891 @AlgaseLeslie @hemphillr @doctorbecca1 @DocRahk
3/
https://bcrisktool.cancer.gov/calculator.html
Risk calculators for Breast cancer aid is in screening recommendations.
Frax scores aid in determining need for osteoporosis fracture risk reduction w/meds.
Who do we screen?
@JenS94102891 @AlgaseLeslie @hemphillr @doctorbecca1 @DocRahk
3/
https://bcrisktool.cancer.gov/calculator.html
Example 3:
Prognostic/risk calculators are used to determine risk for VBACs ( https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbirth.html)
or thoracic surgery ( http://riskcalc.sts.org/stswebriskcalc/calculate) and contain adjustments depending on race.
@aoglasser @MAACPGovernor
4/
Prognostic/risk calculators are used to determine risk for VBACs ( https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbirth.html)
or thoracic surgery ( http://riskcalc.sts.org/stswebriskcalc/calculate) and contain adjustments depending on race.
@aoglasser @MAACPGovernor
4/
So...
My main concern as #GIM is whether these adjustments in calculators are inadvertently influencing us by weighting race over other physical characteristics which are far more predictive.
Are we asking the right questions before we use these?
Just wondering...
5/5
My main concern as #GIM is whether these adjustments in calculators are inadvertently influencing us by weighting race over other physical characteristics which are far more predictive.
Are we asking the right questions before we use these?
Just wondering...
5/5
PS: A must listen on this topic is
@TheDEIShift episode 6:
https://www.thedeishift.com/episode-6.html
This is what got me thinking about the topic before the article!
Thanks @TLeungMD for reminding me!!
6/6
@TheDEIShift episode 6:
https://www.thedeishift.com/episode-6.html
This is what got me thinking about the topic before the article!
Thanks @TLeungMD for reminding me!!
6/6
