Removing race from equations that estimate lung function will shift the categorization of disease severity across patient populations, moving more Black individuals into an advanced disease category, according to new research led by scientists at Harvard Medical School. At the same time, more white and Hispanic people would be reclassified as having less advanced illness. The findings, the research team said, suggest that adjusting lung function tests to include race -; as has been the case historically -; likely normalized worse lung function and downplayed disease severity among Black people.
The work, to be published May 19 in the New England Journal of Medicine , is being presented simultaneously at a special session of the annual meeting of the American Thoracic Society. The race-based formula to estimate lung function assumes that different race groups have different normal lung function, and it's known that this can obscure disease severity in many individuals. Yet the myriad implications of race adjustment and the effects of removing race have not been comprehensively quantified -; our study is an attempt do so.
" Raj Manrai, study senior author, assistant professor of biomedical informatics in the Blavatnik Institute at HMS The analysis shows that removing race from current lung function estimates would change who is diagnosed with respiratory illness and, in turn, who qualifies for disability compensation and veterans' benefits and who's eligible for jobs that requir.
