How cardiologists addressed bias in a clinical algorithm

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In Part 4 of Embedded Bias, it is revealed how race-based clinical algorithms in medicine are pervasive and challenging to change. Joseph Wright, a physician and chief health equity officer for the American Academy of Pediatrics, experienced skepticism when his doctor recommended a statin based on a race-based calculator predicting his cardiovascular risk. Despite knowing that Black patients have higher risks for heart disease and stroke, he recognized that race alone does not explain these disparities. Cardiologists have begun developing tools, like the PREVENT calculator, that exclude race and incorporate social factors to more accurately predict cardiovascular risk. The ultimate goal is for these tools to replace outdated, race-based algorithms in clinical practice.

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