2026 Encoding Health Equity Summit - Panel Discussion with Grantees: Reassessing and Revising Clinical Guidance-Panel Discussion with Grantees: Reassessing and Revising Clinical Guidance

Panel Discussion with Grantees: Reassessing and Revising Clinical Guidance

Video Transcription

Video Summary

The session focused on reassessing clinical guidelines to improve health equity and reduce inappropriate use of race. Dr. Hua described the American Academy of Neurology’s audit of 10 high-priority guidelines, finding that 9 needed revision. While explicit misuse of race was rare, many guidelines lacked demographic detail and relied on Western-centric data. Dr. Sadiq discussed revising a GI guideline for Barrett’s esophagus screening, showing that race-based prediction tools were not superior and supporting a non-race-based tool to be made available in MDCalc. Dr. Piera presented work on prenatal serum screening, concluding that race should be removed from trisomy screening, while further research is needed for AFP/open neural tube defect screening. Across talks, speakers emphasized broader, more representative data, outcome-based research, and better training for guideline developers.

Keywords

clinical guidelines

health equity

race in medicine

barrett's esophagus screening

prenatal serum screening

guideline revision