{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:54:43Z","timestamp":1775091283046,"version":"3.50.1"},"reference-count":55,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Despite growing evidence of their limitations, race\u2010based practices in pediatric rheumatology\u2014those that rely on race or ethnicity to influence diagnosis and treatment\u2014continue to shape care, often reinforcing health disparities. The assumption that biologic or genetic differences exist between racial groups oversimplifies complex health issues and perpetuates health inequities. This article examines persistent race\u2010based practices in pediatric rheumatology, particularly in the interpretation of laboratory results and clinical decision\u2010making, and highlights their clinical limitations. For example, the use of race\u2010adjusted formulas in evaluating estimated glomerular filtration rate, pulmonary function tests, and creatine kinase levels can lead to misdiagnoses and delayed interventions, particularly in Black and Asian populations. Additionally, race\u2010based assumptions in diseases like Kawasaki disease and multisystem inflammatory syndrome in children can lead to incorrect conclusions about disease severity and treatment efficacy. This article advocates for a shift toward race\u2010conscious practices that consider the role of social determinants of health and biases in clinical care. It also emphasizes the need for more inclusive research methodologies and diverse representation in clinical trials to enhance the generalizability of findings. By moving away from race\u2010based practices and adopting equity\u2010oriented frameworks, pediatric rheumatologists can better address the needs of marginalized populations and improve health outcomes. This shift is crucial in dismantling systemic disparities and advancing health equity in clinical and research settings.<\/jats:p>","DOI":"10.1002\/acr.25602","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T08:14:43Z","timestamp":1752480883000},"page":"1403-1408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reconsidering Race\u2010Based Medicine in Pediatric Rheumatology: Challenges and Opportunities for Equitable Care"],"prefix":"10.1002","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6444-0919","authenticated-orcid":false,"given":"Nayimisha","family":"Balmuri","sequence":"first","affiliation":[{"name":"Johns Hopkins School of Medicine  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7650-8234","authenticated-orcid":false,"given":"Alisha","family":"Akinsete","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine and Hospital for Special Surgery  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-2545","authenticated-orcid":false,"given":"Laura B.","family":"Lewandowski","sequence":"additional","affiliation":[{"name":"Bethesda Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5529-2483","authenticated-orcid":false,"given":"Mallet","family":"Reid","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine  East Lansing Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan E.","family":"Roberts","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine  Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8455-3996","authenticated-orcid":false,"given":"Jennifer M. 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