Canadian Blood Services, Toronto, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
School of Nursing and Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
Transfus Med Rev. 2024 Jul;38(3):150822. doi: 10.1016/j.tmrv.2024.150822. Epub 2024 Feb 18.
Race and ethnicity are sociopolitical and not biological constructs, and assertions that these population descriptors have scientific meaning has caused significant harm. A critical assessment of the transfusion medicine literature is an important aspect of promoting race-conscious as opposed to race-based medicine. Utilizing current definitions and health equity frameworks, this review will provide a critical appraisal of transfusion medicine studies at the intersection of race and healthcare disparities, with a focus on larger methodological challenges facing the transfusion medicine community. Moving forward, risk modelling accounting for upstream factors, patient input, as well as an expert consensus on how to critically conduct and evaluate this type of literature are needed. Further, when using race and ethnicity in research contexts, investigators must be aware of existing guidelines for such reporting.
种族和民族是社会政治而非生物学的建构，断言这些人口描述具有科学意义已经造成了重大的伤害。对输血医学文献进行批判性评估是促进有意识而非基于种族的医学的一个重要方面。利用当前的定义和卫生公平框架，本综述将批判性地评估在种族和医疗保健差异交叉点的输血医学研究，重点是输血医学界面临的更大的方法学挑战。展望未来，需要针对上游因素、患者输入进行风险建模，并就如何批判性地开展和评估此类文献达成专家共识。此外，在研究中使用种族和民族时，研究人员必须了解此类报告的现有指南。
