The Need for Culturally Tailored CKD Education in Older Latino Patients and Their Families.

Autor:	Porteny T; Department of Health Policy and Management, Mailman School of Public Health, New York, New York. Electronic address: tp2769@cumc.columbia.edu., Kennefick K; Research on Ethics, Aging, and Community Health (REACH Lab), Tufts University, Medford, Massachusetts., Lynch M; Research on Ethics, Aging, and Community Health (REACH Lab), Tufts University, Medford, Massachusetts., Velasquez AM; Research on Ethics, Aging, and Community Health (REACH Lab), Tufts University, Medford, Massachusetts., Damron KC; Columbia University, and National Kidney Foundation, New York, New York., Rosas S; Columbia University, and National Kidney Foundation, New York, New York; Joslin Diabetes Center and Harvard Medical School, Boston, Massachusetts., Allen J; Department of Community Health, Tufts University, Medford, Massachusetts., Weiner DE; William B. Schwartz Division of Nephrology, Tufts Medical Center, Boston, Massachusetts., Kalloo S; Irving Medical Center, Division of Nephrology, New York, New York., Rizzolo K; Section of Nephrology, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Boston, Massachusetts., Ladin K; Research on Ethics, Aging, and Community Health (REACH Lab), Tufts University, Medford, Massachusetts; Department of Community Health, Tufts University, Medford, Massachusetts.
Jazyk:	angličtina
Zdroj:	American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 2024 Aug 09. Date of Electronic Publication: 2024 Aug 09.
DOI:	10.1053/j.ajkd.2024.06.015
Abstrakt:	Older Latino adults (aged 65+years) comprise the fastest growing minoritized group among the older population in the United States and experience a disproportionate burden of kidney failure as well as disparities in kidney care compared with non-Hispanic White individuals. Despite significant need and barriers uniquely faced by this population, few educational resources or decision aids are available to meet the language and cultural needs of Latino patients. Decision aids are designed to improve knowledge and empower individuals to engage in shared decision making and have been shown to improve decisional quality and goal-concordant care among older patients with chronic kidney disease (CKD). In this commentary, we examine the barriers faced by older Latino people with CKD who must make dialysis initiation decisions. We conclude that there is a need for culturally concordant decision aids tailored for older Latino patients with CKD to overcome barriers in access to care and improve patient-centered care for older Latino CKD patients. (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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