Association of Patient Language with Guideline-Concordant Care for Individuals with Chronic Kidney Disease (CKD) in Primary Care
Adequate primary care has the potential to reduce the high morbidity among persons with chronic kidney disease (CKD).1 However, major gaps in care are documented, and these gaps are larger among race/ethnic minority groups, compared with whites.2 Whether a patient’s level of English proficiency and language preference contributes to gaps in appropriate CKD care prior to kidney failure remains poorly understood.3 Persons with limited English proficiency (LEP) are less likely than English speakers to receive optimal care, independent of self-reported race/ethnicity.4 We evaluated the association of non-English language preference with guideline-concordant CKD care among adults with low eGFR who had active primary care in a well-resourced clinic with easy access to multimodal medical interpretation.
We used University of California, San Francisco (UCSF) electronic medical records (EMR) data to identify a cohort of persons with CKD in primary care as previously...
The authors received funding from the following grants: AHA: 17IEA33410161; R18: 1R18DK110959-01
Compliance with Ethical Standards
This study was approved by the institutional review board at UCSF.
Conflict of Interest
Carmen A. Peralta is listed as a chief of medical officer for Cricket Health, Inc.