Journal of General Internal Medicine

, Volume 34, Issue 11, pp 2348–2350 | Cite as

Association of Patient Language with Guideline-Concordant Care for Individuals with Chronic Kidney Disease (CKD) in Primary Care

  • Sarah Rosenwohl-Mack
  • Anna Rubinsky
  • Leah Karliner
  • Lenny López
  • Carmen A. PeraltaEmail author
Concise Research Reports


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...


Funding Information

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.


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Sarah Rosenwohl-Mack
    • 1
  • Anna Rubinsky
    • 1
    • 2
  • Leah Karliner
    • 1
  • Lenny López
    • 1
  • Carmen A. Peralta
    • 1
    • 2
    • 3
    Email author
  1. 1.University of California, San FranciscoSan FranciscoUSA
  2. 2.Kidney Health Research CollaborativeUniversity of CaliforniaSan FranciscoUSA
  3. 3.Cricket Health, Inc.San FranciscoUSA

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