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.

中文翻译：

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老年拉丁裔患者及其家人需要接受针对文化的 CKD 教育


老年拉丁裔成年人（65 岁 + 岁）是美国老年人口中增长最快的少数族裔群体，与非西班牙裔白人相比，他们承受着不成比例的肾衰竭负担以及肾脏护理方面的差异。尽管这一人群面临巨大的需求和独特的障碍，但很少有教育资源或决策辅助工具可用于满足拉丁裔患者的语言和文化需求。决策辅助工具旨在提高知识并赋予个人参与共同决策的能力，并已被证明可以提高老年慢性肾病 （CKD） 患者的决策质量和目标一致性护理。在本评论中，我们研究了老年拉丁裔 CKD 患者面临的障碍，他们必须做出透析开始决定。我们得出的结论是，需要为老年 CKD 拉丁裔患者量身定制的文化一致的决策辅助工具，以克服获得护理的障碍并改善老年拉丁裔 CKD 患者以患者为中心的护理。