Experiences and values of Latinos with end stage renal disease: a systematic review of qualitative studies

Patients with end stage renal disease (ESRD) experience a high symptom burden and poor quality of life as part of their advanced illness. Latinos experience a higher prevalence of ESRD compared to non-Latino whites; however, they are underrepresented in existing ESRD literature. We conducted a systematic review of qualitative studies that include Latino patients with ESRD and their caregivers in the United States. Of694 citations published through August 2014, six met inclusion criteria. Four major themes emerged: 1) Losses, 2) Heightened awareness of death, 3) Barriers to quality communication and care, and 4) Mediating Latino traditions and values. A thematic schema was developed. Key Words: End stage renal disease, palliative care, qualitative, Latino, quality of life.
Latinos, the fastest growing minority in the United States (U.S.), are expected to grow from 17.4% in 2014 to 28.6% of the U.S. population by 2060 (Colby & Ortman, 2015). [...]