Assessing Global Kidney Nutrition Care

dc.contributor.authorWang, Angela Yee-Moon
dc.contributor.authorOkpechi, Ikechi G.
dc.contributor.authorYe, Feng
dc.contributor.authorKovesdy, Csaba P.
dc.contributor.authorBrunori, Giuliano
dc.contributor.authorBurrowes, Jerrilynn D.
dc.contributor.authorCampbell, Katrina
dc.contributor.authorDamster, Sandrine
dc.contributor.authorFouque, Denis
dc.contributor.authorFriedman, Allon N.
dc.contributor.authorGaribotto, Giacomo
dc.contributor.authorGuebre-Egziabher, Fitsum
dc.contributor.authorHarris, David
dc.contributor.authorIseki, Kunitoshi
dc.contributor.authorJha, Vivekanand
dc.contributor.authorJindal, Kailash
dc.contributor.authorKalantar-Zadeh, Kamyar
dc.contributor.authorKistler, Brandon
dc.contributor.authorKopple, Joel D.
dc.contributor.authorKuhlmann, Martin
dc.contributor.authorLunney, Meaghan
dc.contributor.authorMafra, Denise
dc.contributor.authorMalik, Charu
dc.contributor.authorMoore, Linda W.
dc.contributor.authorPrice, S. Russ
dc.contributor.authorSteiber, Alison
dc.contributor.authorWanner, Christoph
dc.contributor.authorWee, Pieter Ter
dc.contributor.authorLevin, Adeera
dc.contributor.authorJohnson, David W.
dc.contributor.authorBello, Aminu K.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2023-10-19T17:51:28Z
dc.date.available2023-10-19T17:51:28Z
dc.date.issued2022
dc.description.abstractBackground and objectives: Nutrition intervention is an essential component of kidney disease management. This study aimed to understand current global availability and capacity of kidney nutrition care services, interdisciplinary communication, and availability of oral nutrition supplements. Design, setting, participants, & measurements: The International Society of Renal Nutrition and Metabolism (ISRNM), working in partnership with the International Society of Nephrology (ISN) Global Kidney Health Atlas Committee, developed this Global Kidney Nutrition Care Atlas. An electronic survey was administered among key kidney care stakeholders through 182 ISN-affiliated countries between July and September 2018. Results: Overall, 160 of 182 countries (88%) responded, of which 155 countries (97%) answered the survey items related to kidney nutrition care. Only 48% of the 155 countries have dietitians/renal dietitians to provide this specialized service. Dietary counseling, provided by a person trained in nutrition, was generally not available in 65% of low-/lower middle-income countries and "never" available in 23% of low-income countries. Forty-one percent of the countries did not provide formal assessment of nutrition status for kidney nutrition care. The availability of oral nutrition supplements varied globally and, mostly, were not freely available in low-/lower middle-income countries for both inpatient and outpatient settings. Dietitians and nephrologists only communicated "sometimes" on kidney nutrition care in ≥60% of countries globally. Conclusions: This survey reveals significant gaps in global kidney nutrition care service capacity, availability, cost coverage, and deficiencies in interdisciplinary communication on kidney nutrition care delivery, especially in lower-income countries.
dc.identifier.citationWang AY, Okpechi IG, Ye F, et al. Assessing Global Kidney Nutrition Care. Clin J Am Soc Nephrol. 2022;17(1):38-52. doi:10.2215/CJN.07800621
dc.identifier.urihttps://hdl.handle.net/1805/36514
dc.language.isoen_US
dc.publisherWolters Kluwer
dc.relation.isversionof10.2215/CJN.07800621
dc.relation.journalClinical Journal of the American Society of Nephrology
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectChronic kidney disease (CKD)
dc.subjectKidney nutrition care
dc.subjectGlobal
dc.subjectDietitians
dc.subjectNutrition supplement
dc.subjectRenal nutrition
dc.subjectGlobal health
dc.subjectNutritional status
dc.titleAssessing Global Kidney Nutrition Care
dc.typeArticle
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763143/
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