1. Assessing Global Kidney Nutrition Care
- Author
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Angela Yee-Moon Wang, Ikechi G. Okpechi, Feng Ye, Csaba P. Kovesdy, Giuliano Brunori, Jerrilynn D. Burrowes, Katrina Campbell, Sandrine Damster, Denis Fouque, Allon N. Friedman, Giacomo Garibotto, Fitsum Guebre-Egziabher, David Harris, Kunitoshi Iseki, Vivekanand Jha, Kailash Jindal, Kamyar Kalantar-Zadeh, Brandon Kistler, Joel D. Kopple, Martin Kuhlmann, Meaghan Lunney, Denise Mafra, Charu Malik, Linda W. Moore, S. Russ Price, Alison Steiber, Christoph Wanner, Pieter ter Wee, Adeera Levin, David W. Johnson, Aminu K. Bello, The University of Hong Kong (HKU), University of Cape Town, University of Alberta, The University of Tennessee Health Science Center [Memphis] (UTHSC), University of Trento [Trento], Long Island University, Brooklyn (LIU Brooklyn), Service de pneumologie [CHU Caen], Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN), International Society of Nephrology [Brussels, Belgium] (ISN), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Indiana University School of Medicine, Indiana University System, Università degli studi di Genova = University of Genoa (UniGe), University of New South Wales [Sydney] (UNSW), Okinawa Heart and Renal Association [Okinawa, Japan], Laboratoire d'innovation moléculaire et applications (LIMA), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of California [Irvine] (UC Irvine), University of California (UC), Ball State University [Muncie, Indiana] (BSU), Harbor UCLA Medical Center [Torrance, Ca.], Vivantes Klinikum Friedrichshain [Berlin, Germany] (VKF), University of Calgary, Federal University Fluminense [Rio de Janeiro, Brazil] (FUF), Houston Methodist Hospital [Houston, TX, USA], East Carolina University [Greenville] (ECU), University of North Carolina System (UNC), Academy of Nutrition and Dietetics [Chicago, Illinois] (AND), University Hospital of Würzburg, VU University Medical Center [Amsterdam], University of British Columbia (UBC), University of Queensland [Brisbane], Translational Research Institute [Brisbane, Australia] (TRI), Princess Alexandra Hospital, Brisbane, and CarMeN, laboratoire
- Subjects
Transplantation ,renal nutrition ,dietitians ,Epidemiology ,[SDV]Life Sciences [q-bio] ,kidney nutrition care ,global health ,chronic kidney disease ,global ,nutrition supplement ,nutritional status ,Critical Care and Intensive Care Medicine ,[SDV] Life Sciences [q-bio] ,Renal Dialysis ,Nephrology ,Humans ,Kidney Failure, Chronic ,Original Article - Abstract
International audience; BACKGROUND 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.
- Published
- 2022
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