TY - JOUR
T1 - Assessing Global Kidney Nutrition Care
AU - Wang, Angela Yee Moon
AU - Okpechi, Ikechi G.
AU - Ye, Feng
AU - Kovesdy, Csaba P.
AU - Brunori, Giuliano
AU - Burrowes, Jerrilynn D.
AU - Campbell, Katrina
AU - Damster, Sandrine
AU - Fouque, Denis
AU - Friedman, Allon N.
AU - Garibotto, Giacomo
AU - Guebre-Egziabher, Fitsum
AU - Harris, David
AU - Iseki, Kunitoshi
AU - Jha, Vivekanand
AU - Jindal, Kailash
AU - Kalantar-Zadeh, Kamyar
AU - Kistler, Brandon
AU - Kopple, Joel D.
AU - Kuhlmann, Martin
AU - Lunney, Meaghan
AU - Mafra, Denise
AU - Malik, Charu
AU - Moore, Linda W.
AU - Price, S. Russ
AU - Steiber, Alison
AU - Wanner, Christoph
AU - Wee, Pieter Ter
AU - Levin, Adeera
AU - Johnson, David W.
AU - Bello, Aminu K.
N1 - Publisher Copyright:
© 2022 by the American Society of Nephrology.
PY - 2022/1
Y1 - 2022/1
N2 - 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.
AB - 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.
KW - Cross-Sectional Studies
KW - Dietary Supplements
KW - Global Health
KW - Health Care Surveys
KW - Humans
KW - Kidney Diseases/therapy
KW - Nutrition Therapy
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U2 - 10.2215/CJN.07800621
DO - 10.2215/CJN.07800621
M3 - Article
C2 - 34980675
AN - SCOPUS:85123306068
SN - 1555-9041
VL - 17
SP - 38
EP - 52
JO - Clinical Journal of the American Society of Nephrology
JF - Clinical Journal of the American Society of Nephrology
IS - 1
ER -