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Assessing Global Kidney Nutrition Care.
Angela Yee-Moon Wang1, Ikechi G Okpechi2,3, Feng Ye4
1Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, China angela_wang@connect.hku.hk.
Clinical Journal of the American Society of Nephrology : CJASN
|January 4, 2022
Summary
Global kidney nutrition care faces significant challenges, with many countries lacking specialized dietitians and consistent dietary counseling, especially in lower-income nations. Communication between dietitians and nephrologists is also limited, impacting patient care.
Area of Science:
- Nephrology
- Nutrition Science
- Global Health
Background:
- Nutrition intervention is critical for managing kidney disease.
- Limited understanding of global kidney nutrition care services exists.
- Interdisciplinary communication and oral nutrition supplement availability are key concerns.
Purpose of the Study:
- To assess the global availability and capacity of kidney nutrition care.
- To evaluate interdisciplinary communication in renal nutrition.
- To determine the availability of oral nutrition supplements worldwide.
Main Methods:
- Developed the Global Kidney Nutrition Care Atlas in partnership with the International Society of Nephrology (ISN).
- Administered an electronic survey to kidney care stakeholders in 182 ISN-affiliated countries (July-September 2018).
- 160 countries (88%) responded, with 155 providing data on kidney nutrition care.
Main Results:
- Only 48% of responding countries have dedicated renal dietitians.
- Dietary counseling is unavailable in 65% of low/lower-middle-income countries.
- Oral nutrition supplements are often not freely available, particularly in lower-income countries.
- Interdisciplinary communication between dietitians and nephrologists is infrequent (sometimes or less) in over 60% of countries.
Conclusions:
- Significant global gaps exist in kidney nutrition care services, capacity, and cost coverage.
- Deficiencies in interdisciplinary communication hinder effective kidney nutrition care delivery.
- Lower-income countries face the most substantial challenges in renal nutrition support.
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