Advertisement
From the Academy Practice Paper| Volume 121, ISSUE 9, P1881-1893, September 2021

Download started.

Ok

Executive Summary of the 2020 Academy of Nutrition and Dietetics and National Kidney Foundation Clinical Practice Guideline for Nutrition in CKD

Published:November 03, 2020DOI:https://doi.org/10.1016/j.jand.2020.08.092
      The 2020 update to KDOQI Clinical Practice Guidelines for Nutrition in chronic kidney disease (CKD) is a result of the collaboration between the National Kidney Foundation (NKF) and the Academy of Nutrition and Dietetics (Academy). The target population for this guideline is adults with stages 1 through 5 CKD who are not receiving dialysis, end-stage kidney disease including those on dialysis, and individuals with functional kidney transplant. The updated guideline includes 83 recommendations on important nutrition topics in CKD, including nutrition screening and assessment; medical nutrition therapy; dietary protein and energy intake; micronutrients; electrolytes; nutritional supplementation; and dietary patterns. Both Academy and Grading of Recommendations Assessment, Development and Evaluation (GRADE) approaches were used to assess quality of evidence and rate the recommendation statements. Guideline recommendations were the result of a comprehensive systematic review, clinical expertise, and considerations for individualized care.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • National Kidney Foundation
        Kidney Disease: The Basics.
      1. KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease.
        Am J Kidney Dis. 2000; 35: S11-S16
      2. Evidence-based Nutrition Practice Guideline on Chronic Kidney Disease. 2010.
        • Handu D.
        • Moloney L.
        • Wolfram T.
        • Ziegler P.
        • Acosta A.
        • Steiber A.
        Academy of Nutrition and Dietetics methodology for conducting systematic reviews for the Evidence Analysis Library.
        J Acad Nutr Diet. 2016; 116: 311-318
        • Papoutsakis C.
        • Moloney L.
        • Sinley R.C.
        • Acosta A.
        • Handu D.
        • Steiber A.L.
        Academy of Nutrition and Dietetics methodology for developing evidence-based nutrition practice guidelines.
        J Acad Nutr Diet. 2017; 117: 794-804
        • Guyatt G.H.
        • Oxman A.D.
        • Vist G.E.
        • et al.
        GRADE: An emerging consensus on rating quality of evidence and strength of recommendations.
        BMJ. 2008; 336: 924-926
      3. Evidence-based nutrition practice guidelines on chronic kidney disease. 2020.
        • Ikizler T.A.
        • Burrowes J.D.
        • Byham-Gray L.D.
        • et al.
        • KDOQI Nutrition in CKD Guideline Work Group
        KDOQI clinical practice guideline for nutrition in CKD: 2020 update.
        Am J Kidney Dis. 2020; 76: S1-S107
        • Fischer F.
        • Lange K.
        • Klose K.
        • Greiner W.
        • Kraemer A.
        Barriers and strategies in guideline implementation: A scoping review.
        Healthcare (Basel). 2016; 4: 36
        • Kredo T.
        • Bernhardsson S.
        • Machingaidze S.
        • et al.
        Guide to clinical practice guidelines: The current state of play.
        Int J Qual Health Care. 2016; 28: 122-128
        • National Kidney Foundation
        Kidney pathways.

      Biography

      D. Handu is a nutrition researcher, Academy of Nutrition and Dietetics, Evidence Analysis Center, Chicago, IL.

      Biography

      M. Rozga is a nutrition researcher, Academy of Nutrition and Dietetics, Evidence Analysis Center, Chicago, IL.

      Biography

      A. Steiber is a chief science officer, Academy of Nutrition and Dietetics, Evidence Analysis Center, Chicago, IL.