PMID- 20205975
OWN - NLM
STAT- MEDLINE
DCOM- 20111024
LR  - 20151119
IS  - 1486-3847 (Print)
IS  - 1486-3847 (Linking)
VI  - 71
IP  - 1
DP  - 2010 Spring
TI  - Identification and treatment of protein-energy malnutrition in renal disease.
PG  - 27-32
AB  - A web-based cross-country survey of renal registered dietitians (RRDs) was 
      launched. It was used to assess whether or not their clinical practice in 
      identifying and treating protein-energy malnutrition (PEM) in adults with 
      end-stage renal disease (ESRD) and dialysis was based on current nutrition 
      practice guidelines (NPGs). The survey included questions on strategies, 
      timelines, and markers used for the identification and treatment of PEM. 
      Fifty-nine RRDs responded (21%). Sixty-seven percent did not base clinical 
      practice on NPGs, while 33% indicated they followed the guidelines. Of those who 
      followed guidelines, 76% use the National Kidney Foundation-Kidney Disease 
      Outcomes Quality Initiative nutrition guidelines. Strategies used to identify and 
      treat PEM were not related to duration of RRD experience in nephrology, but were 
      significantly different between guidelines users and non-users. Guideline users 
      commonly used key nutrition treatment strategies that included enteral/parenteral 
      nutrition and medication therapy. The clinical practice of RRD is typically based 
      on expert opinion/consensus, rather than on evidence-based practice guidelines 
      (EBPG). It remains unclear if differences in RRDs' adoption of clinical 
      guidelines influences patient outcomes, particularly in the treatment of PEM. 
      Up-to-date EBPG need to be developed for the identification and treatment of PEM 
      in patients with ESRD.
FAU - McKnight, Kari
AU  - McKnight K
AD  - Regional Nutrition and Food Services, Alberta Health Services, Edmonton, AB.
FAU - Farmer, Anna
AU  - Farmer A
FAU - Zuberbuhler, Lyn
AU  - Zuberbuhler L
FAU - Mager, Diana
AU  - Mager D
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Can J Diet Pract Res
JT  - Canadian journal of dietetic practice and research : a publication of Dietitians 
      of Canada = Revue canadienne de la pratique et de la recherche en dietetique : 
      une publication des Dietetistes du Canada
JID - 9811151
SB  - IM
MH  - Adult
MH  - Canada
MH  - Enteral Nutrition/methods
MH  - Evaluation Studies as Topic
MH  - Evidence-Based Practice
MH  - Guideline Adherence
MH  - Guidelines as Topic
MH  - Humans
MH  - Internet
MH  - Interviews as Topic
MH  - Kidney Failure, Chronic/*therapy
MH  - Nutrition Surveys/methods
MH  - Nutritional Physiological Phenomena
MH  - Parenteral Nutrition/methods
MH  - Protein-Energy Malnutrition/*diagnosis/*therapy
MH  - Renal Dialysis/standards
MH  - Statistics as Topic
MH  - Surveys and Questionnaires
EDAT- 2010/03/09 06:00
MHDA- 2011/10/25 06:00
CRDT- 2010/03/09 06:00
PHST- 2010/03/09 06:00 [entrez]
PHST- 2010/03/09 06:00 [pubmed]
PHST- 2011/10/25 06:00 [medline]
AID - 10.3148/71.1.2010.27 [doi]
PST - ppublish
SO  - Can J Diet Pract Res. 2010 Spring;71(1):27-32. doi: 10.3148/71.1.2010.27.