Guideline use: A survey of dietitians working with adult kidney transplant recipients

LINDA K ORAZIO, Eryn M Murray, KATRINA L CAMPBELL

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

ABSTRACT Aim: To establish current service provision as well as barriers and enablers to guideline implementation in the Nutritional Management of Adult Kidney Transplant Recipients (KTR). Methods: Fifteen primary renal transplant centres (15/17; 88% response rate) and 21 secondary renal transplant centres (21/24; 88% response rate) responded to an online survey addressing key questions investigating their current practice in the nutritional management of adult KTR. Results: Referral from primary to secondary sites was limited with only two sites (9%) routinely receiving referrals. Allocated funding for KTR at secondary sites was low ( n = 4, 14%). Many primary sites received nil or <0.5 full-time equivalent (FTE) funding for inpatient ( n = 8, 53%); and nil or ≤0.2 FTE funding for outpatient services ( n = 9, 60%). In sites reporting FTE hours, the average dietitian-to-patient ratio was 1 FTE dietitian for every 383 (range 50-1280) annually transplanted patients. Major barriers identified in delivering nutrition services at primary sites included time/lack of resources and limitations with systems to identify or track transplant recipients. Conclusion: Dietitian-to-patient ratios in the management of KTR at primary sites are inconsistent and likely to be inadequate at secondary transplant sites to implement guideline recommendations, especially for weight management. Investigations into the effectiveness of innovative interventions such as groups or telehealth are warranted, which may assist practitioners to achieve guideline recommendations in an environment of limited resources.
Original languageEnglish
Pages (from-to)508-513
Number of pages6
JournalNephrology
Volume17
Issue number5
DOIs
Publication statusPublished - 1 Jul 2012
Externally publishedYes

Fingerprint

Nutritionists
Guidelines
Kidney
Transplants
Referral and Consultation
Telemedicine
Ambulatory Care
Surveys and Questionnaires
Transplant Recipients
Inpatients
Weights and Measures

Cite this

ORAZIO, LINDA K ; Murray, Eryn M ; CAMPBELL, KATRINA L. / Guideline use : A survey of dietitians working with adult kidney transplant recipients. In: Nephrology. 2012 ; Vol. 17, No. 5. pp. 508-513.
@article{640c0f4d29d14de287d30050be7cb9c1,
title = "Guideline use: A survey of dietitians working with adult kidney transplant recipients",
abstract = "ABSTRACT Aim: To establish current service provision as well as barriers and enablers to guideline implementation in the Nutritional Management of Adult Kidney Transplant Recipients (KTR). Methods: Fifteen primary renal transplant centres (15/17; 88{\%} response rate) and 21 secondary renal transplant centres (21/24; 88{\%} response rate) responded to an online survey addressing key questions investigating their current practice in the nutritional management of adult KTR. Results: Referral from primary to secondary sites was limited with only two sites (9{\%}) routinely receiving referrals. Allocated funding for KTR at secondary sites was low ( n = 4, 14{\%}). Many primary sites received nil or <0.5 full-time equivalent (FTE) funding for inpatient ( n = 8, 53{\%}); and nil or ≤0.2 FTE funding for outpatient services ( n = 9, 60{\%}). In sites reporting FTE hours, the average dietitian-to-patient ratio was 1 FTE dietitian for every 383 (range 50-1280) annually transplanted patients. Major barriers identified in delivering nutrition services at primary sites included time/lack of resources and limitations with systems to identify or track transplant recipients. Conclusion: Dietitian-to-patient ratios in the management of KTR at primary sites are inconsistent and likely to be inadequate at secondary transplant sites to implement guideline recommendations, especially for weight management. Investigations into the effectiveness of innovative interventions such as groups or telehealth are warranted, which may assist practitioners to achieve guideline recommendations in an environment of limited resources.",
author = "ORAZIO, {LINDA K} and Murray, {Eryn M} and CAMPBELL, {KATRINA L}",
year = "2012",
month = "7",
day = "1",
doi = "10.1111/j.1440-1797.2012.01590.x",
language = "English",
volume = "17",
pages = "508--513",
journal = "Nephrology",
issn = "1320-5358",
publisher = "Wiley Blackwell (American Society Bone & Mineral Research)",
number = "5",

}

Guideline use : A survey of dietitians working with adult kidney transplant recipients. / ORAZIO, LINDA K; Murray, Eryn M; CAMPBELL, KATRINA L.

In: Nephrology, Vol. 17, No. 5, 01.07.2012, p. 508-513.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Guideline use

T2 - A survey of dietitians working with adult kidney transplant recipients

AU - ORAZIO, LINDA K

AU - Murray, Eryn M

AU - CAMPBELL, KATRINA L

PY - 2012/7/1

Y1 - 2012/7/1

N2 - ABSTRACT Aim: To establish current service provision as well as barriers and enablers to guideline implementation in the Nutritional Management of Adult Kidney Transplant Recipients (KTR). Methods: Fifteen primary renal transplant centres (15/17; 88% response rate) and 21 secondary renal transplant centres (21/24; 88% response rate) responded to an online survey addressing key questions investigating their current practice in the nutritional management of adult KTR. Results: Referral from primary to secondary sites was limited with only two sites (9%) routinely receiving referrals. Allocated funding for KTR at secondary sites was low ( n = 4, 14%). Many primary sites received nil or <0.5 full-time equivalent (FTE) funding for inpatient ( n = 8, 53%); and nil or ≤0.2 FTE funding for outpatient services ( n = 9, 60%). In sites reporting FTE hours, the average dietitian-to-patient ratio was 1 FTE dietitian for every 383 (range 50-1280) annually transplanted patients. Major barriers identified in delivering nutrition services at primary sites included time/lack of resources and limitations with systems to identify or track transplant recipients. Conclusion: Dietitian-to-patient ratios in the management of KTR at primary sites are inconsistent and likely to be inadequate at secondary transplant sites to implement guideline recommendations, especially for weight management. Investigations into the effectiveness of innovative interventions such as groups or telehealth are warranted, which may assist practitioners to achieve guideline recommendations in an environment of limited resources.

AB - ABSTRACT Aim: To establish current service provision as well as barriers and enablers to guideline implementation in the Nutritional Management of Adult Kidney Transplant Recipients (KTR). Methods: Fifteen primary renal transplant centres (15/17; 88% response rate) and 21 secondary renal transplant centres (21/24; 88% response rate) responded to an online survey addressing key questions investigating their current practice in the nutritional management of adult KTR. Results: Referral from primary to secondary sites was limited with only two sites (9%) routinely receiving referrals. Allocated funding for KTR at secondary sites was low ( n = 4, 14%). Many primary sites received nil or <0.5 full-time equivalent (FTE) funding for inpatient ( n = 8, 53%); and nil or ≤0.2 FTE funding for outpatient services ( n = 9, 60%). In sites reporting FTE hours, the average dietitian-to-patient ratio was 1 FTE dietitian for every 383 (range 50-1280) annually transplanted patients. Major barriers identified in delivering nutrition services at primary sites included time/lack of resources and limitations with systems to identify or track transplant recipients. Conclusion: Dietitian-to-patient ratios in the management of KTR at primary sites are inconsistent and likely to be inadequate at secondary transplant sites to implement guideline recommendations, especially for weight management. Investigations into the effectiveness of innovative interventions such as groups or telehealth are warranted, which may assist practitioners to achieve guideline recommendations in an environment of limited resources.

U2 - 10.1111/j.1440-1797.2012.01590.x

DO - 10.1111/j.1440-1797.2012.01590.x

M3 - Article

VL - 17

SP - 508

EP - 513

JO - Nephrology

JF - Nephrology

SN - 1320-5358

IS - 5

ER -