TY - JOUR
T1 - KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update
AU - Ikizler, T. Alp
AU - Cuppari, Lilian
AU - Burrowes, Jerrilynn D.
AU - Campbell, Katrina L.
AU - Byham-Gray, Laura D.
AU - Carrero, Juan Jesus
AU - Chan, Winnie
AU - Fouque, Denis
AU - Friedman, Allon N.
AU - Ghaddar, Sana
AU - Goldstein-Fuchs, D. Jordi
AU - Kaysen, George A.
AU - Kopple, Joel D.
AU - Teta, Daniel
AU - Yee-Moon Wang, Angela
N1 - Funding Information:
Dr Chan is a Post-Doctoral Research Fellow at University of Birmingham. She has more than 10 years of experience as a clinical dietitian specializing in renal nutrition. She was appointed as a Dietetic Research and Postgraduate Education Lead, and a Dietitian Representative of Non-Medical Clinical Academic Research Group at Queen Elizabeth Hospital Birmingham. Dr Chan received her Bachelor’s Degree in Nutrition and Postgraduate Diploma in Dietetics from King’s College, University of London. She obtained her PhD from the University of Birmingham, co-funded by a National Health Service West Midlands Strategic Health Authority PhD Research Training Fellowship and a British Renal Society research grant. She has fostered keen research and clinical interests in kidney transplantation. Her research work focuses on investigating the role of nutrition, body composition, and physical strength on clinical outcomes and quality of life in kidney transplant recipients. She is a multi–award-winning researcher, having delivered numerous presentations and invited lectures in her areas of academic and clinical expertise at national and international conferences. In addition to consistent publications in well-respected journals, Dr Chan has authored book chapters and Practice-based Evidence in Nutrition Knowledge Pathway in the field of renal nutrition. She serves on the editorial board of Journal of Renal Nutrition. She is an active research grant review panel member for Kidney Research UK and the British Renal Society. To date, she continues her pivotal role as an Expert Adviser for the National Institute for Health and Care Excellence (NICE) Centre for Guidelines in Renal Disease.
Funding Information:
The 2020 guideline differs from the previous publication in multiple ways. The development process included involvement of multiple groups, including NKF, the Academy of Nutrition and Dietetics (Academy), and the International Society of Renal Nutrition and Metabolism (ISRNM), with each entity contributing in a different but significant fashion. The initiative was funded solely by resources provided through NKF and the Academy. ISRNM provided intellectual and scientific support throughout the process. The work group members were chosen through an application and review process and specific attention was paid to geographic spread and diversity in the final selection of work group members. The systematic evidence review and grading were completed by the Academy Evidence Review Team (ERT).
Funding Information:
Dr Friedman is an Associate Professor of Medicine at Indiana University School of Medicine in Indianapolis and medical director of an affiliated dialysis unit. Dr Friedman trained at Tufts University and the US Department of Agriculture-Human Nutrition Research Center in Boston before joining Indiana University. Dr Friedman has published dozens of articles, editorials, and book chapters on topics related to the overlap between nutrition and kidney disease and has received grant funding from the National Institutes of Health, NKF, and other institutions. He is on the editorial board of the Journal of Renal Nutrition and Frontiers in Nephrology and has played a leadership role at the American Society of Nephrology and the American Association of Kidney Patients. He is currently a council member of the ISRNM.
Funding Information:
Financial Disclosure: Dr Wang has received speaker honoraria from Sanofi Renal and Fresenius Kabi. She has received research grants from Sanofi Renal and Baxter Healthcare Corporation.
Publisher Copyright:
© 2020 the National Kidney Foundation, Inc. and the Academy of Nutrition and Dietetics
PY - 2020/9
Y1 - 2020/9
N2 - The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for nutrition in kidney diseases since 1999. Since the publication of the first KDOQI nutrition guideline, there has been a great accumulation of new evidence regarding the management of nutritional aspects of kidney disease and sophistication in the guidelines process. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD was developed as a joint effort with the Academy of Nutrition and Dietetics (Academy). It provides comprehensive up-to-date information on the understanding and care of patients with chronic kidney disease (CKD), especially in terms of their metabolic and nutritional milieu for the practicing clinician and allied health care workers. The guideline was expanded to include not only patients with end-stage kidney disease or advanced CKD, but also patients with stages 1-5 CKD who are not receiving dialysis and patients with a functional kidney transplant. The updated guideline statements focus on 6 primary areas: nutritional assessment, medical nutrition therapy (MNT), dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines primarily cover dietary management rather than all possible nutritional interventions. The evidence data and guideline statements were evaluated using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. As applicable, each guideline statement is accompanied by rationale/background information, a detailed justification, monitoring and evaluation guidance, implementation considerations, special discussions, and recommendations for future research.
AB - The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for nutrition in kidney diseases since 1999. Since the publication of the first KDOQI nutrition guideline, there has been a great accumulation of new evidence regarding the management of nutritional aspects of kidney disease and sophistication in the guidelines process. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD was developed as a joint effort with the Academy of Nutrition and Dietetics (Academy). It provides comprehensive up-to-date information on the understanding and care of patients with chronic kidney disease (CKD), especially in terms of their metabolic and nutritional milieu for the practicing clinician and allied health care workers. The guideline was expanded to include not only patients with end-stage kidney disease or advanced CKD, but also patients with stages 1-5 CKD who are not receiving dialysis and patients with a functional kidney transplant. The updated guideline statements focus on 6 primary areas: nutritional assessment, medical nutrition therapy (MNT), dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines primarily cover dietary management rather than all possible nutritional interventions. The evidence data and guideline statements were evaluated using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. As applicable, each guideline statement is accompanied by rationale/background information, a detailed justification, monitoring and evaluation guidance, implementation considerations, special discussions, and recommendations for future research.
UR - http://www.scopus.com/inward/record.url?scp=85088793395&partnerID=8YFLogxK
U2 - 10.1053/j.ajkd.2020.05.006
DO - 10.1053/j.ajkd.2020.05.006
M3 - Article
C2 - 32829751
AN - SCOPUS:85088793395
SN - 0272-6386
VL - 76
SP - S1-S107
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 3
ER -