scholarly journals Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

2021 ◽  
Author(s):  
Cristina Martins ◽  
Simone L. Saeki ◽  
Marcelo Mazza do Nascimento ◽  
Fernando M. Lucas Júnior ◽  
Ana Maria Vavruk ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Monitoring And Evaluation ◽  
Adult Patients ◽  
Professional Organizations ◽  
Assessment Development ◽  
Brazilian Society ◽  
Consensus Document ◽  
Nutrition Care ◽  
Standard Terminology

Abstract This nutrition consensus document is the first to coordinate the efforts of three professional organizations - the Brazilian Association of Nutrition (Asbran), the Brazilian Society of Nephrology (SBN), and the Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE) - to select terminology and international standardized tools used in nutrition care. Its purpose is to improve the training delivered to nutritionists working with adult patients with chronic kidney disease (CKD). Eleven questions were developed concerning patient screening, care, and nutrition outcome management. The recommendations set out in this document were developed based on international guidelines and papers published in electronic databases such as PubMed, EMBASE(tm), CINHAL, Web of Science, and Cochrane. From a list of internationally standardized terms, twenty nutritionists selected the ones they deemed relevant in clinical practice involving outpatients with CKD. The content validity index (CVI) was calculated with 80% agreement in the answers. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework was used to assess the strength of evidence and recommendations. A total of 107 terms related to Nutrition Assessment and Reassessment, 28 to Diagnosis, nine to Intervention, and 94 to Monitoring and Evaluation were selected. The list of selected terms and identified tools will be used in the development of training programs and the implementation of standardized nutrition terminology for nutritionists working with patients with chronic kidney disease in Brazil.

scholarly journals Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com doença renal crônica

2021 ◽  
Vol 4 (35) ◽  
pp. 311-328
Author(s):  
Cristina Martins ◽  
Simone L. Saeki ◽  
Marcelo Mazza do Nascimento ◽  
Fernando Lucas Júnior ◽  
Maria Vavruk ◽  
...  
Keyword(s):  
Kidney Diseases ◽  
Monitoring And Evaluation ◽  
Nutrition Intervention ◽  
Professional Organizations ◽  
Care Process ◽  
Nutrition Screening ◽  
Assessment Development ◽  
Brazilian Society ◽  
Nutrition Care Process ◽  
Nutrition Diagnosis

This consensus represents the first collaboration between three professional organizations focused on nutrition: Brazilian Association of Nutrition (ASBRAN), Brazilian Society of Nephrology (SBN) and Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE), with the objective of identifying internationally standardized terminology and instruments for the nutrition care process. The focus is to facilitate the training of nutritionists who work with adult patients with chronic kidney diseases (CKD). Eleven issues related to nutrition screening, care and management of outcomes were raised. Recommendations were based on international guidelines and electronic databases such as PubMed, EMBASE™, CINHAL, Web of Science and Cochrane. From the sending of lists of internationally standardized terms, 20 nutrition specialists selected those they considered very clear and relevant for clinical practice with CKD outpatients. The content validity index (CVI) was calculated, with 80% agreement in the responses. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to assign evidence strength to the recommendations. A total of 107 terms were selected for Nutrition Assessment and Reassessment, 28 for Nutrition Diagnosis, 9 for Nutrition Intervention, and 94 for Nutrition Monitoring and Evaluation in Nutrition. The list of selected terms and identification of instruments will assist in training planning and implementation of standardized nutrition terminology in Brazil for nutritionists working with CKD patients.

scholarly journals The Correlation between Estimated Glomerular Filtration Rate and Parathyroid Hormone Levels in Predialysis-chronic Kidney Disease Adult Patients at Sanglah General Hospital, Bali, Indonesia

2021 ◽  
Vol 9 (B) ◽  
pp. 470-474
Author(s):  
Sianny Herawati ◽  
Yenny Kandarini ◽  
I Putu Yuda Prabawa
Keyword(s):  
Chronic Kidney Disease ◽  
Glomerular Filtration Rate ◽  
Parathyroid Hormone ◽  
Kidney Disease ◽  
Glomerular Filtration ◽  
General Hospital ◽  
Filtration Rate ◽  
Adult Patients ◽  
Exclusion Criteria ◽  
Hormone Levels

BACKGROUND: Chronic kidney disease (CKD) is a structural or functional kidney disease for more than 3 months. In predialysis CKD patients, the serum parathyroid hormone levels increase progressively since the early stages of the disease to maintain phosphate homeostasis. Glomerular filtration rate (GFR) has been widely accepted to assess renal function. The GFR assessment is used to determine the CKD stadium. AIM: This study aims to analyze the correlation between GFR and parathyroid hormone levels in predialysis CKD patients undergoing treatment at Sanglah General Hospital Denpasar. METHODS: A cross-sectional observational study was conducted among predialysis CKD patients undergoing treatment at Sanglah General Hospital Denpasar who met the inclusion and exclusion criteria. The inclusion criteria were adult patients (≥18 years) who were accepting to participate in the study. Exclusion criteria were patients with predialysis CKD after thyroidectomy and/or parathyroidectomy and liver disease. The parathyroid hormone levels, blood urea nitrogen, creatinine, and GFR were examined and analyzed by SPSS version 17 for Windows. RESULTS: A total of 77 patients with predialysis CKD in this study obtained a median of e-GFR of 21.09 (4.72–75.80) mL/min/1.73 m2. The median level of parathyroid hormone was 82.07 pg/mL (15.83–716.60 pg/mL). Spearman’s correlation analysis results obtained a strong and significant negative correlation between the e-GFR value and parathyroid hormone levels (r = −0.540; p = 0.000). CONCLUSION: The parathyroid hormone levels assessment could be used as a recommendation in evaluating the CKD progressivity among predialysis adult patients at Sanglah General Hospital, Bali, Indonesia, due to the strong significant correlation.

Saliva as an alternative to blood in the determination of uremic state in adult patients with chronic kidney disease: a systematic review and meta-analysis

2020 ◽  
Vol 24 (7) ◽  
pp. 2203-2217 ◽  
Author(s):  
Renata Prata Cunha Bernardes Rodrigues ◽  
Walbert de Andrade Vieira ◽  
Walter Luiz Siqueira ◽  
Cauane Blumenberg ◽  
Ítalo de Macedo Bernardino ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Meta Analysis ◽  
Adult Patients
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