Angela Yee-Moon Wang1, Ikechi G Okpechi2,3, Feng Ye4, Csaba P Kovesdy5, Giuliano Brunori6, Jerrilynn D Burrowes7, Katrina Campbell8, Sandrine Damster9, Denis Fouque10, Allon N Friedman11, Giacomo Garibotto12, Fitsum Guebre-Egziabher13,14, David Harris15, Kunitoshi Iseki16, Vivekanand Jha17,18,19, Kailash Jindal4, Kamyar Kalantar-Zadeh20, Brandon Kistler21, Joel D Kopple22, Martin Kuhlmann23, Meaghan Lunney24, Denise Mafra25, Charu Malik9, Linda W Moore26, S Russ Price27, Alison Steiber28, Christoph Wanner29, Pieter Ter Wee30, Adeera Levin31, David W Johnson32,33,34, Aminu K Bello4. 1. Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, China angela_wang@connect.hku.hk. 2. Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa. 3. Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa. 4. Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. 5. University of Tennessee Health Science Center and Memphis Veterans Affairs Medical Center, Memphis, Tennessee. 6. Division of Nephrology and Dialysis, Santa Chiara Hospital, Trento, Italy. 7. Department of Biomedical, Health and Nutritional Sciences, Long Island University Post, Greenvale, New York. 8. Menzies Health Institute Queensland, Griffith University, Brisbane, Australia. 9. International Society of Nephrology, Brussels, Belgium. 10. University Claude Bernard Lyon1, Hospital Lyon Sud - Lyon-France, South Lyon, France. 11. Division of Nephrology, Indiana University School of Medicine, Indianapolis, Indiana. 12. Division of Nephrology, Dialysis and Transplantation Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy. 13. Department of Nephrology, Dialysis and Hypertension, Hospices Civils de Lyon, Hospital Edouard Herriot, Lyon, France. 14. CarMeN Laboratory, Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1060, Lyon East Faculty of Medicine, University Claude Bernard Lyon 1, Lyon, France. 15. Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia. 16. Clinical Research Support Center, Nakamura Clinic, Okinawa, Japan. 17. George Institute for Global Health India, University of New South Wales, New Delhi, India. 18. School of Public Health, Imperial College, London, United Kingdom. 19. Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India. 20. Division of Nephrology, Hypertension and Kidney Transplantation, University of California Irvine Medical Center, Orange, California. 21. Department of Nutrition and Health Science, Ball State University, Muncie, Indiana. 22. Division of Nephrology and Medicine and the Lundquist Research Institute at Harbor-University of California Los Angeles (UCLA) Medical Center, David Geffen School of Medicine at UCLA and UCLA Fielding School of Public Health, Los Angeles, California. 23. Vivantes Hospital Friedrichshain, Berlin, Germany. 24. Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. 25. Federal University Fluminense, Rio de Janeiro, Brazil. 26. Houston Methodist Hospital, Department of Surgery, Houston, Texas. 27. Departments of Internal Medicine and Biochemistry-Molecular Biology, Brody School of Medicine at East Carolina University, Greenville, North Carolina. 28. Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, Illinois. 29. Department of Medicine, University Hospital Würzburg, Würzburg, Germany. 30. Amsterdam University Medical Center, Amsterdam, The Netherlands. 31. Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. 32. Centre for Kidney Disease Research, University of Queensland, Brisbane, Australia. 33. Translational Research Institute, Brisbane, Australia. 34. Metro South and Integrated Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia.
Abstract
BACKGROUND AND OBJECTIVES: Nutrition intervention is an essential component of kidney disease management. This study aimed to understand current global availability and capacity of kidney nutrition care services, interdisciplinary communication, and availability of oral nutrition supplements. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The International Society of Renal Nutrition and Metabolism (ISRNM), working in partnership with the International Society of Nephrology (ISN) Global Kidney Health Atlas Committee, developed this Global Kidney Nutrition Care Atlas. An electronic survey was administered among key kidney care stakeholders through 182 ISN-affiliated countries between July and September 2018. RESULTS: Overall, 160 of 182 countries (88%) responded, of which 155 countries (97%) answered the survey items related to kidney nutrition care. Only 48% of the 155 countries have dietitians/renal dietitians to provide this specialized service. Dietary counseling, provided by a person trained in nutrition, was generally not available in 65% of low-/lower middle-income countries and "never" available in 23% of low-income countries. Forty-one percent of the countries did not provide formal assessment of nutrition status for kidney nutrition care. The availability of oral nutrition supplements varied globally and, mostly, were not freely available in low-/lower middle-income countries for both inpatient and outpatient settings. Dietitians and nephrologists only communicated "sometimes" on kidney nutrition care in ≥60% of countries globally. CONCLUSIONS: This survey reveals significant gaps in global kidney nutrition care service capacity, availability, cost coverage, and deficiencies in interdisciplinary communication on kidney nutrition care delivery, especially in lower-income countries.
BACKGROUND AND OBJECTIVES: Nutrition intervention is an essential component of kidney disease management. This study aimed to understand current global availability and capacity of kidney nutrition care services, interdisciplinary communication, and availability of oral nutrition supplements. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The International Society of Renal Nutrition and Metabolism (ISRNM), working in partnership with the International Society of Nephrology (ISN) Global Kidney Health Atlas Committee, developed this Global Kidney Nutrition Care Atlas. An electronic survey was administered among key kidney care stakeholders through 182 ISN-affiliated countries between July and September 2018. RESULTS: Overall, 160 of 182 countries (88%) responded, of which 155 countries (97%) answered the survey items related to kidney nutrition care. Only 48% of the 155 countries have dietitians/renal dietitians to provide this specialized service. Dietary counseling, provided by a person trained in nutrition, was generally not available in 65% of low-/lower middle-income countries and "never" available in 23% of low-income countries. Forty-one percent of the countries did not provide formal assessment of nutrition status for kidney nutrition care. The availability of oral nutrition supplements varied globally and, mostly, were not freely available in low-/lower middle-income countries for both inpatient and outpatient settings. Dietitians and nephrologists only communicated "sometimes" on kidney nutrition care in ≥60% of countries globally. CONCLUSIONS: This survey reveals significant gaps in global kidney nutrition care service capacity, availability, cost coverage, and deficiencies in interdisciplinary communication on kidney nutrition care delivery, especially in lower-income countries.
Authors: Jessica Stevenson; Anthony Meade; Ann-Maree Randall; Karen Manley; Stephanie Notaras; Susan Heaney; Maria Chan; Alison Smyth; Elizabeth Josland; Frank Patrick Brennan; Mark A Brown Journal: Nephrology (Carlton) Date: 2017-10 Impact factor: 2.506
Authors: T Alp Ikizler; Noel J Cano; Harold Franch; Denis Fouque; Jonathan Himmelfarb; Kamyar Kalantar-Zadeh; Martin K Kuhlmann; Peter Stenvinkel; Pieter TerWee; Daniel Teta; Angela Yee-Moon Wang; Christoph Wanner Journal: Kidney Int Date: 2013-05-22 Impact factor: 10.612
Authors: Aminu K Bello; Adeera Levin; Marcello Tonelli; Ikechi G Okpechi; John Feehally; David Harris; Kailash Jindal; Babatunde L Salako; Ahmed Rateb; Mohamed A Osman; Bilal Qarni; Syed Saad; Meaghan Lunney; Natasha Wiebe; Feng Ye; David W Johnson Journal: JAMA Date: 2017-05-09 Impact factor: 56.272
Authors: Juan J Carrero; Fridtjof Thomas; Kristóf Nagy; Fatiu Arogundade; Carla M Avesani; Maria Chan; Michal Chmielewski; Antonio C Cordeiro; Angeles Espinosa-Cuevas; Enrico Fiaccadori; Fitsum Guebre-Egziabher; Rosa K Hand; Adriana M Hung; Talat A Ikizler; Lina R Johansson; Kamyar Kalantar-Zadeh; Tilakavati Karupaiah; Bengt Lindholm; Peter Marckmann; Denise Mafra; Rulan S Parekh; Jongha Park; Sharon Russo; Anita Saxena; Siren Sezer; Daniel Teta; Pieter M Ter Wee; Cecile Verseput; Angela Y M Wang; Hong Xu; Yimin Lu; Miklos Z Molnar; Csaba P Kovesdy Journal: J Ren Nutr Date: 2018-11 Impact factor: 3.655
Authors: Aminu K Bello; Adeera Levin; Meaghan Lunney; Mohamed A Osman; Feng Ye; Gloria E Ashuntantang; Ezequiel Bellorin-Font; Mohammed Benghanem Gharbi; Sara N Davison; Mohammad Ghnaimat; Paul Harden; Htay Htay; Vivekanand Jha; Kamyar Kalantar-Zadeh; Peter G Kerr; Scott Klarenbach; Csaba P Kovesdy; Valerie A Luyckx; Brendon L Neuen; Donal O'Donoghue; Shahrzad Ossareh; Jeffrey Perl; Harun Ur Rashid; Eric Rondeau; Emily See; Syed Saad; Laura Sola; Irma Tchokhonelidze; Vladimir Tesar; Kriang Tungsanga; Rumeyza Turan Kazancioglu; Angela Yee-Moon Wang; Natasha Wiebe; Chih-Wei Yang; Alexander Zemchenkov; Ming-Hui Zhao; Kitty J Jager; Fergus Caskey; Vlado Perkovic; Kailash K Jindal; Ikechi G Okpechi; Marcello Tonelli; John Feehally; David C Harris; David W Johnson Journal: BMJ Date: 2019-10-31