Protein-controlled versus restricted protein versus low protein diets in managing patients with non-dialysis chronic kidney disease: a single centre experience in Australia.
Nutrition has been an important part of medical management in patients with chronic kidney disease for more than a century. Since the 1970s, due to technological advances in renal replacement therapy (RRT) such as dialysis and transplantation, the importance of nutrition intervention in non-dialysis stages has diminished. In addition, it appears that there is a lack of high-level evidence to support the use of diet therapy, in particular the use of low protein diets to slow down disease progression. However, nutrition abnormalities are known to emerge well before dialysis is required and are associated with poor outcomes post-commencing dialysis. To improve clinical outcomes it is prudent to incorporate practice research and quality audits into routine care, as part of the continuous clinical practice improvement process. This article summarises the experience of and current practices in a metropolitan tertiary teaching hospital in Sydney, Australia.
Department of Nutrition and Dietetics, The St. George Hospital, Gray Street, Kogarah, NSW, 2217, Australia. maria.chan@health.nsw.gov.au.|Department of Renal Medicine The St. George Hospital, Kogarah, NSW, 2217, Australia. maria.chan@health.nsw.gov.au.|Department of Nutrition and Dietetics, School of Medicine and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, 2522, Australia. maria.chan@health.nsw.gov.au.|St. George Clinical School, School of Medicine, The University of New South Wales, Sydney, NSW, 2217, Australia. maria.chan@health.nsw.gov.au.
Maria
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D001315:Australia; D018753:Diet, Protein-Restricted; D004044:Dietary Proteins / Q000008:administration & dosage*; D002149:Energy Intake; D006801:Humans; D009752:Nutritional Status; D010349:Patient Compliance; D010353:Patient Education as Topic; D051436:Renal Insufficiency, Chronic / Q000178:diet therapy*
D004044:Dietary Proteins