KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update.
KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update.
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DOI：
10.1053/j.ajkd.2020.05.006
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发表时间：
2020-09-01
期刊：
影响因子：
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通讯作者：
Cuppari, Lilian
中科院分区：
文献类型：
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作者：
Ikizler, T Alp;Burrowes, Jerrilynn D;Cuppari, Lilian
国家肾脏基金会的肾脏疾病结果质量倡议 (KDOQI) 自 1999 年以来一直为肾脏疾病营养提供循证指南。自第一份 KDOQI 营养指南发布以来，积累了大量关于肾脏疾病营养方面管理和指南流程复杂性的新证据。 2020 年更新的 KDOQI CKD 营养临床实践指南是与营养与饮食学院 (Academy) 共同努力制定的。它为执业临床医生和专职医疗工作者提供了有关慢性肾脏病 (CKD) 患者的理解和护理的全面最新信息，特别是他们的代谢和营养环境。该指南的范围扩大到不仅包括终末期肾病或晚期 CKD 患者，还包括未接受透析的 1-5 期 CKD 患者以及接受功能性肾移植的患者。更新后的指南声明重点关注6个主要领域：营养评估、医学营养治疗（MNT）、膳食蛋白质和能量摄入、营养补充、微量营养素和电解质。该指南主要涵盖饮食管理，而不是所有可能的营养干预措施。使用建议、评估、制定和评估（GRADE）标准分级对证据数据和指南陈述进行评估。在适用的情况下，每项指南声明均附有基本原理/背景信息、详细理由、监测和评估指南、实施注意事项、特别讨论以及对未来研究的建议。
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.