Evidence map›Paper›PMID 21629229›Full record

ReviewNature reviews. Nephrology2011

Diets and enteral supplements for improving outcomes in chronic kidney disease.

Kamyar Kalantar-Zadeh, Noël J Cano, Klemens Budde, Charles Chazot, Csaba P Kovesdy, Robert H Mak, Rajnish Mehrotra, Dominic S Raj, Ashwini R Sehgal, Peter Stenvinkel and 1 more

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Nephrology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 82 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03347773 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Oral Nutritional Supplement Intervention Among Hemodialysis Patients With Sarcopenic Obesity: a Pilot/Feasibility Randomized Controlled Trial

TypeinterventionalSponsorTaipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationRan2017 to 2018Enrolled60ConditionsChronic Kidney Disease Requiring Chronic Dialysis, Sarcopenic Obesity, Body CompositionArmsReGen 18%
NCT06268314 unknown statusnot on this mapstarted 2024, after this paper: background citation

Feeding Pattern and Hypoalbuminemia in Pediatrics With Chronic Kidney Disease.

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled70ConditionsChronic Kidney Diseases
NCT06576479 narecruitingnot on this mapstarted 2018, after this paper: background citation

Validation of the Therapeutic Effect and Safety of a Specialized Oral Supplement on the Nutritional Status and Quality of Life in Patients with Chronic Kidney Disease Without Replacement Therapy: (Grade G3a, G3b, G4 and G5)

TypeinterventionalSponsorNIN InstituteRan2018 to 2025Enrolled50ConditionsChronic Kidney Diseases, Protein-Energy MalnutritionArmsNutritious Shake, Nutritional counseling
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 3 syntheses or guidelines pooled it, 188 citations in OpenAlex.

  1. Pooled it
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  5. Effect of high-protein meals during hemodialysis combined with lanthanum carbonate in hypoalbuminemic dialysis patients: findings from the FrEDI randomized controlled trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017
    Trial
  6. Ketoanalogue-Supplemented Vegetarian Very Low-Protein Diet and CKD Progression.Journal of the American Society of Nephrology : JASN · 2016
    Trial
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 5 countries.

Kamyar Kalantar-ZadehLos Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA. kamkal@ucla.edu
Noël J Cano
Klemens Budde
Charles Chazot
Csaba P Kovesdy
Robert H Mak
Rajnish Mehrotra
Dominic S Raj
Ashwini R Sehgal
Peter Stenvinkel
T Alp Ikizler
Case Western Reserve University · USCharité - Universitätsmedizin Berlin · DEGeorge Washington University · USKarolinska Institutet · SENephroCare · ESUCLA Medical Center · USUniversité Clermont Auvergne · FRUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

Transplant navigator interventuon to overcome barriers to kidney transplantionP60MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI JOHNSON, BRENDA KATHLEEN · 2007 to 2016
$10.5M
Examining Racial and Cardiovascular Paradoxes in Chronic Kidney DiseaseR01DK078106 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KALANTAR-ZADEH, KAMYAR · 2007 to 2011
$1.1M
Nutritional/Inflammatory Evaluation of Dialysis PatientsK23DK061162 · NIDDK · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI KALANTAR-ZADEH, KAMYAR · 2001 to 2005
$797k
Understanding Sources of Bias and Outcomes in Peritoneal Dialysis Patient ResearcR21DK077341 · NIDDK · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI KALANTAR-ZADEH, KAMYAR · 2009 to 2010
$409k
Anti-Inflammatory and Anti-Oxidative Nutrition in Dialysis PatientsR21DK078012 · NIDDK · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI KALANTAR-ZADEH, KAMYAR · 2007 to 2008
$380k
NIDDK NIH HHS K23 DK061162NIDDK NIH HHS R01 DK078106NIDDK NIH HHS R21 DK077341NIDDK NIH HHS R21 DK078012NIMHD NIH HHS P60 MD002265
6 · The paper itself

Abstract

Protein-energy wasting (PEW), which is manifested by low serum levels of albumin or prealbumin, sarcopenia and weight loss, is one of the strongest predictors of mortality in patients with chronic kidney disease (CKD). Although PEW might be engendered by non-nutritional conditions, such as inflammation or other comorbidities, the question of causality does not refute the effectiveness of dietary interventions and nutritional support in improving outcomes in patients with CKD. The literature indicates that PEW can be mitigated or corrected with an appropriate diet and enteral nutritional support that targets dietary protein intake. In-center meals or oral supplements provided during dialysis therapy are feasible and inexpensive interventions that might improve survival and quality of life in patients with CKD. Dietary requirements and enteral nutritional support must also be considered in patients with CKD and diabetes mellitus, in patients undergoing peritoneal dialysis, renal transplant recipients, and in children with CKD. Adjunctive pharmacological therapies, such as appetite stimulants, anabolic hormones, and antioxidative or anti-inflammatory agents, might augment dietary interventions. Intraperitoneal or intradialytic parenteral nutrition should be considered for patients with PEW whenever enteral interventions are not possible or are ineffective. Controlled trials are needed to better assess the effectiveness of in-center meals and oral supplements.

Indexed as

Dietary SupplementsFood, FormulatedChronic DiseaseEnteral NutritionHumansKidney DiseasesTreatment Outcome

Identifiers

PMID21629229
PMCPMC3876473
OpenAlexW2043050859

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.