Evidence map›Paper›PMID 27324914›Full record

ReviewJournal of nephrology2016

A Delphi consensus panel on nutritional therapy in chronic kidney disease.

Vincenzo Bellizzi, Stefano Bianchi, Piergiorgio Bolasco, Giuliano Brunori, Adamasco Cupisti, Giovanni Gambaro, Loreto Gesualdo, Pasquale Polito, Domenico Santoro, Antonio Santoro

Abstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 29 citations in OpenAlex.

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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

10 authors at 9 institutions in 1 country.

Vincenzo BellizziDivision of Nephrology, Dialysis and Transplantation, Salerno Medical School, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Via San Leonardo, 84131, Salerno, Italy. vincenzo.bellizzi@tin.it.
Stefano BianchiUnità Operativa Nefrologia, Ospedale San Donato, Arezzo, Italy.
Piergiorgio BolascoNephrology and Dialysis Unit, ASL 8 Cagliari, Cagliari, Italy.
Giuliano BrunoriNephrology and Dialysis Unit, Santa Chiara Hospital, Trento, Italy.
Adamasco CupistiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Giovanni GambaroDivision of Nephrology and Dialysis, School of Medicine Rome, Columbus-Gemelli Hospital Catholic University, Rome, Italy.
Loreto GesualdoRenal, Dialysis and Transplant Unit, Department of Emergency and Transplantation, University of Bari, Bari, Italy.
Pasquale PolitoUnit of Nephrology and Dialysis, S. Giovanni Evangelista Hospital, Tivoli, Italy.
Domenico SantoroDepartment of Clinical and Experimental Medicine, AOU G Martino University of Messina, Messina, Italy.
Antonio SantoroNephrology, Dialysis, Hypertension Unit, Teaching Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy.
Agostino Gemelli University Polyclinic · ITOspedale San Donato · ITOspedale Santa Chiara · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Bari Aldo Moro · ITUniversity of Cagliari · ITUniversity of Messina · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The conservative management of chronic kidney disease (CKD) includes nutritional therapy (NT) with the aim to reduce the intake of proteins, phosphorus, organic acids, sodium, and potassium, while ensuring adequate caloric intake. While there is evidence that NT may help to prevent and control metabolic alterations in CKD, the criteria for implementing a low-protein regimen in CKD are still debated. There is no final consensus on the composition of the diet, nor indications for specific patient settings or different stages of CKD. Also when and how to start dietary manipulation of different nutrients in CKD is not well defined. A group of Italian nephrologists participated, under the auspices of the Italian Society of Nephrology, in a Delphi exercise to explore the consensus on some open questions regarding the nutritional treatment in CKD in Italy, generating a consensus opinion for 23 statements on: (1) general principles of NT; (2) indications for and initiation of NT; (3) role of protein-free products; (4) NT safety; (5) integrated management of NT. This Delphi exercise shows that there is broad consensus regarding NT in CKD across a wide range of management areas. These clinician-led consensus statements provide a framework for appropriate guidance on NT in patients with CKD, and are intended as a guide in decision-making whenever possible.

Indexed as

Delphi TechniqueDiet, Protein-RestrictedNutritional StatusClinical Decision-MakingDietary ProteinsHumansNutrition AssessmentPatient SelectionPredictive Value of TestsRecommended Dietary AllowancesRenal Insufficiency, ChronicRisk FactorsTreatment OutcomeDietary ProteinsChronic kidney diseaseDelphi consensusLow-protein dietNutritional therapyPhosphateSalt

Identifiers

PMID27324914
OpenAlexW2436569184

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.