Evidence map›Paper›PMID 27473183›Full record

ArticleBMC nephrology2016

"Dietaly": practical issues for the nutritional management of CKD patients in Italy.

Claudia D'Alessandro, Giorgina Barbara Piccoli, Patrizia Calella, Giuliano Brunori, Franca Pasticci, Maria Francesca Egidi, Irene Capizzi, Vincenzo Bellizzi, Adamasco Cupisti

Open access · goldAbstract readLetter
In one paragraph

Article in BMC nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 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.

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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Processed Plant-Based Foods for CKD Patients: Good Choice, but Be Aware.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Review
  19. Review
  20. Article
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

9 authors at 7 institutions in 2 countries.

Claudia D'AlessandroDepartment of Clinical and Experimental Medicine, University of Pisa, via Roma 67, 56126, Pisa, Italy.
Giorgina Barbara PiccoliDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Patrizia CalellaDepartment of Movement and Wellness Sciences, University of Naples Parthenope, Naples, Italy.
Giuliano BrunoriNephrology and Dialysis Unit, Trento Hospital, Trento, Italy.
Franca PasticciNephrology and Dialysis Unit, USL Umbria 1, Perugia, Italy.
Maria Francesca EgidiDepartment of Clinical and Experimental Medicine, University of Pisa, via Roma 67, 56126, Pisa, Italy.
Irene CapizziDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Vincenzo BellizziDivision of Nephrology Dialysis & Transplantation, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Adamasco CupistiDepartment of Clinical and Experimental Medicine, University of Pisa, via Roma 67, 56126, Pisa, Italy. adamasco.cupisti@med.unipi.it.
University of Pisa · ITCentre Hospitalier du Mans · FROspedale di Spoleto · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITParthenope University of Naples · ITProvincia Autonoma di Trento · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence exists that nutritional therapy induces favorable metabolic changes, prevents signs and symptoms of renal insufficiency, and is able to delay the need of dialysis. Currently, the main concern of the renal diets has turned from the efficacy to the feasibility in the daily clinical practice.Herewith we describe some different dietary approaches, developed in Italy in the last decades and applied in the actual clinical practice for the nutritional management of CKD patients.A step-wise approach or simplified dietary regimens are usually prescribed while taking into account not only the residual renal function and progression rate but also socio-economic, psychological and functional aspects.The application of the principles of the Mediterranean diet that covers the recommended daily allowances for nutrients and protein (0.8 g/Kg/day) exert a favorable effect at least in the early stages of CKD. Low protein (0.6 g/kg/day) regimens that include vegan diet and very low-protein (0.3-0.4 g/Kg/day) diet supplemented with essential amino acids and ketoacids, represent more opportunities that should be tailored on the single patient's needs.Rather than a structured dietary plan, a list of basic recommendations to improve compliance with a low-sodium diet in CKD may allow patients to reach the desired salt target in the daily eating.Another approach consists of low protein diets as part of an integrated menu, in which patients can choose the "diet" that best suits their preferences and clinical needs.Lastly, in order to allow efficacy and safety, the importance of monitoring and follow up of a proper nutritional treatment in CKD patients is emphasized.

Indexed as

Diet, Protein-RestrictedDiet, Sodium-RestrictedMealsAmino Acids, EssentialDietary SupplementsDiet, VeganHumansItalyKeto AcidsNutrition AssessmentRenal Insufficiency, ChronicSocioeconomic FactorsAmino Acids, EssentialKeto AcidsCKDDietary phosphorusDietary sodiumDietary treatment renal insufficiencyLow-protein dietNutritionSimplified diet

Identifiers

PMID27473183
PMCPMC4966713
OpenAlexW2492525689

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.