Evidence map›Paper›PMID 31845057›Full record

GuidelinePediatric nephrology (Berlin, Germany)2020

Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.

Vanessa Shaw, Nonnie Polderman, José Renken-Terhaerdt, Fabio Paglialonga, Michiel Oosterveld, Jetta Tuokkola, Caroline Anderson, An Desloovere, Laurence Greenbaum, Dieter Haffner and 6 more

Abstract readPractice Guideline
In one paragraph

Guideline in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Creatine supplementation and the young kidney.Nature reviews. Nephrology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Association of Dietary Micronutrient Intake and the Metabolome in Children with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Nutrition across the Entire Lifespan in CKD: From Childhood to Senescence.Clinical journal of the American Society of Nephrology : CJASN · 2025
    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

16 authors.

Vanessa ShawUniversity of Plymouth, Plymouth, PL6 8BH, UK. vanessa.shaw@plymouth.ac.uk.ORCID http://orcid.org/0000-0003-3886-6291
Nonnie PoldermanBritish Columbia Children's Hospital, Vancouver, Canada.
José Renken-TerhaerdtWilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Fabio PaglialongaFondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy.
Michiel OosterveldEmma Children's Hospital, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Jetta TuokkolaChildren's Hospital and Clinical Nutrition Unit, Internal Medicine and Rehabilitation, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Caroline AndersonSouthampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
An DesloovereUniversity Hospital Ghent, Ghent, Belgium.
Laurence GreenbaumEmory University and Children's Healthcare of Atlanta, Atlanta, USA.
Dieter HaffnerChildren's Hospital, Hannover Medical School, Hannover, Germany.
Christina NelmsPedsFeeds LLC, University of Nebraska, Lincoln, USA.
Leila QizalbashGreat Northern Children's Hospital, Newcastle Upon Tyne, UK.
Johan Vande WalleUniversity Hospital Ghent, Ghent, Belgium.
Bradley WaradyChildren's Mercy, Kansas City, USA.
Rukshana ShroffGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Lesley ReesGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

Funding

Department of Health CDF-2016-09-038
6 · The paper itself

Abstract

Dietary management in pediatric chronic kidney disease (CKD) is an area fraught with uncertainties and wide variations in practice. Even in tertiary pediatric nephrology centers, expert dietetic input is often lacking. The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric renal dietitians and pediatric nephrologists, was established to develop clinical practice recommendations (CPRs) to address these challenges and to serve as a resource for nutritional care. We present CPRs for energy and protein requirements for children with CKD stages 2-5 and those on dialysis (CKD2-5D). We address energy requirements in the context of poor growth, obesity, and different levels of physical activity, together with the additional protein needs to compensate for dialysate losses. We describe how to achieve the dietary prescription for energy and protein using breastmilk, formulas, food, and dietary supplements, which can be incorporated into everyday practice. Statements with a low grade of evidence, or based on opinion, must be considered and adapted for the individual patient by the treating physician and dietitian according to their clinical judgment. Research recommendations have been suggested. The CPRs will be regularly audited and updated by the PRNT.

Indexed as

Nutritional RequirementsChildChild DevelopmentChild Nutritional Physiological PhenomenaDietary ProteinsDietary SupplementsEnergy MetabolismHumansKidney Failure, ChronicNephrologyNutritional SupportPediatricsRenal DialysisDietary ProteinsChronic kidney diseaseClinical practice recommendationsEnergyPediatric Renal Nutrition TaskforceProtein

Identifiers

PMID31845057
PMCPMC6968982

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.