Evidence map›Paper›PMID 32737016›Full record

GuidelineJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2021

The International Society of Renal Nutrition and Metabolism Commentary on the National Kidney Foundation and Academy of Nutrition and Dietetics KDOQI Clinical Practice Guideline for Nutrition in Chronic Kidney Disease.

Brandon M Kistler, Linda W Moore, Debbie Benner, Annabel Biruete, Mona Boaz, Giuliano Brunori, Jing Chen, Christiane Drechsler, Fitsum Guebre-Egziabher, Mary Kay Hensley and 10 more

Registry-linked trialOpen access · bronzeAbstract readReviewPractice Guideline
In one paragraph

Guideline in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05514184 (Plant-Focused Nutrition in Patients With Diabetes and Chronic Kidney Disease), which is not on this map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
7.3field-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.

NCT05514184 naenrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Plant-Focused Nutrition in Patients With Diabetes and Chronic Kidney Disease (PLAFOND Study): A Pilot/Feasibility Study

TypeinterventionalSponsorUniversity of California, IrvineRan2023 to 2026Enrolled120ConditionsChronic Kidney Disease (CKD) With Diabetes Mellitus (DM), CKD Stage 3, CKD Stage 4, CKD Stage 5ArmsPLAFOND diet
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.Journal of the American Society of Nephrology : JASN · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. The Role of Precision Nutrition in Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  10. ASN Kidney Health Guidance on Potassium and Phosphorus Food Additives.Journal of the American Society of Nephrology : JASN · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Homemade formulas for nutrition support in chronic kidney disease: A narrative review of the opportunity for education, research, and innovation.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  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

20 authors at 17 institutions in 9 countries.

Brandon M KistlerDepartment of Nutrition and Health Science, Ball State University, Muncie, Indiana.
Linda W MooreDepartment of Surgery, Houston Methodist Hospital, Houston, Texas.
Debbie BennerDaVita Inc, Denver, Colorado.
Annabel BirueteDivision of Nephrology, Indiana University School of Medicine, Indianapolis, Indiana.
Mona BoazDepartment of Nutritional Sciences, Ariel University, Ariel, Israel.
Giuliano BrunoriNephrology and Dialysis Unite, Hospital of Trento, Trento, Italy.
Jing ChenDivision of Nephrology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, P.R. China.
Christiane DrechslerRenal Division, University of Wurzburg, Wurzburg, Germany.
Fitsum Guebre-EgziabherDépartement de Néphrologie, Hôspital Edouard-Herriot, Lyon, France.
Mary Kay HensleyDaVita Inc. (Retired), Gary, Indiana.
Kunitoshi IsekiOkinawa Heart and Renal Association, Okinawa, Japan.
Csaba P KovesdyDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee.
Martin K KuhlmannDepartment of Nephrology, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
Anita SaxenaDepartment of Nephrology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Pieter Ter WeeDepartment of Nephrology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
Amanda Brown-TortoriciHarold Simmons Center for Kidney Disease Research and Epidemiology, University of California Irvine, Orange, California.
Giacomo GaribottoDivision of Nephrology, Dialysis, and Transplantation, Department of Internal Medicine, University of Genoa and IRCCS AOU San Marino-IST, Genoa, Italy.
S Russ PriceDepartments of Internal Medicine and Biochemistry & Molecular Biology, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
Angela Yee-Moon WangDepartment of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Kamyar Kalantar-ZadehHarold Simmons Center for Kidney Disease Research and Epidemiology, University of California Irvine, Orange, California. Electronic address: kkz@uci.edu.
DaVita Clinical Research (United States) · USUniversity of California, Irvine Medical Center · USAmsterdam UMC Location Vrije Universiteit Amsterdam · NLAriel University · ILBall State University · USEast Carolina University · USFudan University · CNHôpital Edouard Herriot · FRIndiana University School of MedicineIstituti di Ricovero e Cura a Carattere Scientifico · ITKlinikum im Friedrichshain · DEMethodist Hospital · USProvincia Autonoma di Trento · ITQueen Mary Hospital · CNSanjay Gandhi Post Graduate Institute of Medical Sciences · INUniversity of Tennessee Health Science Center · USUniversity of Würzburg · DE

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Resource CoreP30AR072581 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Sharon M Moe · 2017 to 2026
$8.3M
Comprehensive Training Program in Musculoskeletal ResearchT32AR065971 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI ALEXANDER G ROBLING · 2015 to 2026
$4.4M
Indiana University Kidney Training Program (IU-KTP)T32DK120524 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M · 2019 to 2023
$1.3M
NCATS NIH HHS UL1 TR002529NIAMS NIH HHS P30 AR072581NIAMS NIH HHS T32 AR065971NIDDK NIH HHS T32 DK120524
6 · The paper itself

Abstract

The Academy of Nutrition and Dietetics and the National Kidney Foundation collaborated to provide an update to the Clinical Practice Guidelines (CPG) for nutrition in chronic kidney disease (CKD). These guidelines provide a valuable update to many aspects of the nutrition care process. They include changes in the recommendations for nutrition screening and assessment, macronutrients, and targets for electrolytes and minerals. The International Society of Renal Nutrition and Metabolism assembled a special review panel of experts and evaluated these recommendations prior to public review. As one of the highlights of the CPG, the recommended dietary protein intake range for patients with diabetic kidney disease is 0.6-0.8 g/kg/day, whereas for CKD patients without diabetes it is 0.55-0.6 g/kg/day. The International Society of Renal Nutrition and Metabolism endorses the CPG with the suggestion that clinicians may consider a more streamlined target of 0.6-0.8 g/kg/day, regardless of CKD etiology, while striving to achieve intakes closer to 0.6 g/kg/day. For implementation of these guidelines, it will be important that all stakeholders work to detect kidney disease early to ensure effective primary and secondary prevention. Once identified, patients should be referred to registered dietitians or the region-specific equivalent, for individualized medical nutrition therapy to slow the progression of CKD. As we turn our attention to the new CPG, we as the renal nutrition community should come together to strengthen the evidence base by standardizing outcomes, increasing collaboration, and funding well-designed observational studies and randomized controlled trials with nutritional and dietary interventions in patients with CKD.

Indexed as

DieteticsNutritionistsRenal Insufficiency, ChronicDietary ProteinsHumansKidneyDietary Proteins

Identifiers

PMID32737016
PMCPMC8045140
OpenAlexW3045992023

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.