ハナフサ　ノリオ   Hanafusa Norio   花房　規男    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
論文種別	総説
言語種別	英語
査読の有無	査読あり
表題	Current Uses of Dietary Therapy for Patients with Far-Advanced CKD.
掲載誌名	正式名：Clinical journal of the American Society of Nephrology : CJASN 略　 称：Clin J Am Soc Nephrol ISSNコード：(1555-905X)1555-9041(Linking)
掲載区分	国外
巻・号・頁	12(7),pp.1190-1195
著者・共著者	Hanafusa Norio, Lodebo Bereket Tessema, Kopple Joel D
発行年月	2017/07
概要	For several decades, inquiry concerning dietary therapy for nondialyzed patients with CKD has focused mainly on its capability to retard progression of CKD. However, several studies published in recent years indicate that, independent of whether diet can delay progression of CKD, well designed low-protein diets may provide a number of benefits for people with advanced CKD who are close to requiring or actually in need of RRT. Dietary therapy may both maintain good nutritional status and safely delay the need for chronic dialysis in such patients, offering the possibility of improving quality of life and reducing health care costs. With the growing interest in incremental dialysis, dietary therapy may enable lower doses of dialysis to be safely and effectively used, even as GFR continues to decrease. Such combinations of dietary and incremental dialysis therapy might slow the rate of loss of residual GFR, possibly reduce mortality in patients with advanced CKD, improve quality of life, and also, reduce health care costs. The amount of evidence that supports these possibilities is limited, and more well designed, randomized clinical trials are clearly indicated.
DOI	10.2215/CJN.09340916
PMID	28228464