HANAFUSA Norio
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Review article
Language English
Peer review Peer reviewed
Title Current Uses of Dietary Therapy for Patients with Far-Advanced CKD.
Journal Formal name:Clinical journal of the American Society of Nephrology : CJASN
Abbreviation:Clin J Am Soc Nephrol
ISSN code:(1555-905X)1555-9041(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 12(7),pp.1190-1195
Author and coauthor Hanafusa Norio, Lodebo Bereket Tessema, Kopple Joel D
Publication date 2017/07
Summary 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