Kalantar-Zadeh, Kamyar and Bellizzi, Vincenzo and Piccoli, Giorgina B. and Shi, Yunying and Lim, Soo Kun and Riaz, Sumira and Arronte, Rocio Urbina and Lau, Wai Pooi and Fouque, Denis (2023) Caring for patients with advanced chronic kidney disease: Dietary options and conservative care instead of maintenance dialysis. Journal of Renal Nutrition, 33 (4). pp. 508-519. ISSN 1051-2276, DOI https://doi.org/10.1053/j.jrn.2023.02.002.
Full text not available from this repository.Abstract
An expert advisory board discussed the prevention and treatment of chronic kidney disease (CKD), with a focus on dietary options. This is timely, given the uptake of value based models for kidney care in the United States. Timing of dialysis start is influenced by patients' clinical status and complex patient-clinician interactions. Patients value personal freedom and quality of life and may want to delay dial-ysis, whilst physicians are sometimes more concerned with clinical outcomes. Kidney-preserving therapy can prolong the dialysis-free period and preserve residual kidney function, thus patients are asked to adjust their lifestyle and diet, to follow a low-or very low-protein diet, with or without ketoacid analogues. Multi-modal approaches include pharmacotherapies, management of symptoms, and a gradual, individualized dialysis transition. Patient empowerment is vital, including CKD education and involvement in decision making. These ideas may help patients, their families, and clinical teams to improve the management of CKD.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Chronic kidney disease; Nutrition; Low-protein diet; Ketoacid analogue supplements; Dialysis; Value-based models |
| Subjects: | R Medicine R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 11 Oct 2025 04:53 |
| Last Modified: | 11 Oct 2025 04:53 |
| URI: | http://eprints.um.edu.my/id/eprint/48231 |
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