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Article ; Online: Comparing survival between home hemodialysis and peritoneal dialysis-is the controversy over?

Yee-Moon Wang, Angela

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

2022 Volume 37, Issue 8, Page(s) 1393–1395

MeSH term(s)	Cohort Studies ; Hemodialysis, Home/mortality ; Humans ; Kidney Failure, Chronic/mortality ; Kidney Failure, Chronic/therapy ; Peritoneal Dialysis/mortality
Language	English
Publishing date	2022-04-06
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	90594-x
ISSN	1460-2385 ; 0931-0509
ISSN (online)	1460-2385
ISSN	0931-0509
DOI	10.1093/ndt/gfac057
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Zs.A 2198: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: How I Treat Elderly Patients with Kidney Failure with Peritoneal Dialysis.

Wu, Henry H L / Yee-Moon Wang, Angela

Clinical journal of the American Society of Nephrology : CJASN

2023

Language	English
Publishing date	2023-10-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2226665-3
ISSN	1555-905X ; 1555-9041
ISSN (online)	1555-905X
ISSN	1555-9041
DOI	10.2215/CJN.0000000000000341
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Zs.A 6584: Show issues

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Article ; Online: Protect the Kidneys and Save the Heart Using the Concept of Food as Medicine.

Cardozo, Ludmila F M F / Borges, Natália A / Ribeiro, Marcia / Yee-Moon Wang, Angela / Mafra, Denise

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

2023 Volume 33, Issue 6S, Page(s) S110–S117

Abstract: Chronic kidney disease is a significant risk factor for cardiovascular disease. In addition to traditional risk factors, such as hypertension, dyslipidemia, diabetes and smoking, patients with chronic kidney disease have a uremic phenotype marked by ... ...

Abstract	Chronic kidney disease is a significant risk factor for cardiovascular disease. In addition to traditional risk factors, such as hypertension, dyslipidemia, diabetes and smoking, patients with chronic kidney disease have a uremic phenotype marked by premature aging, mitochondrial dysfunction, persistent low-grade inflammation, gut dysbiosis and oxidative stress. These complications contribute to abnormal vascular and myocardial remodeling processes, resulting in accelerated vascular calcification, cellular and organ senescence and a high risk of cardiovascular disease. Nonpharmacological strategies, such as increasing physical activity and a healthy diet, may slow the progression of kidney disease and consequently protect the heart. Thus, a deep promotion and advocacy of nutritional guidance based on scientific data is needed. This narrative review discusses how nutritional interventions may delay progressive organ damage in the kidney-heart axis.
MeSH term(s)	Humans ; Cardiovascular Diseases/complications ; Kidney ; Renal Insufficiency, Chronic/complications ; Risk Factors ; Hypertension
Language	English
Publishing date	2023-08-25
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1080003-7
ISSN	1532-8503 ; 1051-2276
ISSN (online)	1532-8503
ISSN	1051-2276
DOI	10.1053/j.jrn.2023.08.002
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Zs.A 3273: Show issues

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Article ; Online: Nutrition and Metabolism for Kidney Health and Disease Management: 45 years of Development and Future Directions Under the International Society of Renal Nutrition and Metabolism.

Yee-Moon Wang, Angela / Kistler, Brandon M / Lambert, Kelly / Sumida, Keiichi / Moore, Linda W / Kalantar-Zadeh, Kamyar

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

2023 Volume 33, Issue 6S, Page(s) S1–S5

MeSH term(s)	Humans ; Kidney ; Nutritional Status ; Renal Insufficiency, Chronic/therapy
Language	English
Publishing date	2023-09-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1080003-7
ISSN	1532-8503 ; 1051-2276
ISSN (online)	1532-8503
ISSN	1051-2276
DOI	10.1053/j.jrn.2023.08.012
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Article ; Online: New Insights Into Dietary Approaches to Potassium Management in Chronic Kidney Disease.

Sumida, Keiichi / Biruete, Annabel / Kistler, Brandon M / Khor, Ban-Hock / Ebrahim, Zarina / Giannini, Rossella / Sussman-Dabach, Elizabeth J / Avesani, Carla Maria / Chan, Maria / Lambert, Kelly / Yee-Moon Wang, Angela / Clegg, Deborah J / Burrowes, Jerrilynn D / Palmer, Biff F / Carrero, Juan-Jesus / Kovesdy, Csaba P

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

2023 Volume 33, Issue 6S, Page(s) S6–S12

Abstract: Potassium disorders are one of the most common electrolyte abnormalities in patients with chronic kidney disease (CKD), contributing to poor clinical outcomes. Maintaining serum potassium levels within the physiologically normal range is critically ... ...

Abstract	Potassium disorders are one of the most common electrolyte abnormalities in patients with chronic kidney disease (CKD), contributing to poor clinical outcomes. Maintaining serum potassium levels within the physiologically normal range is critically important in these patients. Dietary potassium restriction has long been considered a core strategy for the management of chronic hyperkalemia in patients with CKD. However, this has been challenged by recent evidence suggesting a paradigm shift toward fostering more liberalized, plant-based dietary patterns. The advent of novel potassium binders and an improved understanding of gastrointestinal processes involved in potassium homeostasis (e.g., gastrointestinal potassium wasting) may facilitate a paradigm shift and incorporation of heart-healthy potassium-enriched food sources. Nevertheless, uncertainty regarding the risk-benefit of plant-based diets in the context of potassium management in CKD remains, requiring well-designed clinical trials to determine the efficacy of dietary potassium manipulation toward improvement of clinical outcomes in patients with CKD.
MeSH term(s)	Humans ; Potassium ; Potassium, Dietary/adverse effects ; Renal Insufficiency, Chronic/complications ; Diet ; Hyperkalemia
Chemical Substances	Potassium (RWP5GA015D) ; Potassium, Dietary
Language	English
Publishing date	2023-08-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1080003-7
ISSN	1532-8503 ; 1051-2276
ISSN (online)	1532-8503
ISSN	1051-2276
DOI	10.1053/j.jrn.2022.12.003
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Article ; Online: Planetary Health, Nutrition, and Chronic Kidney Disease: Connecting the Dots for a Sustainable Future.

Avesani, Carla Maria / Cardozo, Ludmila F M F / Yee-Moon Wang, Angela / Shiels, Paul G / Lambert, Kelly / Lindholm, Bengt / Stenvinkel, Peter / Mafra, Denise

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

2022 Volume 33, Issue 6S, Page(s) S40–S48

Abstract: The increasing consumption of ultra-processed food (UPF) and the global chain of food production have a negative impact on human health and planetary health. These foods have been replacing the consumption of nonprocessed healthy foods. This shift has ... ...

Abstract	The increasing consumption of ultra-processed food (UPF) and the global chain of food production have a negative impact on human health and planetary health. These foods have been replacing the consumption of nonprocessed healthy foods. This shift has not only worsened human health by increasing the risk of the development of noncommunicable diseases, but also resulted in environmental perturbations. This review aims to bring awareness of the problems caused by the industrialized food production chain, addressing the negative effects it has on the environment and human health, with special reference to chronic kidney disease (CKD). We discuss possible solutions focusing on the benefits of adopting plant-based diets with low UPF content to promote a sustainable and healthy food production and diet for patients with CKD. For a sustainable future we need to "connect the dots" of planetary health, food production, and nutrition in the context of CKD.
MeSH term(s)	Humans ; Diet ; Nutritional Status ; Renal Insufficiency, Chronic ; Food Handling
Language	English
Publishing date	2022-09-29
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1080003-7
ISSN	1532-8503 ; 1051-2276
ISSN (online)	1532-8503
ISSN	1051-2276
DOI	10.1053/j.jrn.2022.09.003
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Zs.A 3273: Show issues

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Article ; Online: An International Survey of Peritoneal Dialysis Exercise Practices and Perceptions.

Bennett, Paul N / Bohm, Clara / Yee-Moon Wang, Angela / Kanjanabuch, Talerngsak / Figueiredo, Ana Elizabeth / Harasemiw, Oksana / Brown, Leanne / Gabrys, Iwona / Jegatheesan, Dev / Lambert, Kelly / Lightfoot, Courtney J / MacRae, Jennifer / Scholes-Robertson, Nicole / Stewart, Krista / Tarca, Brett / Verdin, Nancy / Warren, Madeleine / West, Mike / Zimmerman, Deborah /

Finderup, Jeannette / Ford, Emilie / Ribeiro, Heitor S / Xu, Qunyan / Thompson, Stephanie

Kidney international reports

2023 Volume 8, Issue 7, Page(s) 1389–1398

Abstract: Introduction: Low activity levels and poor physical function are associated with technique failure and mortality in people receiving peritoneal dialysis (PD). Adequate levels of physical function are required to maintain independence for people choosing ...

Abstract	Introduction: Low activity levels and poor physical function are associated with technique failure and mortality in people receiving peritoneal dialysis (PD). Adequate levels of physical function are required to maintain independence for people choosing this predominantly home-based therapy. The objective of this study was to identify the exercise-related perceptions and practices of PD clinicians globally. Methods: We conducted a cross-sectional survey of PD clinicians from English-, Thai-, Spanish-, and Portuguese-speaking PD-prevalent countries exploring clinicians' perceptions and practices of swimming, activity following PD catheter insertion, lifting, and falls prevention. This study was convened by the International Society of Peritoneal Dialysis and Global Renal Exercise Network between July and December 2021. Results: Of 100 of the highest PD-prevalent countries, 85 responded and were represented in the findings. A total of 1125 PD clinicians (448 nephrologists, 558 nephrology nurses, 59 dietitians, and 56 others) responded from 61% high-income, 32% upper middle-income and 7% lower middle-income countries. The majority ( Conclusion: Clinicians know the importance of physical activity in people receiving PD. Exercise counseling and structured exercise plans could be included in the standard care of people receiving PD to maintain independence.
Language	English
Publishing date	2023-05-03
Publishing country	United States
Document type	Journal Article
ISSN	2468-0249
ISSN (online)	2468-0249
DOI	10.1016/j.ekir.2023.04.024
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Article: Scope and heterogeneity of outcomes reported in randomized trials in patients receiving peritoneal dialysis.

Manera, Karine E / Johnson, David W / Cho, Yeoungjee / Sautenet, Benedicte / Shen, Jenny / Kelly, Ayano / Yee-Moon Wang, Angela / Brown, Edwina A / Brunier, Gillian / Perl, Jeffrey / Dong, Jie / Wilkie, Martin / Mehrotra, Rajnish / Pecoits-Filho, Roberto / Naicker, Saraladevi / Dunning, Tony / Craig, Jonathan C / Tong, Allison

Clinical kidney journal

2020 Volume 14, Issue 7, Page(s) 1817–1825

Abstract: Background: Randomized trials can provide evidence to inform decision-making but this may be limited if the outcomes of importance to patients and clinicians are omitted or reported inconsistently. We aimed to assess the scope and heterogeneity of ... ...

Abstract	Background: Randomized trials can provide evidence to inform decision-making but this may be limited if the outcomes of importance to patients and clinicians are omitted or reported inconsistently. We aimed to assess the scope and heterogeneity of outcomes reported in trials in peritoneal dialysis (PD). Methods: We searched the Cochrane Kidney and Transplant Specialized Register for randomized trials in PD. We extracted all reported outcome domains and measurements and analyzed their frequency and characteristics. Results: From 128 reports of 120 included trials, 80 different outcome domains were reported. Overall, 39 (49%) domains were surrogate, 23 (29%) patient-reported and 18 (22%) clinical. The five most commonly reported domains were PD-related infection [59 (49%) trials], dialysis solute clearance [51 (42%)], kidney function [45 (38%)], protein metabolism [44 (37%)] and inflammatory markers/oxidative stress [42 (35%)]. Quality of life was reported infrequently (4% of trials). Only 14 (12%) trials included a patient-reported outcome as a primary outcome. The median number of outcome measures (defined as a different measurement, aggregation and metric) was 22 (interquartile range 13-37) per trial. PD-related infection was the most frequently reported clinical outcome as well as the most frequently stated primary outcome. A total of 383 different measures for infection were used, with 66 used more than once. Conclusions: Trials in PD include important clinical outcomes such as infection, but these are measured and reported inconsistently. Patient-reported outcomes are infrequently reported and nearly half of the domains were surrogate. Standardized outcomes for PD trials are required to improve efficiency and relevance.
Language	English
Publishing date	2020-12-31
Publishing country	England
Document type	Journal Article
ZDB-ID	2655800-2
ISSN	2048-8513 ; 2048-8505
ISSN (online)	2048-8513
ISSN	2048-8505
DOI	10.1093/ckj/sfaa224
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Zs.A 6587: Show issues

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Article ; Online: KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update.

Ikizler, T Alp / Burrowes, Jerrilynn D / Byham-Gray, Laura D / Campbell, Katrina L / Carrero, Juan-Jesus / Chan, Winnie / Fouque, Denis / Friedman, Allon N / Ghaddar, Sana / Goldstein-Fuchs, D Jordi / Kaysen, George A / Kopple, Joel D / Teta, Daniel / Yee-Moon Wang, Angela / Cuppari, Lilian

American journal of kidney diseases : the official journal of the National Kidney Foundation

2020 Volume 76, Issue 3 Suppl 1, Page(s) S1–S107

Abstract: The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for nutrition in kidney diseases since 1999. Since the publication of the first KDOQI nutrition guideline, there has been a great ... ...

Abstract	The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for nutrition in kidney diseases since 1999. Since the publication of the first KDOQI nutrition guideline, there has been a great accumulation of new evidence regarding the management of nutritional aspects of kidney disease and sophistication in the guidelines process. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD was developed as a joint effort with the Academy of Nutrition and Dietetics (Academy). It provides comprehensive up-to-date information on the understanding and care of patients with chronic kidney disease (CKD), especially in terms of their metabolic and nutritional milieu for the practicing clinician and allied health care workers. The guideline was expanded to include not only patients with end-stage kidney disease or advanced CKD, but also patients with stages 1-5 CKD who are not receiving dialysis and patients with a functional kidney transplant. The updated guideline statements focus on 6 primary areas: nutritional assessment, medical nutrition therapy (MNT), dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines primarily cover dietary management rather than all possible nutritional interventions. The evidence data and guideline statements were evaluated using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. As applicable, each guideline statement is accompanied by rationale/background information, a detailed justification, monitoring and evaluation guidance, implementation considerations, special discussions, and recommendations for future research.
MeSH term(s)	Diet, Protein-Restricted ; Dietary Fats/administration & dosage ; Dietary Proteins/administration & dosage ; Dietary Supplements ; Electrolytes/administration & dosage ; Energy Intake ; Evidence-Based Medicine ; Fatty Acids, Omega-3/administration & dosage ; Humans ; Micronutrients/administration & dosage ; Nutrition Assessment ; Nutrition Therapy/standards ; Nutritional Support/methods ; Renal Insufficiency, Chronic/diet therapy ; Renal Insufficiency, Chronic/therapy ; Vitamins/administration & dosage
Chemical Substances	Dietary Fats ; Dietary Proteins ; Electrolytes ; Fatty Acids, Omega-3 ; Micronutrients ; Vitamins
Language	English
Publishing date	2020-08-16
Publishing country	United States
Document type	Practice Guideline ; Journal Article
ZDB-ID	604539-x
ISSN	1523-6838 ; 0272-6386
ISSN (online)	1523-6838
ISSN	0272-6386
DOI	10.1053/j.ajkd.2020.05.006
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Zs.A 1669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: 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.

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

2020 Volume 31, Issue 2, Page(s) 116–120.e1

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 ... ...

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.
MeSH term(s)	Dietary Proteins ; Dietetics ; Humans ; Kidney ; Nutritionists ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/therapy
Chemical Substances	Dietary Proteins
Language	English
Publishing date	2020-07-29
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	1080003-7
ISSN	1532-8503 ; 1051-2276
ISSN (online)	1532-8503
ISSN	1051-2276
DOI	10.1053/j.jrn.2020.05.002
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