Engaging Nutrition and Diet for Primary, Secondary, and Tertiary Prevention of Kidney Disease: The World Kidney Day 2020

Living Kidney Donation, Obesity, and Dietary Change: Investing in Those Who Give the “Gift of Life”

“…65 Similarly, the source of protein (animal versus plant) impacts risk, with plant protein predominance associated with health promotion. 66,67 Kalantar-Zadeh and Moore 68 discuss the nuanced application of nutrition guidance based on the underlying cause of CKD, wisely advising that ''a one-size-fits-all recipe is nonexistent given different severities, stages, and types of kidney disease.'' These authors mention renal nutrition findings relevant for LKDs, namely that patients with a solitary kidney should be advised to avoid both high protein intake (.1 g/kg/day) and a BMI .30 kg/m 2 with the recognition of a need for personalized individualization,…”

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

“…24 Once patients are identified as having CKD, it is important that they are referred to registered dietitians or an international equivalent. 25,26 Medical nutrition therapy provided by a registered dietitian has been shown to slow CKD progression and prevent advancing to kidney failure. 27,28 Despite this, physicians have not regularly referred patients with CKD to registered dietitians.…”

Unleashing the Power of Renal Nutrition in Value-Based Models of Kidney Care Choices: Leveraging Dietitians’ Expertise and Medical Nutrition Therapy to Delay Dialysis Initiation

“…1 Besides adding strong financial incentives to healthcare providers to delay the onset of dialysis, the CMS value-based models also incentivize earlier kidney transplantation and encourage home-based dialysis when renal replacement therapy is indicated, as opposed to little prevention of disease progression and an unplanned start to in-center hemodialysis treatment in traditional ESRD models. 2 Currently, the KCC models consist of four payment options, including one payment option under the Kidney Care First (KCF) and three under the Comprehensive Kidney Care Contracting (CKCC), i.e., Graduated, Professional, and Global CKCC options. 1 As to how to delay dialysis initiation, there has been an exponential emergence of kidney care companies that announce expertise in doing so under value-based models.…”