Management of Hyperphosphataemia: Practices and Perspectives Amongst the Renal Care Community

Abstract

This renal care community followed professionally accepted guidelines for patient nutrition and management of hyperphosphataemia. There was disparity in the perceptions and recommendations between nurses and dietitians, highlighting the need to standardise management practices amongst renal care professionals.

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“…Protein-rich foods are a major source of dietary phosphorus. Excess DPI results in hyperphosphatemia related to adverse clinical outcomes, and its reduction may lead to malnutrition and inflammation, which result in increased morbidity and mortality in patients on maintenance dialysis [6,7]. Consequently, foods with low phosphorus-to-protein ratios may balance the intake of protein and phosphate.…”

A 3-day diary of dietary protein and calorie intake by serum phosphate concentration and binder use in hemodialysis patients

“…Despite methodological limitations, the result of the present study deserves attention from those taking care of MHD patients, particularly dieticians, nephrologists and nurses. As indicated in a survey of renal care professionals from 4 European countries (Netherlands, Spain, Sweden and United Kingdom) there is no agreement in clinical recommendations and practice perceptions among those providing nutrition and phosphate control advice to patients with chronic kidney disease (17). Thus, a team effort is fundamental to ensure effective control of hyperphosphatemia while maintaining adequate nutritional intake in MHD patients.…”