In 2018, worldwide specialists from the International Society of Nephrology (ISN) Global Kidney Health Atlas Team and International Society of Renal Nutrition and Metabolism (ISRNM) developed a questionnaire for a Global Kidney Nutrition Care Atlas aimed toward evaluating kidney diet care companies throughout international locations.
Researchers on the Queen Mary Hospital, The University of Hong Kong examined 2 points of kidney diet care included within the Atlas: present world availability, capability, and value of kidney diet care companies; and communication between dietitians and nephrologists within the supply of kidney diet care.
For the Atlas, a survey was administered electronically to key kidney care stakeholders (nephrology leaders, policymakers, and shopper group representatives) in 182 ISN-affiliated international locations. Overall, 160 of 182 international locations (88%) responded, of which 155 international locations (97%) answered the survey gadgets associated to kidney diet care.
Survey responses revealed the next:
Only 48% of the 155 international locations have dietitians/kidney dietitians to supply kidney diet care.
Dietary counseling supplied by an individual skilled in diet is mostly not obtainable in 65% of low/lower-middle-income international locations and ‘by no means’ obtainable in 23% of low-income international locations.
Forty-one p.c of the international locations don’t present a proper evaluation of diet standing for kidney diet care.
The availability of oral diet dietary supplements varies globally and is usually not freely obtainable in low/lower-middle-income international locations for each inpatient and outpatient settings.
Dietitians and nephrologists solely talk ‘typically’ on kidney diet care in additional than 60% of nations globally.
“In the long term, the definitive solution to the foregoing problem is to train and provide salary support for adequate numbers of qualified dietitians who have undergone specialized training in kidney nutrition to implement nutrition intervention across the spectrum of kidney disease,” stated Dr. Wang, MD, Ph.D. (Queen Mary Hospital, The University of Hong Kong).
This report can be an necessary advocacy instrument to advertise governmental prioritization and allocation of sources and manpower for this important part in kidney care worldwide, particularly in lower-income international locations.