Quality evaluation and content analysis of guidelines on nutritional therapy for non-dialysis patients with chronic kidney disease
SHA Pengjie
YU Cuiying
ZHAO Qianying
YANG Lihong
WANG Rongrong
Abstract：Objective:To collect and to evaluate guidelines on nutritional therapy for non-dialysis patients with chronic kidney disease,and to summarize the recommendations.Methods:Guidelines on nutritional therapy for non-dialysis patients with chronic kidney disease were retrieved from Chinese and international databases and websites.The retrieval time spanned from January 1,2010 to March 24,2024.The Appraisal of Guidelines for Research&Evaluation Ⅱ was used to assess the included guidelines.The content analysis was applied to extract and to summarize the recommendations.Results:A total of 14 guidelines were included,of which 12 were rated as grade A,1 as grade B,and 1 as grade C.The recommendations primarily focused on six aspects,namely protein,calories,sodium,potassium,phosphorus,and calcium,with a total of 39 summarized recommendations.Overall,the recommendations across different guidelines were similar,though some variations existed in specific areas.Conclusions:There was a lack of high-quality evidence in current guidelines on nutritional therapy for non-dialysis patients with chronic kidney disease.It was recommended to conduct more high-quality original research on nutritional therapy for patients with chronic kidney disease and to develop evidence-based guidelines of higher quality.
Keywords：chronic diseasekidney diseasenon-dialysis patientsnutrientsguidelinesevidence-based nursing
Publication Date：2025-09-25
Online Publishing Date：2025-09-30(First online date of this platform, not the publication date of the document)
Pages：8( 3033-3040 )