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    Item type:Publication,
    Optimizing nutrition in hepatic cirrhosis: A comprehensive assessment and care approach
    (Baishideng Publishing Group, 2024)
    Mendez-Guerrero, Osvely
    ;
    Carranza-Carrasco, Anaisa
    ;
    Chi-Cervera, Luis Alberto
    ;
    Torre, Aldo
    ;
    Navarro-Alvarez, Nalu
    Cirrhosis is considered a growing cause of morbidity and mortality, which represents a significant public health problem. Currently, there is no effective treatment to reverse cirrhosis. Treatment primarily centers on addressing the underlying liver condition, monitoring, and managing portal hypertension-related complications, and evaluating the potential for liver transplantation in cases of decompensated cirrhosis, marked by rapid progression and the emergence of complications like variceal bleeding, hepatic encephalopathy, ascites, malnutrition, and more. Malnutrition, a prevalent complication across all disease stages, is often underdiagnosed in cirrhosis due to the complexities of nutritional assessment in patients with fluid retention and/or obesity, despite its crucial impact on prognosis. Increasing emphasis has been placed on the collaboration of nutritionists within hepatology and Liver transplant teams to deliver comprehensive care, a practice that has shown to improve outcomes. This review covers appropriate screening and assessment methods for evaluating the nutritional status of this population, diagnostic approaches for malnutrition, and context-specific nutrition treatments. It also discusses evidence-based recommendations for supplementation and physical exercise, both essential elements of the standard care provided to cirrhotic patients. © Baishideng Publishing Group
    Scopus© Citations 3  7  1
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    Item type:Publication,
    A survey on the methodological processes and policies of renal guideline groups as a first step to harmonize renal guidelines
    (2014)
    Haller, Maria C.
    ;
    Veer, Sabine N. van der
    ;
    Nagler, Evi V.
    ;
    Tomson, Charlie
    ;
    Lewington, Andrew
    Background: Worldwide, several bodies produce renal guidelines, potentially leading to duplication of effort while other topics may remain uncovered. A collaborative work plan could improve efficiency and impact, but requires a common approved methodology. The aim of this study was to identify organizational and methodological similarities and differences among seven major renal guideline bodies to identify methodological barriers to a collaborative effort. Methods: An electronic 62-item survey with questions based on the Institute of Medicine standards for guidelines was completed by representatives of seven major organizations producing renal guidelines: the Canadian Society of Nephrology (CSN), European Renal Best Practice (ERBP), Kidney Disease Improving Global Outcome (KDIGO), Kidney Health Australia-Caring for Australians with Renal Insufficiency (KHA-CARI), Kidney Disease Outcome Quality Initiative (KDOQI), Sociedad Latino-Americano de Nefrologia e Hipertension (SLANH) and United Kingdom Renal Association (UK-RA). © Nephrology Dialysis Transplantation
    Scopus© Citations 8  9  1