Unsatisfactory knowledge and use of terminology regarding malnutrition, starvation, cachexia and sarcopenia among dietitians

Beek, Lies ter; Vanhauwaert, Erika; Slinde, Frode; Orrevall, Ylva; Henriksen, Christine; Johansson, Madelene; Vereecken, Carine; Rothenberg, Elisabet; Jager‐Wittenaar, Harriët

doi:10.1016/j.clnu.2016.03.023

Cited by 37 publications

(28 citation statements)

References 18 publications

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“…If we set aside the differences in the cutoff points for muscle loss by the different criteria used by previous studies, our results would suggest that patients with kidney failure have greater muscle loss than do healthy patients and that this is much greater for males. A previous study reporting predominantly on patients with chronic kidney disease rather than those established on dialysis noted a varying increased prevalence of muscle wasting, with cutoffs based on a much younger healthier population 10 . However, these patients with chronic kidney disease were more than a decade older than our patients on average.…”

Section: Discussioncontrasting

confidence: 52%

“…Patients treated by dialysis with weight loss have been variously classified according to several categories of weight loss, termed malnutrition , protein energy wasting , cachexia , and age‐related sarcopenia 6 , 8 , 9 . As there is uncertainty on how best to define sarcopenia 10 —in terms of which cutoff to use for deciding whether a patient has significant muscle loss—we used muscle mass measured by DEXA scanning to determine (1) whether there were major differences in the prevalence reporting of muscle wasting in a cohort of stable outpatients receiving peritoneal dialysis among the more commonly used criteria for defining muscle loss by DEXA (Table 1) and (2) whether the amount of peritoneal dialysis has any effect on muscle wasting.…”

Section: Cutoff Values By Sex Advocated For Defining Muscle Loss Thromentioning

confidence: 99%

See 1 more Smart Citation

Differences in Prevalence of Muscle Wasting in Patients Receiving Peritoneal Dialysis per Dual‐Energy X‐Ray Absorptiometry Due to Variation in Guideline Definitions of Sarcopenia

et al. 2017

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We found that the prevalence varied markedly depending on the cutoff criteria used to define muscle wasting. Very few patients had sarcopenic obesity. The higher prevalence for males requires further study but was not associated with dialysis treatment. Our study highlights the need for agreed criteria to define pathologic muscle wasting from that which is age associated to allow for interventional screening programs.

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Section: Discussioncontrasting

confidence: 52%

Section: Cutoff Values By Sex Advocated For Defining Muscle Loss Thromentioning

confidence: 99%

Differences in Prevalence of Muscle Wasting in Patients Receiving Peritoneal Dialysis per Dual‐Energy X‐Ray Absorptiometry Due to Variation in Guideline Definitions of Sarcopenia

et al. 2017

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“…Unfortunately, the problem of malnutrition in hospitalized adult patients persists today in the United States. [7,[13][14][15][16] Adult hospital malnutrition, often overlooked, has been estimated to occur in 20% to 50% of admitted patients. [17] Left untreated, malnutrition leads to increased morbidity, mortality and health care costs, over $15.5 billion nationally.…”

Section: Discussionmentioning

confidence: 99%

Clinical ladders are positively associated with job satisfaction and career advancement for registered dietitians in clinical nutrition management

Lessar

Vanderveldt

Shan

et al. 2019

JHA

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Background: Following a change in reporting structure, Registered Dietitian Nutritionists (RDNs) in a Virginia hospital system provided patients with better care, cost savings, and almost doubled clinical nutrition staff from 2008 to 2013. Objective The study was conducted to determine if the administrative alignment of RDNs in their place of employment 1) allows them to perform to their greatest scope of practice and 2) influences job perceptions.Methods: A survey was developed and distributed nationally to CNMs and their coworkers. Statistical analyses: Using SPSS 24, univariate descriptive statistics and bivariate analyses were conducted. Contingency tables were generated and Pearson Chi-square tests and as appropriate Fishers’ exact tests were used to draw statistical inferences.Results: Respondents (n=508) represented four regions of the US with various job titles. Some reported to vice presidents of support services (34%) and others reported to vice presidents overseeing both clinical and support services (26%). Respondents, regardless of alignment, were either ‘satisfied’ (47%) or ‘very satisfied’ (36%) with their current positions. Most (74%) were in a nutrition department separate from food service. There was no difference in education (p=0.87) or pay (p=0.62) dependent on reporting structure. However, when RDNs reported to a clinical nutrition department, separate from food service, it was more likely that there was a clinical ladder for RDNs and there were more levels on the clinical ladder.Conclusion: This survey suggests alignment of a clinical nutrition department is associated with a higher likelihood that RDNs will have a clinical ladder to promote career advancement.

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“…; Ter Beek et al . ), however, no studies have investigated the awareness and understanding of cachexia amongst renal HCPs. It is important to identify such gaps in knowledge to help inform and improve current clinical practice within renal health care.…”

Section: Introductionmentioning

confidence: 99%

Awareness, Understanding and Treatment Practices when Managing Cachexia in End‐Stage Kidney Disease

McKeaveney

Noble

Barbieri

et al. 2019

Journal of Renal Care

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SUMMARY Background Cachexia is a wasting syndrome found within a range of chronic illnesses/life‐limiting conditions, however awareness and understanding of cachexia amongst renal Health Care Professionals has not been investigated. Objectives To ascertain the awareness, understanding and treatment practices of Health Care Professionals who provide care for people with cachexia and end‐stage renal disease. Methods Health Care Professionals were recruited via the European Dialysis and Transplant Nurses Association/European Renal Care Association in September 2018. This was an exploratory study using a mixed‐methods approach with those who provide care for patients with end‐stage renal disease and cachexia. An online survey and two focus groups were conducted. Descriptive statistics and inductive thematic analysis were used to explore current knowledge and practices in renal cachexia. Results A total of 93 participants from 30 countries completed the online survey. Twelve Health Care Professionals agreed to participate in the focus groups. Reduced appetite, weight loss and muscle loss in relation to cachexia were accurately described, but the percentage of weight loss was unknown. The importance of multi‐professional collaboration was recognised, however, the current management of cachexia was wide‐ranging. Quality of life, patient‐clinician communication and specialist support for carers were regarded as vital. Conclusion Timely identification and management of cachexia are needed to improve the quality of life for patients and appropriately support families. In order for these goals to be achieved, there is a need to increase awareness and understanding of cachexia amongst renal nurses.

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Unsatisfactory knowledge and use of terminology regarding malnutrition, starvation, cachexia and sarcopenia among dietitians

Cited by 37 publications

References 18 publications

Differences in Prevalence of Muscle Wasting in Patients Receiving Peritoneal Dialysis per Dual‐Energy X‐Ray Absorptiometry Due to Variation in Guideline Definitions of Sarcopenia

Differences in Prevalence of Muscle Wasting in Patients Receiving Peritoneal Dialysis per Dual‐Energy X‐Ray Absorptiometry Due to Variation in Guideline Definitions of Sarcopenia

Clinical ladders are positively associated with job satisfaction and career advancement for registered dietitians in clinical nutrition management

Awareness, Understanding and Treatment Practices when Managing Cachexia in End‐Stage Kidney Disease

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