Abstract
This nutrition consensus document is the first to coordinate the efforts of three professional organizations - the Brazilian Association of Nutrition (Asbran), the Brazilian Society of Nephrology (SBN), and the Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE) - to select terminology and international standardized tools used in nutrition care. Its purpose is to improve the training delivered to nutritionists working with adult patients with chronic kidney disease (CKD). Eleven questions were developed concerning patient screening, care, and nutrition outcome management. The recommendations set out in this document were developed based on international guidelines and papers published in electronic databases such as PubMed, EMBASE(tm), CINHAL, Web of Science, and Cochrane. From a list of internationally standardized terms, twenty nutritionists selected the ones they deemed relevant in clinical practice involving outpatients with CKD. The content validity index (CVI) was calculated with 80% agreement in the answers. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework was used to assess the strength of evidence and recommendations. A total of 107 terms related to Nutrition Assessment and Reassessment, 28 to Diagnosis, nine to Intervention, and 94 to Monitoring and Evaluation were selected. The list of selected terms and identified tools will be used in the development of training programs and the implementation of standardized nutrition terminology for nutritionists working with patients with chronic kidney disease in Brazil.
Highlights
Nutritional status plays a fundamental role in the health and clinical outcomes of individuals with chronic kidney disease (CKD)
Specialist nutritionists were emailed the list of terms of the Nutrition Care Process Terminology (NCPT) and were asked to individually select terms they deemed very relevant in CKD outpatient clinical practice
Standardizing terminology does not mean that the same care measures will be provided to every patient
Summary
Nutritional status plays a fundamental role in the health and clinical outcomes of individuals with chronic kidney disease (CKD). The standardization of nutrition terms and tools, considering the use of electronic charts and records, optimizes the sharing of data and the communication between institutions, improves data quality and intervention outcomes, increases patient safety by allowing seamless care, decreases rework, and saves time and money. Nutrition terminology has not been standardized in Brazil and electronic patient charts have not been developed to allow the entry of structured data (without free text) These relevant processes are challenging, and require good planning and strong solutions. The purpose of this consensus document was to identify selected terms in nutrition from international nomenclature to improve the training of nutritionists working with patients with kidney disease in Brazil. The 2019 edition of the Nutrition Care Process Terminology (NCPT) translated into Portuguese after validation by two reviewers, both nutritionists who have Portuguese as their mother tongue, in line with the criteria set out by the Academy of Nutrition and Dietetics (Academy), was used as a reference
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