• Harris D, Thomas M, Johnson D, Nicholls K, Gillin A. Prevention of progression of kidney disease. Westmead NSW (Australia): CARI - Caring for Australasians with Renal Impairment; 2006 Apr. 16 p. [46 references]

This is the current release of the guideline.

Definitions for the levels of evidence (I–IV) can be found at the end of the "Major Recommendations" field.

1. A protein-controlled diet consisting of 0.75 to 1.0 g/kg/day, is recommended for adults with chronic renal disease (CKD). The administration of a low protein diet (<0.6 g/kg/day) to slow renal failure progression is not justified when the reported clinically modest benefit on glomerular filtration rate (GFR) decline is weighed against the concomitant significant declines in clinical and biochemical parameters of nutrition. (Level I evidence)
2. For children, reduction of dietary protein intake to the lowest safe amounts recommended by the World Health Organisation (0.8 to 1.1 g/kg/day depending on age) has not been shown in a small randomised controlled trial (RCT) to decrease the progression of CKD and is therefore not currently recommended. (Level II evidence)

Definitions:

Levels of Evidence

Level I: Evidence obtained from a systematic review of all relevant randomized controlled trials (RCTs)

Level II: Evidence obtained from at least one properly designed RCT

Level III: Evidence obtained from well-designed pseudo-randomized controlled trials (alternate allocation or some other method); comparative studies with concurrent controls and allocation not randomized, cohort studies, case-control studies, interrupted time series with a control group; comparative studies with historical control, two or more single arm studies, interrupted time series without a parallel control group

Level IV: Evidence obtained from case series, either post-test or pretest/post-test

None provided

The type of supporting evidence is identified and graded for each recommendation (see "Major Recommendations").

• Harris D, Thomas M, Johnson D, Nicholls K, Gillin A. Prevention of progression of kidney disease. Westmead NSW (Australia): CARI - Caring for Australasians with Renal Impairment; 2006 Apr. 16 p. [46 references]

Not applicable: The guideline was not adapted from another source.

2006 Apr

Caring for Australasians with Renal Impairment - Disease Specific Society

Not stated

Not stated

David Harris, Convenor (Westmead, New South Wales); Merlin Thomas (Prahran, Victoria); David Johnson (Woolloongabba, Queensland); Kathy Nicholls (Parkville, Victoria); Adrian Gillin (Camperdown, New South Wales)

All guideline writers are required to fill out a declaration of conflict of interest.

This is the current release of the guideline.

None available

This NGC summary was completed by ECRI Institute on July 27, 2007.

This NGC summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions.