Low protein diets for chronic kidney disease in non diabetic adults.

Abstract:

BACKGROUND:For more than fifty years, low protein diets have been proposed to patients with kidney failure. However, the effects of these diets in preventing severe renal failure and the need for maintenance dialysis have not been resolved. OBJECTIVES:To determine the efficacy of low protein diets in delaying the need to start maintenance dialysis. SEARCH STRATEGY:Cochrane Renal Group trials register, the Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE. Congress abstracts (American Society of Nephrology since 1990, European Dialysis Transplant Association since 1985, International Society of Nephrology since 1987). Direct contacts with investigators. Date of most recent search: December 2004. SELECTION CRITERIA:Randomised trials comparing two different levels of protein intake in adult patients suffering from moderate to severe renal failure, followed for at least one year. DATA COLLECTION AND ANALYSIS:Two reviewers independently selected studies and extracted data. Statistical analyses were performed using the random effects model and the results expressed as relative risk (RR) for dichotomous outcomes with 95% confidence intervals (CI). Collection of the number of "renal deaths" defined as the need for starting dialysis, the death of a patient or a kidney transplant during the trial. MAIN RESULTS:Eight trials were identified from over 40 studies. A total of 1524 patients were analysed, 763 had received reduced protein intake and 761 a higher protein intake. Two hundred and fifty one renal deaths were recorded, 103 in the low protein diet and 148 in the higher protein diet group (RR 0.69, 95% CI 0.56 to 0.86, P = 0.0007). To avoid one renal death, 2 to 56 patients need to be treated with a low protein diet during one year. AUTHORS' CONCLUSIONS:Reducing protein intake in patients with chronic kidney disease reduces the occurrence of renal death by 31% as compared with higher or unrestricted protein intake. The optimal level of protein intake cannot be confirmed from these studies.

authors

Fouque D,Laville M,Boissel JP

doi

10.1002/14651858.CD001892.pub2

subject

Has Abstract

pub_date

2006-04-19 00:00:00

pages

CD001892

issue

2

issn

1469-493X

pub_type

杂志文章,meta分析,评审
  • In-hospital care pathways for stroke.

    abstract:BACKGROUND:Care within a stroke unit reduces death or dependency after stroke. However, studies have found significant variations in clinical practice, access to stroke unit care, organisation of patient care, and clinical outcome. Stroke care pathways have been introduced as a method to promote organised and efficient...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD002924

    authors: Kwan J,Sandercock P

    更新日期:2002-01-01 00:00:00

  • Electromagnetic therapy for treating venous leg ulcers.

    abstract:BACKGROUND:Leg ulceration is a common, chronic, recurring condition. The estimated prevalence of leg ulcers in the UK population is 1.5 to 3 per 1000. Venous ulcers (also called stasis or varicose ulcers) comprise 80% to 85% of all leg ulcers. Electromagnetic therapy (EMT) is sometimes used as a treatment to assist the...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002933.pub4

    authors: Aziz Z,Cullum NA,Flemming K

    更新日期:2011-03-16 00:00:00

  • Antibiotics for acute maxillary sinusitis in adults.

    abstract:BACKGROUND:Sinusitis is one of the most common diagnoses among adults in ambulatory care, accounting for 15% to 21% of all adult outpatient antibiotic prescriptions. However, the role of antibiotics for sinusitis is controversial. OBJECTIVES:To assess the effects of antibiotics in adults with acute maxillary sinusitis...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000243.pub3

    authors: Ahovuo-Saloranta A,Rautakorpi UM,Borisenko OV,Liira H,Williams JW Jr,Mäkelä M

    更新日期:2014-02-11 00:00:00

  • Maintenance immunosuppression for adults undergoing liver transplantation: a network meta-analysis.

    abstract:BACKGROUND:As part of liver transplantation, immunosuppression (suppressing the host immunity) is given to prevent graft rejections resulting from the immune response of the body against transplanted organ or tissues from a different person whose tissue antigens are not compatible with those of the recipient. The optim...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD011639.pub2

    authors: Rodríguez-Perálvarez M,Guerrero-Misas M,Thorburn D,Davidson BR,Tsochatzis E,Gurusamy KS

    更新日期:2017-03-31 00:00:00

  • Interventions for preventing and ameliorating cognitive deficits in adults treated with cranial irradiation.

    abstract:BACKGROUND:Cognitive deficits are common in people who have received cranial irradiation and have a serious impact on daily functioning and quality of life. The benefit of pharmacological and non-pharmacological treatment of cognitive deficits in this population is unclear. OBJECTIVES:To assess the effectiveness of in...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD011335.pub2

    authors: Day J,Zienius K,Gehring K,Grosshans D,Taphoorn M,Grant R,Li J,Brown PD

    更新日期:2014-12-18 00:00:00

  • Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults.

    abstract:BACKGROUND:Reconstruction of the anterior cruciate ligament (ACL) commonly involves patellar tendon (PT) or hamstring tendon(s) (HT) autografts. There is no consensus with respect to the choice between these two grafts in ACL surgery. OBJECTIVES:This review compared the outcomes of ACL reconstruction using PT versus H...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005960.pub2

    authors: Mohtadi NG,Chan DS,Dainty KN,Whelan DB

    更新日期:2011-09-07 00:00:00

  • Celecoxib for rheumatoid arthritis.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) is a systemic auto-immune disorder, involving persistent joint inflammation. NSAIDs are used to control the symptoms of RA, but are associated with significant gastro-intestinal toxicity, including a risk of potentially life threatening gastroduodenal perforations, ulcers and bleeds...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003831

    authors: Garner S,Fidan D,Frankish R,Judd M,Shea B,Towheed T,Wells G,Tugwell P

    更新日期:2002-01-01 00:00:00

  • Lobeline for smoking cessation.

    abstract:BACKGROUND:Lobeline is a partial nicotine agonist, which has been used in a variety of commercially available preparations to help stop smoking. OBJECTIVES:The objective of this review was to assess the effects of lobeline on long term smoking cessation. SEARCH STRATEGY:We searched the Cochrane Tobacco Addiction Grou...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000124

    authors: Stead LF,Hughes JR

    更新日期:2000-01-01 00:00:00

  • School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review.

    abstract:BACKGROUND:Asthma is a common respiratory condition in children that is characterised by symptoms including wheeze, shortness of breath, chest tightness, and cough. Children with asthma may be able to manage their condition more effectively by improving inhaler technique, and by recognising and responding to symptoms. ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD011651.pub2

    authors: Harris K,Kneale D,Lasserson TJ,McDonald VM,Grigg J,Thomas J

    更新日期:2019-01-28 00:00:00

  • Interventions to increase adherence to medications for tobacco dependence.

    abstract:BACKGROUND:Pharmacological treatments for tobacco dependence, such as nicotine replacement therapy (NRT), have been shown to be safe and effective interventions for smoking cessation. Higher levels of adherence to these medications increase the likelihood of sustained smoking cessation, but many smokers use them at a l...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009164.pub2

    authors: Hollands GJ,McDermott MS,Lindson-Hawley N,Vogt F,Farley A,Aveyard P

    更新日期:2015-02-23 00:00:00

  • Cerebrospinal fluid drainage for thoracic and thoracoabdominal aortic aneurysm surgery.

    abstract:BACKGROUND:During aortic aneurysm surgery, cross-clamping can lead to inadequate blood supply to the spinal cord resulting in neurological deficit. Cerebrospinal fluid drainage (CSFD) may increase the perfusion pressure to the spinal cord and hence reduce the risk of ischaemic spinal cord injury. OBJECTIVES:To determi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003635.pub3

    authors: Khan SN,Stansby G

    更新日期:2012-10-17 00:00:00

  • Prophylactic nasogastric decompression after abdominal surgery.

    abstract:BACKGROUND:Routine use of nasogastric tubes after abdominal operations is intended to hasten the return of bowel function, prevent pulmonary complications, diminish the risk of anastomotic leakage, increase patient comfort and shorten hospital stay. OBJECTIVES:To investigate the efficacy of routine nasogastric decompr...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004929.pub3

    authors: Nelson R,Edwards S,Tse B

    更新日期:2007-07-18 00:00:00

  • Psychological interventions to foster resilience in healthcare professionals.

    abstract:BACKGROUND:Resilience can be defined as the maintenance or quick recovery of mental health during or after periods of stressor exposure, which may result from a potentially traumatising event, challenging life circumstances, a critical life transition phase, or physical illness. Healthcare professionals, such as nurses...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD012527.pub2

    authors: Kunzler AM,Helmreich I,Chmitorz A,König J,Binder H,Wessa M,Lieb K

    更新日期:2020-07-05 00:00:00

  • Environmental and behavioural interventions for reducing physical activity limitation in community-dwelling visually impaired older people.

    abstract:BACKGROUND:Impairment of vision is associated with a loss of function in activities of daily living. Avoidance of physical activity and consequent reduced functional capacity is common in older people with visual impairment and an important risk factor for falls. Indeed, the rate of falls and fractures is higher in old...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD009233.pub2

    authors: Skelton DA,Howe TE,Ballinger C,Neil F,Palmer S,Gray L

    更新日期:2013-06-05 00:00:00

  • Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea.

    abstract:BACKGROUND:Although effective in the treatment of obstructive sleep apnoea (OSA), continuous positive airway pressure (CPAP) is not universally accepted by users. Educational, supportive and behavioural interventions may help people with OSA recognise the need for regular and continued use of CPAP. OBJECTIVES:To asses...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007736.pub2

    authors: Wozniak DR,Lasserson TJ,Smith I

    更新日期:2014-01-08 00:00:00

  • Recombinant human erythropoietin for chronic renal failure anaemia in pre-dialysis patients.

    abstract:BACKGROUND:Treatment with recombinant human erythropoietin (rHu EPO) in dialysis patients has been shown to be highly effective in terms of correcting anaemia and improving quality of life. There is debate concerning the benefits of rHu EPO use in pre-dialysis patients. There is a concern that rHu EPO may accelerate th...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003266

    authors: Cody J,Daly C,Campbell M,Donaldson C,Grant A,Khan I,Pennington S,Vale L,Wallace S,MacLeod A

    更新日期:2001-01-01 00:00:00

  • Surgery for post-vitrectomy cataract.

    abstract:BACKGROUND:Cataract formation or acceleration can occur after intraocular surgery, especially following vitrectomy, a surgical technique for removing the vitreous used in the treatment of disorders that affect the posterior segment of the eye. OBJECTIVES:The objective of this review was to evaluate benefits and advers...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD006366.pub2

    authors: Do DV,Hawkins B,Gichuhi S,Vedula SS

    更新日期:2008-07-16 00:00:00

  • Interventions for chronic suppurative otitis media.

    abstract:BACKGROUND:Chronic suppurative otitis media (CSOM) is a serious bacterial infection of the middle ear that can follow untreated acute otitis media. OBJECTIVES:To assess the effects of different treatments for CSOM. SEARCH STRATEGY:We searched Medline from 1966 to 1996 and a bibliographic collection of the Hearing Imp...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000473

    authors: Acuin J,Smith A,Mackenzie I

    更新日期:2000-01-01 00:00:00

  • Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke.

    abstract:BACKGROUND:Children's exposure to other people's tobacco smoke (environmental tobacco smoke, or ETS) is associated with a range of adverse health outcomes for children. Parental smoking is a common source of children's exposure to ETS. Older children in child care or educational settings are also at risk of exposure to...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD001746.pub4

    authors: Behbod B,Sharma M,Baxi R,Roseby R,Webster P

    更新日期:2018-01-31 00:00:00

  • Improving health professionals' management and the organisation of care for overweight and obese people.

    abstract:BACKGROUND:Obesity is increasing throughout the industrialised world. If left unchecked it will have major implications for both population health and costs to health services. Health professionals have a key role to play in tackling the obesity problem, but little is known about how they may be encouraged to work more...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000984

    authors: Harvey EL,Glenny A,Kirk SF,Summerbell CD

    更新日期:2000-01-01 00:00:00

  • Interventions for promoting habitual exercise in people living with and beyond cancer.

    abstract:BACKGROUND:The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent. However, how to promote exercise behaviour in sedentary cancer cohorts is not as well understood. A large majority of people living with or recovering from cancer do not meet exercise recommendations. He...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010192.pub2

    authors: Bourke L,Homer KE,Thaha MA,Steed L,Rosario DJ,Robb KA,Saxton JM,Taylor SJ

    更新日期:2013-09-24 00:00:00

  • Arginine supplementation for prevention of necrotising enterocolitis in preterm infants.

    abstract:BACKGROUND:Decreased concentration of nitric oxide has been proposed as one of the possible cellular mechanisms of necrotising enterocolitis (NEC). Arginine can act as a substrate for production of nitric oxide in the tissues, and arginine supplementation may help to prevent NEC. OBJECTIVES:To examine the effect of ar...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004339.pub4

    authors: Shah PS,Shah VS,Kelly LE

    更新日期:2017-04-11 00:00:00

  • Fluticasone versus HFA-beclomethasone dipropionate for chronic asthma in adults and children.

    abstract:BACKGROUND:The relative efficacy of fluticasone (FP) and beclomethasone (BDP) propelled with CFCs has been well established. The potency of HFA-BDP is thought to have been improved with new propellant and some studies suggest that it may equipotent at half the dose of CFC propelled-BDP. There is a need to revisit this ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005309.pub2

    authors: Lasserson TJ,Cates CJ,Jones AB,Steele EH,White J

    更新日期:2005-10-19 00:00:00

  • Early use of inhaled corticosteroids in the emergency department treatment of acute asthma.

    abstract:BACKGROUND:Systemic corticosteroid therapy is central to the management of acute asthma The use of inhaled corticosteroids may also be beneficial in this setting. OBJECTIVES:To determine the benefit of inhaled corticosteroids for the treatment of patients with acute asthma managed in the emergency department (ED). SE...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002308

    authors: Edmonds ML,Camargo CA Jr,Pollack CV Jr,Rowe BH

    更新日期:2003-01-01 00:00:00

  • Advanced trauma life support training for ambulance crews.

    abstract:BACKGROUND:There is an increasing global burden of disease from injuries. Models of trauma care initially developed in high-income countries are also being adopted in low and middle-income countries (LMIC). Amongst these ambulance crews with Advanced Life Support (ALS) training are being promoted in LMIC as a strategy ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003109

    authors: Sethi D,Kwan I,Kelly AM,Roberts I,Bunn F

    更新日期:2001-01-01 00:00:00

  • Pharmacotherapies for sleep disturbances in Alzheimer's disease.

    abstract:BACKGROUND:Sleep disturbances, including reduced nocturnal sleep time, sleep fragmentation, nocturnal wandering and daytime sleepiness are common clinical problems in dementia due to Alzheimer's disease (AD), and are associated with significant caregiver distress, increased healthcare costs and institutionalisation. Dr...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009178.pub2

    authors: McCleery J,Cohen DA,Sharpley AL

    更新日期:2014-03-21 00:00:00

  • Pharmacological treatment for Buerger's disease.

    abstract:BACKGROUND:Buerger's disease (thromboangiitis obliterans) is a non-atherosclerotic, segmental inflammatory pathology that most commonly affects the small and medium sized arteries, veins, and nerves in the upper and lower extremities. The aetiology is unknown, but involves hereditary susceptibility, tobacco exposure, i...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD011033.pub4

    authors: Cacione DG,Macedo CR,do Carmo Novaes F,Baptista-Silva JC

    更新日期:2020-05-04 00:00:00

  • Antioxidant supplementation for lung disease in cystic fibrosis.

    abstract:BACKGROUND:Airway infection leads to progressive damage of the lungs in cystic fibrosis (CF) and oxidative stress has been implicated in the etiology. Supplementation of antioxidant micronutrients (vitamin E, vitamin C, beta-carotene and selenium) or N-acetylcysteine (NAC) as a source of glutathione, may therefore pote...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007020.pub4

    authors: Ciofu O,Smith S,Lykkesfeldt J

    更新日期:2019-10-03 00:00:00

  • Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids.

    abstract:BACKGROUND:Hemorrhoidectomy is a frequently performed surgical procedure and associated with postprocedural pain. The use of the Ligasure could result in a decreased incidence of pain as coagulation with high frequency currency and active feedback control over the power output has minimal thermal spread and limited tis...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006761.pub2

    authors: Nienhuijs S,de Hingh I

    更新日期:2009-01-21 00:00:00

  • Intravenous immunoglobulin for chronic inflammatory demyelinating polyradiculoneuropathy.

    abstract:BACKGROUND:Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) causes progressive or relapsing weakness and numbness of the limbs, developing over at least two months. Uncontrolled studies suggest that intravenous immunoglobulin (IVIg) helps. OBJECTIVES:To review systematically the evidence from randomise...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD001797.pub2

    authors: Eftimov F,Winer JB,Vermeulen M,de Haan R,van Schaik IN

    更新日期:2009-01-21 00:00:00