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Nutr Clin Pract ; 35(1): 98-107, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31407834

RESUMEN

BACKGROUND: Nutrition can play a significant role in the management of liver cirrhosis and its complications. However, adherence to the clinical practice guidelines (CPGs) is essential for the practice of evidence-based medicine and is considered as a health-quality indicator. METHODS: A systematic search was conducted in scientific databases, and retrieved CPGs fulfilling the inclusion criteria were independently reviewed and appraised from 3 experienced researchers, based on the Appraisal of Guidelines for Research and Evaluation II instrument. RESULTS: A total of 13 relevant CPGs were retrieved, published by 7 associations/societies, focusing on the nutrition management (enteral nutrition and/or parenteral nutrition) on cirrhosis, decompensated cirrhosis, liver transplantation, and cirrhosis-related complications. Most CPGs scored low in the stakeholder, rigor of development, and applicability domains. Half of the CPGs recognized the need for counseling patients with cirrhosis on nutrition-related issues. Small meals spread throughout the day, including a late-night snack, were suggested, with protein intake ranging between 1.2 and 1.5 g/kg of body weight. In ascites, Na restriction recommendation appeared unanimous. CONCLUSIONS: Several shortcomings and bias were recognized in cirrhosis-related medical nutrition therapy CPGs, indicating the need of improving CPG methodology.


Asunto(s)
Cirrosis Hepática/terapia , Terapia Nutricional/métodos , Guías de Práctica Clínica como Asunto , Dieta , Dieta Hiposódica/métodos , Medicina Basada en la Evidencia , Adhesión a Directriz , Humanos , Comidas , Política Nutricional
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