Clinical practice guidelines for rehabilitation nutrition in cerebrovascular disease, hip fracture, cancer, and acute illness: 2020 update.

Autor:	Nishioka S; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan. Electronic address: shintacks@yahoo.co.jp., Aragane H; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Suzuki N; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Yoshimura Y; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Fujiwara D; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Mori T; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Kanehisa Y; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Iida Y; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Higashi K; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Yoshimura-Yokoi Y; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Sato C; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Toyota M; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Tanaka M; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Ishii Y; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Kosaka S; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Kumagae N; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Fujimoto A; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Omura K; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Yoshida S; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan., Wakabayashi H; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan., Momosaki R; Committee of Clinical Practice Guideline (2018), Japanese Association of Rehabilitation Nutrition, Japan; Committee of Clinical Practice Guideline (2020), Japanese Association of Rehabilitation Nutrition, Japan.
Jazyk:	angličtina
Zdroj:	Clinical nutrition ESPEN [Clin Nutr ESPEN] 2021 Jun; Vol. 43, pp. 90-103. Date of Electronic Publication: 2021 Mar 02.
DOI:	10.1016/j.clnesp.2021.02.018
Abstrakt:	Background: Individuals undergoing rehabilitation often experience nutritional problems such as malnutrition, but there are no clinical practice guidelines (CPGs) specifically tailored to the combination of rehabilitation and nutritional care for these patients. The Japanese Association for Rehabilitation Nutrition aimed to develop CPGs for rehabilitation nutrition to support clinical decision making in daily practice. Methods: A CPG committee and development process based on the Grading of Recommendations Assessment, Development and Evaluation system and the Minds Handbook for Clinical Practice Guideline Development 2014 was established. Four clinical questions were defined for patients undergoing rehabilitation for cerebrovascular disease, hip fracture, cancer, and acute illness. Literatures of randomised control trials (RCTs) up to April 2020 were searched for using the MEDLINE, EMBASE, CENTRAL, and Ichushi-web databases. After screening, full-text papers were assessed for eligibility for analysis. Subsequently, studies included in the systematic review were examined regarding their risk of bias, and underwent meta-analyses. A CPG development committee drafted the guidelines based on the systematic review report. Final recommendations were determined by the panel members. Results: Four recommendations were made based on 4 to 9 RCTs for each disease/condition. The certainty of the evidence ranged from very low to low. Overall, the enhanced nutritional care was weakly recommended for rehabilitation patients with cerebrovascular disease, hip fracture, cancer, and acute illnesses. Conclusions: This CPG provides tentative recommendations for nutritional care of individuals undergoing rehabilitation. Due to low certainty of evidence and small sample sizes of the included studies, more high-quality and larger RCTs are needed to develop more practical CPGs. Competing Interests: Declaration of competing interest All members of the CPG Committee declare having a conflict of interest (COI) prior to developing this CPG. This includes both financial and academic COIs. The financial COIs included: employment and/or advisory roles; shareholdings and their profits; patent royalties; honoraria; payment for the manuscript; scholarship; research funding; donations for the course of the university; and others, including travel expenses and gifts not connected to research. Academic COIs included: affiliations; side jobs; specialties; affiliated academic societies; authorship of published articles regarding rehabilitation nutrition CPG; and experience developing a CPG other than the current CPG. The following COIs were reported: 1) Financial COIs. Hidetaka Wakabayashi received honoraria from Clinico Co. Ltd. and Nestle Japan Co. Ltd. Kenji Omura received honoraria from Otsuka Pharmaceutical Factory Co. Ltd. Committee of Clinical Practice Guideline, Japanese Association of Rehabilitation Nutrition, involved a member employed by the Department of Disaster and Comprehensive Medicine, Fukushima Medical University, endowed by Kowa Yakuhin Co. Ltd. and Toshiba Corporation. The other authors have no financial conflicts of interest to declare. 2) Academic COIs. Shinta Nishioka, Ryo Momosaki, Atsushi Fujimoto, Hidetaka Wakabayashi, and five other members of the Committee of Clinical Practice Guidelines, Japanese Association of Rehabilitation Nutrition have authorship of published articles regarding nutritional rehabilitation CPGs. Yayoi Kanehisa, Hideki Aragane, Yuki Iida, Yoshimasa Ishii, Hidetaka Wakabayashi, and 11 other members of the Committee of Clinical Practice Guideline, Japanese Association of Rehabilitation Nutrition, and 2 external reviewers had prior experience of developing CPGs other than the current CPG. The other authors have no academic conflicts of interest to declare. (Copyright © 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.)
Databáze:	MEDLINE
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