Malnutrition in chronic kidney disease (CKD) is common but is often undiagnosed.  This evidence-based clinical practice guideline summarises the main interventions  that may be recommended in the prevention and management of undernutrition in this  patient population. Undernutrition is a more frequent finding in established renal  failure (ERF) (present in 30-40% of patients)and is associated with reduced patient  survival. The guideline authors regularly search Medline and reference lists from  original and review articles to evaluate the nutrition literature and are familiar with  the literature pertaining to nutrition and renal disease. The existing North American  (K-DOQI 2000) and European guidelines on the assessment of nutrition in renal  patients2,3 were reviewed and primary sources examined as appropriate. This document offers a reinterpretation and update of those guidelines and incorporates  recent UK Department of Health initiatives on nutritional screening.

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