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However, adherence to the clinical practice guidelines (CPGs) is essential for the practice of evidence\u2010based medicine and is considered as a health\u2010quality indicator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2010related 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\u2010related issues. Small meals spread throughout the day, including a late\u2010night snack, were suggested, with protein intake ranging between 1.2 and 1.5\u00a0g\/kg of body weight. In ascites, Na restriction recommendation appeared unanimous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Several shortcomings and bias were recognized in cirrhosis\u2010related medical nutrition therapy CPGs, indicating the need of improving CPG methodology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10393","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T05:04:11Z","timestamp":1565672651000},"page":"98-107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A Systematic Review of Medical Nutrition Therapy Guidelines for Liver Cirrhosis: Do We Agree?"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9810-7583","authenticated-orcid":false,"given":"Xenophon","family":"Theodoridis","sequence":"first","affiliation":[{"name":"Department of Rheumatology and Clinical Immunology Faculty of Medicine School of Health Sciences University of Thessaly  Larissa Greece"},{"name":"School of Medicine Faculty of Health Sciences Aristotle University of Thessaloniki  Thessaloniki Greece"},{"name":"Department of Nutritional Sciences &amp; 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