{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T11:53:17Z","timestamp":1781610797017,"version":"3.54.5"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Baxter International, Incorporated"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intradialytic parenteral nutrition (IDPN) is recommended for patients on hemodialysis (HD) with protein\u2013energy wasting (PEW) who cannot meet nutritional needs through oral or enteral intake. However, its use is highly variable and overall, this option is underutilized. We surveyed European practitioners to investigate barriers, facilitators and key factors related to IDPN implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and distributed an online survey containing 27 questions about practice patterns of IDPN to the members of the European Renal Association (ERA) and other European Societies of Nutrition or Nephrology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 208 replies from practitioners from 30 countries were received; most respondents were aged 25\u201354 years (73.2%), and were female (68.4%). Only 23% of respondents frequently prescribed IDPN, 43% rarely used it, and 34% had no experience. Costs, perceived non-efficacy, lack of protocols, and staff inexperience were the main barriers for prescribing IDPN. The main indications were failure to improve spontaneous oral intake, malabsorption, and unintentional weight loss. The outcomes were mainly monitored through changes in serum albumin and post dialysis weight. The most commonly reported clinical contraindications were the risk of volume overload, hepatic dysfunction and vascular access problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This survey reports low use of IDPN by European healthcare professionals. To exploit the potential of this treatment there is a need for educational programs regarding implementation and monitoring of IDPN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joneph\/aajag011","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T12:54:02Z","timestamp":1767963242000},"page":"364-370","source":"Crossref","is-referenced-by-count":0,"title":["Intradialytic parenteral nutrition in Europe: a survey among clinical practitioners"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2098-7597","authenticated-orcid":false,"given":"Alice","family":"Sabatino","sequence":"first","affiliation":[{"name":"Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institute , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Jesus","family":"Carrero","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics, Karolinska Institutet , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesley Johan","family":"Visser","sequence":"additional","affiliation":[{"name":"Division of Dietetics, Department of Internal Medicine, Erasmus MC, University Medical Center , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgina Barbara","family":"Piccoli","sequence":"additional","affiliation":[{"name":"N\u00e9phrologie et dialyse, Centre Hospitalier Le Mans , Le Mans 72037 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Davenport","sequence":"additional","affiliation":[{"name":"UCL Centre for Kidney & Bladder Health, Royal Free Hospital. University College London , London NW3 2PF, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla Maria","family":"Avesani","sequence":"additional","affiliation":[{"name":"Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institute , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"2026061607064899300_aajag011-B1","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1053\/j.jrn.2013.01.001","article-title":"Etiology of the protein-energy wasting syndrome in chronic kidney disease: a consensus statement from the International Society of Renal Nutrition and Metabolism (ISRNM)","volume":"23","author":"Carrero","year":"2013","journal-title":"J Ren 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