{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:00:25Z","timestamp":1789966825785,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp; Dietetics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study explores the maintenance of dietetic full time equivalent staffing alongside malnutrition rate in a metropolitan renal dialysis service in Victoria, Australia. Objectives were to: (1) describe changes in dietitian staff\u2010to\u2010patient ratios over time; (2) evaluate dietetic service delivery against best practice guidelines and (3) report malnutrition prevalence over a 10\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collated from nine retrospective point prevalence audits conducted between 2009 and 2024 across satellite, home haemodialysis and peritoneal dialysis modalities. Nutritional status was primarily assessed using the Subjective Global Assessment, with the Mini Nutritional Assessment and Global Leadership Initiative on Malnutrition criteria introduced in 2024. Malnutrition prevalence was analysed across gender, age and dialysis vintage. Staffing levels were mapped against patient growth, with a target of 1 full time equivalent dietitian per 143 patients (1:143). A decade of renal dietetic staffing and malnutrition prevalence in dialysis patients: An observational study in a large dialysis population<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2014 and 2024, dietitian staffing levels increased proportionally with patient numbers, maintaining dietitian staff\u2010to\u2010patient ratios between 1:126 and 1:157. Nutritional assessments completed in the home haemodialysis population rose from 25% to 96%. Malnutrition prevalence declined from 25% to 18% in the haemodialysis and from 22% to 11% in the home haemodialysis populations. These improvements were sustained over time. Malnutrition prevalence was higher in older adults, females and individuals on dialysis for less than 1\u2009year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This audit observed that maintaining dietetics staffing in line with recommendations aligned with sustained reductions in malnutrition prevalence. These findings support the integral role of renal dietitians in multidisciplinary renal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1747-0080.70086","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:35:07Z","timestamp":1782282907000},"page":"450-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A decade of renal dietetic staffing and malnutrition prevalence in dialysis patients: An observational study in a large dialysis population"],"prefix":"10.1111","volume":"83","author":[{"given":"Anne","family":"Snelson","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3477-5860","authenticated-orcid":false,"given":"Jenny","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajani","family":"Wijekoon","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Connor","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susannah","family":"King","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raisa","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian","family":"King","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Institute of Health and Welfare.Chronic kidney disease: Australian facts: Australian Institute of Health and Welfare.2025[updated 2024\u201006\u201011] Accessed November 6 2025.https:\/\/www.aihw.gov.au\/reports\/chronic\u2010kidney\u2010disease\/chronic\u2010kidney\u2010disease."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12528"},{"key":"e_1_2_8_4_1","unstructured":"ForceyD AuEHK IrishG et al.ANZDATA & ANZSN Special Report: Head of Unit Report: Nephrology unit workforce and dialysis capacity.Adelaide Australia:Australia and New Zealand Dialysis and Transplant Registry. 2025:2025. ISBN 978\u20100\u20106453621\u20108\u20103."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2018.02.005"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.05.006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2008.11.002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cegh.2021.100855"},{"key":"e_1_2_8_9_1","unstructured":"StockingsJ ed.A standardised assessment process to improve nutritional assessment and management in haemodialysis patients. 2021 National Allied Health Conference [Online].2021. Accessed July 21 2025.https:\/\/iahc.au\/a\u2010standardised\u2010assessment\u2010process\u2010to\u2010improve\u2010nutritional\u2010assessment\u2010and\u2010management\u2010in\u2010haemodialysis\u2010patients\/"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2004.10.005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12763"},{"issue":"1","key":"e_1_2_8_12_1","first-page":"14","article-title":"Dietetic intervention in haemodialysis patients improves malnutrition","volume":"14","author":"Beer J","year":"2018","journal-title":"Ren Soc Australas J"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100108"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/8.10.1094"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000328067"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.202830"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00215-7"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2011.11.001"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.09.009"},{"key":"e_1_2_8_20_1","volume-title":"Workforce Recommendations for Renal Dietitians in Australia and New Zealand","author":"Crosby C","year":"2018"},{"key":"e_1_2_8_21_1","unstructured":"MafriciB PerryS IshidaY et al.Recommendations for the UK Adult Renal Dietitians Workforce 2021.2021. Accessed July 7 2025.https:\/\/www.bda.uk.com\/static\/bb3224d5-12df-4b89-bb5c153ae3905622\/Recommendations-for-the-UK-Adult-Renal-Dietitians-Workforce-2021.pdf"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2012.00330.x"},{"issue":"1","key":"e_1_2_8_23_1","doi-asserted-by":"crossref","DOI":"10.1093\/ndt\/gfae069.745","article-title":"#1876 pre\u2010dialysis nutrition intervention is associated with delayed time to dialysis and survival after initiation of dialysis","volume":"39","author":"Chan M","year":"2024","journal-title":"Nephrol Dial Transplant"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000030757"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.1998.v31.pm9469497"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2024.07.934"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2006.01.012"},{"key":"e_1_2_8_28_1","volume-title":"Prevalence of Malnutrition as Clinical Target in Maintenance Haemodialysis, Is It a Good Indicator?","author":"Chan M","year":"2018"},{"key":"e_1_2_8_29_1","unstructured":"British Renal Society.A multi\u2010profressional renal workforce plan for adults and children with kidney disease October.2020. Accessed July 20 2025.https:\/\/www.ukkidney.org\/sites\/renal.org\/files\/FINAL-WFP-OCT-2020_compressed.pdf"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2012.07.001"}],"container-title":["Nutrition &amp; Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1747-0080.70086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1747-0080.70086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1747-0080.70086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:04:19Z","timestamp":1789963459000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1747-0080.70086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,23]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/1747-0080.70086"],"URL":"https:\/\/doi.org\/10.1111\/1747-0080.70086","archive":["Portico"],"relation":{},"ISSN":["1446-6368","1747-0080"],"issn-type":[{"value":"1446-6368","type":"print"},{"value":"1747-0080","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,23]]},"assertion":[{"value":"2025-10-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}