{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:21:02Z","timestamp":1787016062193,"version":"build-2736575974"},"reference-count":61,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The role of nutrition in chronic kidney disease (CKD) is well known. However, controversies, misconceptions, and gaps in the literature exist regarding the workforce required to provide nutrition care in CKD. This paper reviews the existing literature on this topic, focusing primarily on the United States. Topics covered in this review include the qualifications and services of the registered dietitian nutritionist (RDN), to which specific patients nutrition care should be provided in CKD and on dialysis, barriers to the utilization of nutrition services, the quantity of nutrition care needed to improve patient outcomes, and the risks of provider burnout. Controversies include whether more staffing is associated with better care and the best measures of staffing. The topics are supported with estimations for the economic impact and practicality of workforce decisions.<\/jats:p>","DOI":"10.1111\/sdi.13005","type":"journal-article","created":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T00:55:19Z","timestamp":1628643319000},"page":"292-300","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Workforce needs and estimated costs\/savings for nutrition care in chronic kidney disease\u2013stage 3 through maintenance dialysis"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1314-1964","authenticated-orcid":false,"given":"Rosa K.","family":"Hand","sequence":"first","affiliation":[{"name":"Department of Nutrition Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,10]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.05.006"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2020.07.005"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2001.20748"},{"key":"e_1_2_14_5_1","unstructured":"Commission on Dietetic Registration.RD Examination\u2014Eligibility Requirements. Accessed September 15 2020.https:\/\/www.cdrnet.org\/rd-eligibility"},{"key":"e_1_2_14_6_1","unstructured":"Commission on Dietetic Registration.2024 Graduate Degree Requirement \u2013 Registration Eligibility.https:\/\/www.cdrnet.org\/graduatedegree. Accessed September 15 2020."},{"key":"e_1_2_14_7_1","unstructured":"Commission on Dietetic Registration.Of Interest to Newly Registered Dietitians and Dietetic Technicians. Accessed September 15 2020.https:\/\/www.cdrnet.org\/form-of-interst-to-newly-registered-dietitians-and-dietetic-technicians"},{"key":"e_1_2_14_8_1","unstructured":"International Confederation for Dietetic Associations.Dietitians\u2010Nutritionists around the Word: Their Education and Their Work. 2016.https:\/\/www.internationaldietetics.org\/Downloads\/2016-ICDA-Education---Work-report.aspx. Accessed September 15 2020."},{"key":"e_1_2_14_9_1","unstructured":"US Code of Federal Regulations.42.410 Subpart G\u2014Medical Nutrition Therapy.https:\/\/www.ecfr.gov\/cgi\u2010bin\/retrieveECFR?gp=%26SID=71914016a9376b4b6ab2ad1e3ef2c3cf%26mc=true%26n=sp42.2.410.g%26r=SUBPART%26ty=HTML. Accessed September 15 2020."},{"key":"e_1_2_14_10_1","unstructured":"Academy of Nutrition and Dietetics.Academy of Nutrition and Dietetics Definition of Terms List. 2020.https:\/\/www.eatrightpro.org\/-\/media\/eatrightpro-files\/practice\/scope-standards-of-practice\/20190910-academy-definition-of-terms-list.pdf. Accessed September 15 2020."},{"key":"e_1_2_14_11_1","unstructured":"Commission on Dietetic Registration.CDR Board Certified Specialist in Renal Nutrition.https:\/\/ams.eatright.org\/eweb\/DynamicPage.aspx?Site=CDRNEW%26WebKey=EA65CCC0-5E69-4E38-843A-EE3D6D68CE09. Accessed August 25 2020."},{"key":"e_1_2_14_12_1","unstructured":"Commission on Dietetic Registration.Renal Nutrition Specialty Examination Content Outline\u20102017. 2018.https:\/\/www.cdrnet.org\/vault\/2459\/web\/\/\/Renal%20Content%20Outline%20-%202017-%20WEBSITE.pdf. Accessed September 15 2020."},{"key":"e_1_2_14_13_1","unstructured":"American Association of Diabetes Educators.Eligibility for CDCES \u2010 CBDCE.https:\/\/www.cbdce.org\/eligibility. Accessed September 15 2020."},{"key":"e_1_2_14_14_1","unstructured":"Medicare and Medicaid Programs; Conditions for Coverage for End\u2010Stage Renal Disease Facilities; Final Rule.2008.https:\/\/www.cms.gov\/Regulations-and-Guidance\/Legislation\/CFCsAndCoPs\/Downloads\/ESRDfinalrule0415.pdf. Accessed September 15 2020."},{"key":"e_1_2_14_15_1","unstructured":"Academy of Nutrition and Dietetics Lifelong Learning Committee.Chronic Kidney Disease Nutrition Management. Accessed September 15 2020.https:\/\/www.eatrightstore.org\/collections\/chronic-kidney-disease-nutrition-management"},{"key":"e_1_2_14_16_1","unstructured":"International Society for Renal Nutrition and Metabolism.Total Nutrition Therapy: Renal. Published 2014.http:\/\/www.era-edta2015.org\/satellite_meetings\/FINAL_TNT_Renal_Marketing_Brochure_04_06_14.pdf. Accessed September 15 2020."},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.03.032"},{"key":"e_1_2_14_18_1","unstructured":"National Institute of Diabetes and Digestive and Kidney Diseases.Collaborate with a Registered Dietitian|NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases.https:\/\/www.niddk.nih.gov\/health-information\/professionals\/clinical-tools-patient-management\/kidney-disease\/identify-manage-patients\/manage-ckd\/collaborate-registered-dietitian. Accessed January 25 2021."},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.05.023"},{"key":"e_1_2_14_20_1","unstructured":"US Renal Data System.Atlas of Kidney Disease\u2014Chapter 2: Identification and Care of Patients with CKD. US Renal Data System;2018:16."},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00342-8"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12071931"},{"key":"e_1_2_14_23_1","unstructured":"CMS Fast Facts Mobile Site|CMS.https:\/\/www.cms.gov\/research-statistics-data-systems\/cms-fast-facts\/cms-fast-facts-mobile-siteAccessed January 27 2021."},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2015.01.013"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2018.11.007"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2005.05.002"},{"key":"e_1_2_14_27_1","unstructured":"Academy of Nutrition and Dietetics.Medicare Fee Schedule for RDNs \u2013 MNT and G\u2010Codes. 2020.https:\/\/www.eatrightpro.org\/\u2010\/media\/eatrightpro\u2010files\/practice\/patient\u2010care\/medical\u2010nutrition\u2010therapy\/mnt\/news\u2010and\u2010events\/medicarefeeschedulemntandgcodes.pdf?la=en%26hash=E2855F6A8B8A5122E9F946D614D38EA3B9D84021Accessed January 27 2021."},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365599.2011.649045"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2018.02.364"},{"key":"e_1_2_14_30_1","unstructured":"US Renal Data SystemAnnual Data Report 2020\u2014End Stage Renal Disease Chapter 1. USRDShttps:\/\/adr.usrds.org\/. Accessed January 27 2021."},{"key":"e_1_2_14_31_1","unstructured":"RDN Salary Calculator.https:\/\/www.eatrightpro.org\/practice\/career-development\/salary-calculator\/salary-calculator. Accessed August 25 2020."},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.03.417"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2009.05.009"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2003.09.008"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2006.03.046"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2015.11.006"},{"key":"e_1_2_14_37_1","unstructured":"CKD: Medical Nutrition Therapy. (2018).Evidence analysis library.https:\/\/www.andeal.org\/topic.cfm?cat=5873%26pcat=5731%26menu=5303. Accessed September 24 2020."},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.03.027"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04421007"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2012.08.010"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2015.04.008"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.05.007"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2018.01.014"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2020.08.015"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.05.006"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000106101.48237.9D"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2013.10.006"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.310"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.10.025"},{"key":"e_1_2_14_50_1","unstructured":"University of Michigan Kidney Epidemiology and Cost Center.Guide to the 2016 dialysis facility reports: overview methodology and interpretation. Published online2015.https:\/\/www.dialysisdata.org\/sites\/default\/files\/content\/dfr_data\/FY2016_DFR_Guide.pdf"},{"issue":"2","key":"e_1_2_14_51_1","first-page":"30","article-title":"It may be time to scrutinize dialysis staffing data","volume":"33","author":"Hand RK","year":"2019","journal-title":"Nephrol News Issues"},{"key":"e_1_2_14_52_1","unstructured":"ZumoffR.California dialysis clinic staff ratio bill passes Assembly Health Committee.https:\/\/www.healio.com\/nephrology\/policy-and-politics\/news\/online\/%7b5396b425-ba9e-4285-83c0-8f2c28b855e5%7d\/california-dialysis-clinic-staff-ratio-bill-passes-assembly-health-committeehttps:\/\/www.nephrologynews.com\/california-dialysis-clinic-staff-ratio-bill-passes-assembly-health-committee\/"},{"key":"e_1_2_14_53_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496147"},{"key":"e_1_2_14_54_1","unstructured":"AbdeenO ShahP.California staff ratio bill would hurt clinics in urban and low income areas. Nephrology News & Issues Published July 25 2017.https:\/\/www.healio.com\/nephrology\/policy-and-politics\/news\/online\/%7ba9c0f5c7-d42c-4121-9e29-aad72719d5ef%7d\/california-staff-ratio-bill-would-hurt-clinics-in-urban-and-low-income-areas. Accessed September 6 2017."},{"issue":"4","key":"e_1_2_14_55_1","first-page":"37","article-title":"Developing dialysis facility\u2010specific performance measures for public reporting","volume":"23","author":"Frederick PR","year":"2002","journal-title":"Health Care Financ Rev"},{"key":"e_1_2_14_56_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2006.07.005"},{"key":"e_1_2_14_57_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06800617"},{"key":"e_1_2_14_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2011.01.021"},{"key":"e_1_2_14_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.07.003"},{"key":"e_1_2_14_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054358120938564"},{"key":"e_1_2_14_61_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.11.029"},{"key":"e_1_2_14_62_1","first-page":"25","article-title":"Surveys and patient centeredness","volume":"12","author":"Rosenbloom DL","year":"2017","journal-title":"Nephrol News Issues"}],"container-title":["Seminars in Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.13005","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sdi.13005","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.13005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T03:47:02Z","timestamp":1721620022000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sdi.13005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,10]]},"references-count":61,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/sdi.13005"],"URL":"https:\/\/doi.org\/10.1111\/sdi.13005","archive":["Portico"],"relation":{},"ISSN":["0894-0959","1525-139X"],"issn-type":[{"value":"0894-0959","type":"print"},{"value":"1525-139X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,10]]},"assertion":[{"value":"2021-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}