Clinical Nutritional Management of Patients with Kidney Disease

A special issue of Clinics and Practice (ISSN 2039-7283).

Deadline for manuscript submissions: closed (30 June 2026) | Viewed by 2671

Editors


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Guest Editor
1. Department of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, 87036 Rende, Italy
2. Italian Society of Nephrology Nurse (SIAN), Via Capotesta 1/30, 07026 Olbia, Sassari, Italy
Interests: chronic kidney disease; renal nursing; dialysis; kidney transplantation; renal nutrition; artificial intelligence
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
1. IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano, Milan, Italy
2. Italian Society of Nephrology Nurse (SIAN), Via Capotesta 1/30, 07026 Olbia, Sassari, Italy
Interests: chronic kidney disease; renal nursing; dialysis; kidney transplantation; renal nutrition; palliative care; advanced nursing practice; education
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Nutritional management is essential for optimizing outcomes and the quality of life in patients with chronic kidney disease (CKD), which is a progressive and often irreversible condition that disrupts metabolic homeostasis. CKD impacts protein and energy metabolism, acid–base balance, and gut microbiome integrity, leading to complications such as protein-energy wasting, electrolyte imbalances, and uremia. This Special Issue presents the latest evidence and strategies used in CKD nutrition, including dietary interventions aimed at symptom management, delaying disease progression, and potentially deferring the initiation of dialysis. We welcome contributions on topics that range from preventive nutrition for at-risk patients to advanced dietary therapies for end-stage renal disease. Our areas of interest include low-protein diets, sodium and potassium regulation, the benefits of plant-based diets, and innovations in nutritional biomarkers for personalized care. Additionally, we invite research on the tools used for nutritional assessments and the role of artificial intelligence in optimizing CKD nutrition.

Dr. Sara Morales Palomares
Dr. Stefano Mancin
Guest Editors

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Keywords

  • clinical nutrition
  • chronic kidney disease
  • dietary therapy
  • diet and renal health
  • nutritional biomarkers
  • personalized approaches
  • technology in nutritional management
  • artificial intelligence
  • nutritional assessment tools
  • micronutrients

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Published Papers (1 paper)

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14 pages, 813 KB  
Case Report
Comprehensive Conservative Management as Rescue Therapy After Haemodialysis Failure: Two Case Reports
by Francesca K. Martino, Alessandro Martella, Francesca Fioretti, Leda Cattarin, Federica L. Stefanelli and Federico Nalesso
Clin. Pract. 2026, 16(2), 25; https://doi.org/10.3390/clinpract16020025 - 25 Jan 2026
Viewed by 1499
Abstract
Background: Comprehensive conservative management (CCM) is a possible option in end-stage clinical disease, requiring multidisciplinary support and offering survival comparable to dialysis while improving quality of life in frail patients. Despite its potential benefits, CCM is often underutilized because nephrologists may perceive it [...] Read more.
Background: Comprehensive conservative management (CCM) is a possible option in end-stage clinical disease, requiring multidisciplinary support and offering survival comparable to dialysis while improving quality of life in frail patients. Despite its potential benefits, CCM is often underutilized because nephrologists may perceive it as less effective compared to dialysis. We present two case reports of hemodialysis failure and of successful CCM. Case presentation: We present two case reports of elderly female patients—referred to as Patient 1 and Patient 2—who had multiple comorbidities but preserved urine output. Both patients, in accordance with their medical team, chose to discontinue hemodialysis due to poor treatment tolerance and declining overall health. They were successfully managed with CCM, leading to follow-up that revealed survival beyond 24 months, improvements in metabolic complications and quality of life, and a reduction in hospitalizations. Conclusions: These case reports demonstrate the effectiveness of dietary and medical management for end-stage kidney disease, particularly when dialysis negatively affects patients’ clinical conditions and quality of life. They also highlight the importance of considering CCM as a preferable option for frail elderly patients facing kidney failure. Full article
(This article belongs to the Special Issue Clinical Nutritional Management of Patients with Kidney Disease)
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