Evidence map›Paper›PMID 42338271›Full record

Observational studyNutrition & dietetics : the journal of the Dietitians Association of Australia2026

A decade of renal dietetic staffing and malnutrition prevalence in dialysis patients: An observational study in a large dialysis population.

Anne Snelson, Jenny Wei, Stephanie Greco, Sajani Wijekoon, Marcus Connor, Susannah King, Raisa Shaikh, Lillian King

Abstract readObservational Study
In one paragraph

Observational study in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Placement poverty: Why it matters to all dietitians.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anne SnelsonDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Jenny WeiDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0009-0009-3477-5860
Stephanie GrecoDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Sajani WijekoonDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Marcus ConnorDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Susannah KingDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Raisa ShaikhDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.
Lillian KingDepartment of Nutrition and Dietetics, Monash Health, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis 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-to-patient ratios over time; (2) evaluate dietetic service delivery against best practice guidelines and (3) report malnutrition prevalence over a 10-year period.

methodsData 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

resultsBetween 2014 and 2024, dietitian staffing levels increased proportionally with patient numbers, maintaining dietitian staff-to-patient 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 year.

conclusionThis 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.

Indexed as

DieteticsMalnutritionNutritionistsPersonnel Staffing and SchedulingRenal DialysisWorkforceAdultAgedFemaleHumansMaleMiddle AgedNutritional StatusNutrition AssessmentPrevalenceRetrospective Studiesdialysisdietitiannutrition therapyworkforce

Identifiers

PMID42338271
PMCPMC13575716

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.