Examinando por Autor "Vásquez López, Maria Lourdes"

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    Critical review: Effectiveness of prebiotic supplementation in reducing uremic toxins in chronic kidney disease undergoing hemodialysis
    (Universidad Privada Norbert Wiener, 2023-03-21) Vásquez López, Maria Lourdes; León Cáceres, Johanna del Carmen
    The secondary research titled “Critical Review: Effectiveness of Prebiotic Supplementation in Reducing Uremic Toxins in Chronic Kidney Disease on Hemodialysis” aimed to demonstrate the effectiveness of prebiotic (resistant starch) supplementation in reducing uremic toxins in CKD patients undergoing hemodialysis. The clinical question was: “Does prebiotic supplementation reduce the production of uremic toxins in adult CKD patients on hemodialysis?” The Evidence-Based Nutrition (NuBE) methodology was used, and information was sought from Pubmed, Scielo, Cochrane, Dialnet, and Redalyc, resulting in 598 articles. Ten were chosen for evaluation using the CASPE critical reading tool, and the randomized double-blind clinical trial titled “Resistant starch type-2 enriched cookies modulate uremic toxins and inflammation in hemodialysis patients: a randomized, double-blind, crossover, and placebo-controlled trial” was selected, which has an A I evidence level and a Strong Recommendation grade. The critical commentary highlights that prebiotic supplementation is an innovative alternative to reduce uremic toxins and improve the quality of life in CKD patients on hemodialysis.