Systemic review: effectiveness of food demineralization to prevent electrolyte disturbances in patients with chronic renal failure

Abstract

Objective: To analyze and systematize scientific evidence on the efficacy of food demineralization in patients with chronic kidney disease to prevent hydroelectrolytic alterations. Materials and methods: A systematic and observational review methodology was used, analyzing 10 full-text articles selected and subjected to critical reading, based on databases such as Medline, SciELO, KDIGO and KDOKI Guidelines, Cochrane, and PubMed, evaluated through the GRADE method. Results showed 50% with a moderate level of evidence, and 20% corresponding to a strong recommendation. Results: 60% of the reviewed articles demonstrated the efficacy of food demineralization in preventing hydroelectrolytic alterations. Conclusions: Six out of ten studies support the effectiveness of food demineralization through various culinary and elective techniques, as they improve the final waste solute load control, thereby reducing complications caused by their excess. Additionally, evidence suggests an imminent evolution of recommendations that should continue to be evaluated.

Se realizó búsqueda de información en las bases de datos Medline y Cochrane, encontrando 60 artículos, siendo seleccionados 6, los cuales han sido evaluados por la herramienta para lectura crítica CASPE, finalmente el artículo seleccionado permitió concluir que el uso del jengibre a dosis de 1000 mg al día concomitante a la quimioterapia y fármacos antieméticos no fue eficaz para reducir la incidencia y severidad de náuseas y vómitos en pacientes con cáncer de mama.