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      Association of Food Insecurity and Acute Health Care Utilization in Children With End-stage Kidney Disease

      Author(s): 1 , 2 , 3 , 2 , 3 , 2 , 3 , 4 , 2 , 3
      Publication date Created:
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      Journal: JAMA Pediatrics
      Publisher: American Medical Association (AMA)

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          Abstract

          This study assesses food insecurity and acute health care utilization among pediatric patients with end-stage kidney disease undergoing peritoneal dialysis or hemodialysis.

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          Food Insecurity, CKD, and Subsequent ESRD in US Adults.

          Tanushree Banerjee, Deidra C Crews, Donald E Wesson … (2017)
          Poor access to food among low-income adults has been recognized as a risk factor for chronic kidney disease (CKD), but there are no data for the impact of food insecurity on progression to end-stage renal disease (ESRD). We hypothesized that food insecurity would be independently associated with risk for ESRD among persons with and without earlier stages of CKD.
          Article 0 comments Cited 59 times – based on 0 reviews     Review now
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            Caregiver Experience in Pediatric Dialysis.

            Aaron Wightman, Cortney Taylor Zimmerman, Shari K Neul … (2019)
            Pediatric dialysis is thought to be burdensome on caregivers given their need to assume dual responsibilities of parental and medical management of their child's chronic illness. In this study, we seek to describe the experience of parental caregivers of children receiving chronic dialysis for end-stage kidney disease.
            Article 0 comments Cited 12 times – based on 0 reviews     Review now
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              A pilot investigation of food insecurity among children seen in an outpatient pediatric nephrology clinic

              Michelle Starr, Kelly Fisher, Kirsten Thompson … (2018)
              Food insecurity (FI) is common - affecting one in six American households with children. FI is defined as limited or uncertain availability of nutritionally adequate and safe foods. Awareness of food insecurity and its impact on health has increased since the American Academy of Pediatrics 2015 policy statement, “Promoting Food Security for All Children.” Though FI is frequently addressed in general pediatric primary care, it is not routinely identified in patients with chronic medical problems. Patients with complex care needs, prescription medication, or restrictive nutritional requirements may be at higher risk of food insecurity. The prevalence of FI in patients with chronic disease, including pediatric patients with kidney disease, remains unknown. We sought to determine the prevalence of FI among our pediatric nephrology clinic patients with a cross-sectional screening pilot study. Nearly 35% of 118 children seen in our pediatric nephrology outpatient clinic lived in food insecure households, a prevalence rate more than double the general pediatric population (16%). Barriers to food security were variable; common themes included challenges with restricted diet and available food, identifying and accessing community resources, and not qualifying for support. For physicians, dietitians, and other health providers that counsel patients with kidney disease on dietary interventions, it is important to be aware of food security status. To our knowledge, this is the first study to assess the prevalence of food insecurity in pediatric patients with kidney disease. Further studies of food insecurity and social determinants of heath in this patient population are needed.
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                Author and article information

                Journal
                Title: JAMA Pediatrics
                Abbreviated Title: JAMA Pediatr
                Publisher: American Medical Association (AMA)
                ISSN (Print): 2168-6203
                Publication date Created: November 01 2019
                Publication date (Print): November 01 2019
                Volume: 173
                Issue: 11
                Page: 1097
                Affiliations
                [1 ]Division of Pediatric Nephrology, Department of Pediatrics, Indiana University, Indianapolis
                [2 ]Division of Nephrology, Department of Pediatrics, Seattle Children’s Hospital, Seattle, Washington
                [3 ]University of Washington, Seattle
                [4 ]Department of Hematology and Oncology, University of Washington, Seattle
                Article
                DOI: 10.1001/jamapediatrics.2019.3086
                PMC ID: 6735494
                PubMed ID: 31498384
                SO-VID: 86451718-f5e0-45fe-9853-722c410a3a48
                Copyright © © 2019
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