The ESP Coordinating Center (ESP CC) is responding to a request from the Veterans Affairs Renal Field Advisory Committee for an evidence brief on the
use of Intradialytic Parenteral Nutrition (IDPN) for the treatment of malnutrition among hemodialysis patients. Findings from this evidence brief will be
used to develop
recommendations on the use of IDPN in the treatment of Veteran hemodialysis patients with malnutrition.
Key Question 1: What is the effectiveness of IDPN for the treatment of malnutrition in hemodialysis patients?
Key Question 2: What are the potential adverse effects of using IDPN for the treatment of malnutrition in hemodialysis patients?
Key Question 3: What is the cost-effectiveness of using IDPN for the treatment of malnutrition in hemodialysis patients?
Key Question 4: Do the effectiveness and potential adverse effects of IDPN differ per patient characteristics (eg, patient demographics, comorbidities, disease severity)?
Anderson J, Peterson K, Bourne D, and Boundy E. Effectiveness of Intradialytic Parenteral Nutrition in Treating Protein-Energy Wasting in Hemodialysis: A Rapid Systematic Review. Journal of Renal Nutrition. Published online January 24, 2019. doi: https://doi.org/10.1052/j.jrn.2018.11.009