Use of a Phosphorus Points Education Program to Maintain Normal Serum Phosphorus in Pediatric Chronic Kidney Disease: A Case Report
- Resource Type
- Authors
- Leah Oladitan; Judith Sebestyen VanSickle
- Source
- Journal of Renal Nutrition. 31:206-209
- Subject
- 0301 basic medicine
Reflux nephropathy
medicine.medical_specialty
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Phosphorus
Normal serum phosphorus
030232 urology & nephrology
Medicine (miscellaneous)
chemistry.chemical_element
Renal function
Parathyroid hormone
medicine.disease
03 medical and health sciences
0302 clinical medicine
chemistry
Nephrology
Dietary counseling
Internal medicine
Medicine
Renal osteodystrophy
business
Kidney disease
- Language
- ISSN
- 1051-2276
A 14-year-old male, with chronic kidney disease stage 4 (glomerular filtration rate 20 mL/min/1.73 m2) secondary to reflux nephropathy required dietary modification with evidence of renal osteodystrophy, presented with elevated serum phosphorus and parathyroid hormone. He was educated using a novel phosphorus point system where 1 point is equivalent to ∼50 mg of phosphorus. Dietary counseling was provided by a pediatric renal dietitian on phosphorus content of foods the patient typically consumed and converted to point system for daily tracking. The family reported limiting daily phosphorus points to less than 20 points daily for 15 months. The family completed a 3-day food record and provided points assigned to each food item. A Spearman's correlation of 0.7 (P