Sankararaman Senthilkumar, Schindler Terri, Leonard Amanda, Vavrina Kay, Bailey Julianna, Thavamani Aravind, Cummings Linda C, Mascarenhas Maria
Division of Pediatric Gastroenterology, Nutrition, and Hepatology, UH Rainbow Babies and Children's Hospital, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Division of Pediatric Pulmonology, UH Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Nutr Clin Pract. 2025 Feb;40(1):195-208. doi: 10.1002/ncp.11219. Epub 2024 Oct 8.
Collaboration between registered dietitians and gastroenterologists has not been evaluated in cystic fibrosis (CF). We surveyed registered dietitians and gastroenterologists regarding the current participation of gastroenterologists in CF centers and identified possible areas to enhance partnership between the two disciplines.
An anonymous online survey was distributed targeting registered dietitians and gastroenterologists involved in CF care through three international listservs (CF Nutrition, CF DIGEST, and PEDGI) over a 6-week period. SurveyMonkey was used, and informed consent was obtained.
A total of 131 respondents participated in this survey, including 80 registered dietitians and 51 gastroenterologists (41 pediatric and 10 adult gastroenterologists). Most respondents (82%) were from the United States, and two-thirds had ≥5 years of experience in CF. A significant number of registered dietitians reported the nonavailability of gastroenterologists for collaboration and there was greater availability of gastroenterologists in pediatric centers. Barriers to interdisciplinary collaboration included lack of CF expertise and dedicated time among the gastroenterologists and difficulties in coordinating the gastroenterology clinics. More gastroenterologists than registered dietitians perceived that they worked collaboratively with the other discipline in various domains (clinical care, quality improvement, research, presentations, and publications). Both disciplines had mutual respect and interest to further the collaboration.
There is an increased need for gastroenterologist participation and collaboration (particularly in adult centers) in CF alongside registered dietitians to enhance comprehensive patient care. Future efforts should focus on training more gastroenterologists in CF and facilitating easier access to gastroenterologists for the CF population.
注册营养师与胃肠病学家之间的合作在囊性纤维化（CF）领域尚未得到评估。我们就胃肠病学家目前在CF中心的参与情况对注册营养师和胃肠病学家进行了调查，并确定了加强这两个学科之间合作的可能领域。
通过三个国际邮件列表（CF Nutrition、CF DIGEST和PEDGI）在六周内针对参与CF护理的注册营养师和胃肠病学家开展了一项匿名在线调查。使用了SurveyMonkey，并获得了知情同意。
共有131名受访者参与了本次调查，其中包括80名注册营养师和51名胃肠病学家（41名儿科胃肠病学家和10名成人胃肠病学家）。大多数受访者（82%）来自美国，三分之二的人在CF领域有≥5年的经验。大量注册营养师报告称胃肠病学家无法参与合作，而儿科中心的胃肠病学家数量更多。跨学科合作的障碍包括胃肠病学家缺乏CF专业知识和专门时间，以及胃肠病学门诊协调困难。认为自己在各个领域（临床护理、质量改进、研究、演讲和出版物）与另一学科开展合作的胃肠病学家比注册营养师更多。两个学科都相互尊重，并对进一步加强合作感兴趣。
在CF领域，与注册营养师一起，胃肠病学家参与和合作（尤其是在成人中心）的需求日益增加，以加强全面的患者护理。未来的工作应侧重于培训更多CF领域的胃肠病学家，并为CF患者群体提供更便捷的胃肠病学家就诊渠道。
