scholarly journals Trend Observations in Home Parenteral Nutrition. Prevalence, Hospitalizations and Costs: Results from a Nationwide Analysis of Health Care Provider Data

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3465
Author(s):  
Marcin Folwarski ◽  
Stanisław Kłęk ◽  
Agnieszka Szlagatys-Sidorkiewicz ◽  
Adam Wyszomirski ◽  
Michał Brzeziński ◽  
...  

Background: The population of patients on home parenteral nutrition (HPN) worldwide is growing. Since only a few counties provide data from national registries long-term observations are valuable to address this specific area of nutrition support. This study is a nationwide analysis determining the trends in the epidemiology of HPN (prevalence, age distribution, death rates), indications for HPN, causes for hospitalizations, and cost analysis of HPN reimbursement in Poland between 2010–2020. Methods: A retrospective analysis of data obtained from the national health fund (NHF) of Poland on adult patients on HPN. Results: The prevalence of adult patients on HPN in Poland in 2020 was 53.26 per million citizens with a 2.99-fold increase and a growing trend observed from 2010. Significant decrease in the percentage of patients between 18–34, 45–54 and an increase in patients between 65–74 and patients over 75 years old was observed. Trend analysis showed an increase in new patients between 65–74 and a decrease between 35–54. Malnutrition (34.28%), postprocedural disorders of the GI tract (19.61%), intestinal malabsorption/other intestinal diseases (20.41%) and GI obstruction due to cancer (17.36% as primary and 23.16% as secondary diagnosis) were mostly reported as the primary indications for HPN. Cancer patients were mostly gastric, ovarian and colon cancer (34.74%, 17.83% and 12.3%). HPN and total health cost reimbursement increase was 2.6 and 2.57—fold respectively. Costs of HPN and total health care costs in 2020 per patient were € 10,015 and € 16,038, respectively. Overall death risk rate during the first year of nutrition was 0.59 with a significant increase in the observation period p-trend < 0.004. A significant increase in the death rate was observed in patients above 75 years old (estimate 1.629, p-trend < 0.030). Cancer, infection, malnutrition and GI symptoms were the most common indications for hospitalizations of HPN patients. The rate of patients with a maximal length of HPN of 5 months in 2010 was 54.9% and was growing up to 78.1% in 2020. Conclusions: The prevalence of HPN in Poland is growing. Trends of age distribution show increasing numbers of patients with more advanced age and shorter survival. Costs of HPN are comparable with other European data.

2019 ◽  
Vol 35 (6) ◽  
pp. 1138-1142
Author(s):  
Colette Kirk ◽  
Lisa Gemmell ◽  
Christopher A. Lamb ◽  
Nick P. Thompson ◽  
Christopher G. Mountford ◽  
...  

2008 ◽  
Vol 3 ◽  
pp. 124
Author(s):  
D.L. Boggio Bertinet ◽  
P. Massarenti ◽  
A. De Francesco ◽  
A. Nicolai ◽  
M. Taus ◽  
...  

2019 ◽  
Vol 34 (6) ◽  
pp. 850-857
Author(s):  
Kevin Singh ◽  
Ashley N. Bestgen ◽  
Ann Dugan ◽  
Amandeep Singh ◽  
Donald F. Kirby

2019 ◽  
Vol 35 (7) ◽  
pp. 615-626 ◽  
Author(s):  
Angel Joel Cadena ◽  
Sara Habib ◽  
Fred Rincon ◽  
Stephanie Dobak

Malnutrition is frequently seen among patients in the intensive care unit. Evidence shows that optimal nutritional support can lead to better clinical outcomes. Recent clinical trials debate over the efficacy of enteral nutrition (EN) over parenteral nutrition (PN). Multiple trials have studied the impact of EN versus PN in terms of health-care cost and clinical outcomes (including functional status, cost, infectious complications, mortality risk, length of hospital and intensive care unit stay, and mechanical ventilation duration). The aim of this review is to address the question: In critically ill adult patients requiring nutrition support, does EN compared to PN favorably impact clinical outcomes and health-care costs?


2019 ◽  
Vol 74 (2) ◽  
pp. 255-260
Author(s):  
Taja Jordan ◽  
Peter Popovič ◽  
Nada Rotovnik Kozjek

2002 ◽  
Vol 75 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Yoji Takagi ◽  
Akira Okada ◽  
Kinya Sando ◽  
Masafumi Wasa ◽  
Hiroshi Yoshida ◽  
...  

2003 ◽  
Vol 124 (4) ◽  
pp. A431
Author(s):  
Roser Vega ◽  
Dimitrios Polymeros ◽  
Cinzia Papadia ◽  
Ruth Hodgson ◽  
Alastair Forbes ◽  
...  

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