Economic Analysis of Home <i>vs</i> Hospital‐Based Parenteral Nutrition in Ontario, Canada

Marshall, John K.; Gadowsky, Shannon L.; Childs, Anne Marie; Armstrong, David

doi:10.1177/0148607105029004266

Cited by 28 publications

(16 citation statements)

References 15 publications

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“…We hypothesize that the growing awareness by the medical staff of undernutrition and nutritional medical aspects in general may have increased the rate of HAN [22]. Another important factor may be the economic aspect [23]. Inducing early home nutrition has been shown to be cost-effective mainly because patients can be discharged from hospital much earlier [24].…”

Section: Discussionmentioning

confidence: 99%

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Shaw

Rühlin

Wagener³

et al. 2013

Ann Nutr Metab

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Background and Aims: Home artificial nutrition (HAN), including oral nutritional supplements (ONS) and enteral (HEN) and parenteral (HPN) nutrition, is an established, important treatment for malnourished patients. The aim of this study was to analyze the epidemiological data of patients on HAN in Switzerland. Methods: This retrospective study recorded all new cases of HAN in Switzerland from January 2005 to December 2009. Results: A total of 12,917 cases were recorded: 6,731 (52%) males and 6,186 (48%) females, with a mean age of 65.0 ± 17.6 years. The number of patients on ONS was 7,827 (57.4%), on HEN 3,966 (39.4%) and on HPN 433 (3.2%). The most common underlying disease category was neoplasms (6,519, 50.7%). The number of patients on ONS increased from 57.0% (n = 1,252) to 60.8% (n = 2,039), and on HPN from 2.1% (n = 45) to 4.0% (n = 134) between 2005 and 2009. Conclusions: This first analysis of the large-scale Swiss registry of HAN shows that approximately half of the patients received ONS, whereas HPN was rarely delivered. The frequency of ONS and HPN increased from the year 2005 to 2009. In accordance with previous European studies, malignant tumors were by far the most frequent indication for HAN.

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Section: Discussionmentioning

confidence: 99%

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Shaw

Rühlin

Wagener³

et al. 2013

Ann Nutr Metab

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“…Dentro del ámbito europeo de Reino Unido, Francia y Holanda, los estudios sugieren que, comparada con la alternativa de trasplante intestinal, la NPD resultó en un menor coste por año de vida al tiempo que parece ser claramente coste-efectiva comparada con el mismo tipo de tratamiento administrado en el hospital (42)(43)(44).…”

Section: ¿Es Coste-efectiva La Npd?unclassified

Documento De Consenso De Expertos De Andalucia Y Extremadura Sobre La Nutricion Parenteral Domiciliaria.

et al. 2017

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La Nutrición Parenteral en Domicilio es una técnica que ha permitido la supervivencia en la comunidad de aquellos pacientes con enfermedades graves resultantes en un fallo intestinal que hacía imposible su nutrición por otros métodos. Es un proceso complejo y a pesar de que existe una amplia experiencia en su aplicación e incluso Guías de Práctica Clínica, en la práctica diaria se plantean controversias acerca de su conveniencia, utilidad, uso racional y costes asociados. Por este motivo se ha realizado este documento de consenso, con el método GRADE con el que pretendemos definir nuestra posición con respecto al uso actual de la NPD en nuestro país, y que puede ayudar en la toma de decisiones.

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“…(There is evidence for health care cost improvements from inpatient MNT, but it is not as strong as the evidence for outpatient nutrition services.) Home management of complex medical conditions requiring parenteral nutrition has been shown to reduce health care costs by $4,860 to $5,400 per month (Canadian dollars)* (37). As health care costs continue to rise, such cost-effective services offered within homes will likely increase.…”

Section: Trends In Health Care and Public Policymentioning

confidence: 99%

Population Risk Factors and Trends in Health Care and Public Policy

Haughton

Stang²

2012

Journal of the Academy of Nutrition and Dietetics

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Economic Analysis of Home vs Hospital‐Based Parenteral Nutrition in Ontario, Canada

Abstract: Home PN is cost saving when compared with hospital-based PN. Neither age nor underlying malignancy should pose a barrier to receipt of home PN.

Cited by 28 publications

References 15 publications

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Documento De Consenso De Expertos De Andalucia Y Extremadura Sobre La Nutricion Parenteral Domiciliaria.

Population Risk Factors and Trends in Health Care and Public Policy

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