&lt;p&gt;Nutrition Interventions Deliver Value in Healthcare: Real-World Evidence&lt;/p&gt;

Sulo, Suela; Gramlich, Leah; Benjamin, J. Brockman; McCauley, Sharon M.; Powers, Jan; Sriram, Krishnan; Mitchell, Kristi

doi:10.2147/nds.s262364

Cited by 9 publications

(3 citation statements)

References 37 publications

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“…In terms of health economics, value is determined as outcomes relative to costs; in the value equation, the numerator is the outcome, while the denominator is the cost. Depending on the stakeholder's perspective, high value may be viewed as reduced patient morbidity and mortality, cost containment, or profitability [38]. All stakeholders recognize the value of better patient health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

et al. 2022

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Background Malnutrition is a highly prevalent risk factor in hospitalized patients with chronic heart failure (CHF). A recent randomized trial found lower mortality and improved health outcomes when CHF patients with nutritional risk received individualized nutritional treatment. Objective To estimate the cost-effectiveness of individualized nutritional support in hospitalized patients with CHF. Methods This analysis used data from CHF patients at risk of malnutrition (N = 645) who were part of the Effect of Early Nutritional Therapy on Frailty, Functional Outcomes and Recovery of Undernourished Medical Inpatients Trial (EFFORT). Study patients with CHF were randomized into (i) an intervention group (individualized nutritional support to reach energy, protein, and micronutrient goals) or (ii) a control group (receiving standard hospital food). We used a Markov model with daily cycles (over a 6-month interval) to estimate hospital costs and health outcomes in the comparator groups, thus modeling cost-effectiveness ratios of nutritional interventions. Results With nutritional support, the modeled total additional cost over the 6-month interval was 15,159 Swiss Francs (SF). With an additional 5.77 life days, the overall incremental cost-effectiveness ratio for nutritional support vs. no nutritional support was 2625 SF per life day gained. In terms of complications, patients receiving nutritional support had a cost savings of 6214 SF and an additional 4.11 life days without complications, yielding an incremental cost-effectiveness ratio for avoided complications of 1513 SF per life day gained. Conclusions On the basis of a Markov model, this economic analysis found that in-hospital nutritional support for CHF patients increased life expectancy at an acceptable incremental cost-effectiveness ratio.

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Section: Discussionmentioning

confidence: 99%

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

et al. 2022

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“…HEOR thus provides evidence-based guidance on how to improve care. In HEOR terms, the “value” of a care strategy is determined by outcomes relative to costs; the numerator of a value equation is outcome, while the denominator is cost ( 91 ). Nutritional care is advantageous when it improves outcomes.…”

Section: Health Economic Studies Show “Value” In Nutritional Carementioning

confidence: 99%

“…Nutritional care is advantageous when it improves outcomes. The “value” of nutritional care is recognized when patients’ health outcomes improve at reasonable incremental costs for nutritional care and with reduced overall costs of care ( 91 ).…”

Section: Health Economic Studies Show “Value” In Nutritional Carementioning

confidence: 99%

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

et al. 2023

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Ensuring healthy lives and promoting wellbeing across the age spectrum are essential to sustainable development. Nutrition is at the heart of the World Health Organization (WHO) Sustainable Development Goals, particularly for Sustainable Development Goal 2/Subgoal 2, which is to End all forms of malnutrition by 2030. This subgoal addresses people of all ages, including targeted groups like young children and older adults. In recent decades, there have been marked advances in the tools and methods used to screen for risk of malnutrition and to conduct nutritional assessments. There have also been innovations in nutritional interventions and outcome measures related to malnutrition. What has been less common is research on how nutritional interventions can impact healthy aging. Our Perspective article thus takes a life-course approach to consider what is needed to address risk of malnutrition and why, and to examine how good nutrition across the lifespan can contribute to healthy aging. We discuss broad-ranging yet interdependent ways to improve nutritional status worldwide—development of nutritional programs and policies, incorporation of the best nutrition-care tools and methods into practice, provision of professional training for quality nutritional care, and monitoring health and economic benefits of such changes. Taken together, our Perspective aims to (i) identify current challenges to meeting these ideals of nutritional care, and to (ii) discover enabling strategies for the improvement of nutrition care across the lifespan. In harmony with the WHO goal of sustainable development, we underscore roles of nutrition to foster healthy human development and healthy aging worldwide.

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Impact of nutrition interventions for malnourished patients: Introduction to health economics and outcomes research with findings from nutrition care studies

Schuetz,

Kerr,

Cereda

et al. 2024

Nut in Clin Prac

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Healthcare systems and patients today are challenged by high and ever‐escalating costs for care. With increasing costs and declining affordability, public and private healthcare payers are all seeking value in care. As the evidence regarding health benefits of nutrition products and interventional nutrition care is increasing, cost‐effectiveness of these interventions needs consideration. Health economics and outcomes research (HEOR) examines the value of healthcare treatments, including nutrition interventions. This review summarizes how HEOR tools are used to measure health impact, that is, the burden of illness, the effect of interventions on the illness, and the value of the nutrition intervention in terms of health and cost outcomes. How studies are designed to compile data for economic analyses is briefly discussed. Then, studies that use HEOR methods to measure efficacy, cost‐effectiveness, and cost savings from nutrition care across the healthcare spectrum—from hospitals to nursing homes and rehabilitation centers, to care for community‐living individuals, with an emphasis on individuals who are older or experiencing chronic health issues—are reviewed. Overall, findings from HEOR studies over the past decade build considerable evidence to show that nutrition care improves the health of at‐risk or malnourished patients effectively and at a reasonable cost. As such, the evidence suggests that nutrition care brings value to healthcare across multiple settings and populations.

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<p>Nutrition Interventions Deliver Value in Healthcare: Real-World Evidence</p>

Cited by 9 publications

References 37 publications

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

Impact of nutrition interventions for malnourished patients: Introduction to health economics and outcomes research with findings from nutrition care studies

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