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Economy matters to fight against malnutrition: Results from a multicenter survey
S. Klek, M. Chourdakis, S. Bischoff, S. Dubrov, A. Forbes, A. Galas, L. Genton, HR. Gundogdu, O. Irtun, I. Jagmane, T. Jakobson-Forbes, A. Jirka, N. Kennedy, A. Klimasauskas, I. Khoroshilov, M. Leon-Sanz, M. Muscaritoli, M. Panisic-Sekeljic, KA....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, multicentrická studie
- MeSH
- délka pobytu MeSH
- enterální výživa ekonomika MeSH
- lidé MeSH
- nemocnice MeSH
- parenterální výživa ekonomika MeSH
- podvýživa ekonomika prevence a kontrola MeSH
- průzkumy a dotazníky MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND AND AIM: Malnutrition represents a serious health care threat, as it increases morbidity, mortality and health care cost. The effective screening and treatment with enteral (EN) or parenteral (PN) nutrition are the key elements of the policy called Optimal Nutrition Care for All (ONCA). The study tried to analyze the impact of the state's economy on the implementation of EN and PN to define its role in ONCA. MATERIAL AND METHODS: an international survey in twenty two European countries was performed between January and December 2014. An electronic questionnaire was distributed to 22 representatives of clinical nutrition (PEN) societies. The questionnaire comprised questions regarding country economy, reimbursement, education and the use EN and PN. Return rate was 90.1% (n = 20). RESULTS: EN and PN were used in all countries surveyed (100%), but to different extent. The country's income significantly influenced the reimbursement for EN and PN (p < 0.05). It was also associated with the overall use of tube feeding and PN (p = 0.05), but not with the use of oral nutritional supplements (p = 0.165). The use of both, EN and PN at hospitals was not depended on the economy (p > 0.05). Education was actively carried out in all countries, however the teaching at the pre-graduate level was the least widespread, and also correlated with the country income (p = 0.042). CONCLUSIONS: Results indicated that economic situation influences all aspects of ONCA, including education and treatment. The reimbursement for EN and PN seemed to be the key factor of effective campaign against malnutrition.
Clinical Nutrition University Hospital Geneva Switzerland
Department of Clinical Medicine Sapienza University of Rome Italy
Ege University Hospital Department of Anesthesiology and Intensive Care Izmir Turkey
Gastroenterology and Nutrition Archet University Hospital Nice France
General Surgery and Gastrointestinal Surgery Atatürk Teaching and Research Hospital Ankara Turkey
Institute of Nutritional Medicine University of Hohenheim Stuttgart Germany
Kralovske Vinohrady University Hospital Internal Medicine Department Prague Czech Republic
Laiko General Hospital Athens Greece
Norwich Medical School University of East Anglia Norwich UK
Radboud University Medical Center Nijmegen The Netherlands
School of Medicine Aristotle University of Thessaloniki Greece
School of Medicine University of Zagreb Croatia
Servicio de Endocrinologia y Nutrition Hospital Universitatrio 12 de Octubre Madrid Spain
Stanley Dudrick's Memorial Hospital General Surgery Unit Skawina Poland
Tampere University Hospital Nutrition Unit Tampere Finland
Tartu University Hospital Anaesthesiology and Intensive Care Clinic Tartu Estonia
The Riga East Clinical University Hospital Riga Latvia
Trinity College Dublin Dublin Ireland
Vilnius University Medical Faculty Clinic of Anaesthesiology and Reanimatology Vilnius Lithuania
Citace poskytuje Crossref.org
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- $a Klek, Stanislaw $u Stanley Dudrick's Memorial Hospital, General Surgery Unit, Skawina, Poland. Electronic address: klek@poczta.onet.pl.
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- $a BACKGROUND AND AIM: Malnutrition represents a serious health care threat, as it increases morbidity, mortality and health care cost. The effective screening and treatment with enteral (EN) or parenteral (PN) nutrition are the key elements of the policy called Optimal Nutrition Care for All (ONCA). The study tried to analyze the impact of the state's economy on the implementation of EN and PN to define its role in ONCA. MATERIAL AND METHODS: an international survey in twenty two European countries was performed between January and December 2014. An electronic questionnaire was distributed to 22 representatives of clinical nutrition (PEN) societies. The questionnaire comprised questions regarding country economy, reimbursement, education and the use EN and PN. Return rate was 90.1% (n = 20). RESULTS: EN and PN were used in all countries surveyed (100%), but to different extent. The country's income significantly influenced the reimbursement for EN and PN (p < 0.05). It was also associated with the overall use of tube feeding and PN (p = 0.05), but not with the use of oral nutritional supplements (p = 0.165). The use of both, EN and PN at hospitals was not depended on the economy (p > 0.05). Education was actively carried out in all countries, however the teaching at the pre-graduate level was the least widespread, and also correlated with the country income (p = 0.042). CONCLUSIONS: Results indicated that economic situation influences all aspects of ONCA, including education and treatment. The reimbursement for EN and PN seemed to be the key factor of effective campaign against malnutrition.
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