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Research priorities in pediatric parenteral nutrition: a consensus and perspective from ESPGHAN/ESPEN/ESPR/CSPEN
MJ. Johnson, A. Lapillonne, J. Bronsky, M. Domellof, N. Embleton, S. Iacobelli, F. Jochum, K. Joosten, S. Kolacek, WA. Mihatsch, SJ. Moltu, JWL. Puntis, A. Riskin, R. Shamir, MM. Tabbers, JB. Van Goudoever, M. Saenz de Pipaon,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, přehledy
NLK
Free Medical Journals
od 1967 do Před 1 rokem
ProQuest Central
od 2016-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2016-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 2016-01-01 do Před 1 rokem
- MeSH
- dítě MeSH
- fyziologie výživy dětí * MeSH
- kojenec MeSH
- konsensus MeSH
- lidé MeSH
- novorozenec MeSH
- parenterální výživa úplná MeSH
- parenterální výživa * MeSH
- výzkum MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Parenteral nutrition is used to treat children that cannot be fully fed by the enteral route. While the revised ESPGHAN/ESPEN/ESPR/CSPEN pediatric parenteral nutrition guidelines provide clear guidance on the use of parenteral nutrition in neonates, infants, and children based on current available evidence, they have helped to crystallize areas where research is lacking or more studies are needed in order to refine recommendations. This paper collates and discusses the research gaps identified by the authors of each section of the guidelines and considers each nutrient or group of nutrients in turn, together with aspects around delivery and organization. The 99 research priorities identified were then ranked in order of importance by clinicians and researchers working in the field using a survey methodology. The highest ranked priority was the need to understand the relationship between total energy intake, rapid catch-up growth, later metabolic function, and neurocognitive outcomes. Research into the optimal intakes of macronutrients needed in order to achieve optimal outcomes also featured prominently. Identifying research priorities in PN should enable research to be focussed on addressing key issues. Multicentre trials, better definition of exposure and outcome variables, and long-term metabolic and developmental follow-up will be key to achieving this. IMPACT: The recent ESPGHAN/ESPEN/ESPR/CSPEN guidelines for pediatric parenteral nutrition provided updated guidance for providing parenteral nutrition to infants and children, including recommendations for practice. However, in several areas there was a lack of evidence to guide practice, or research questions that remained unanswered. This paper summarizes the key priorities for research in pediatric parenteral nutrition, and ranks them in order of importance according to expert opinion.
Bnai Zion Medical Center Rappaport Faculty of Medicine Technion Haifa Israel
Children's Hospital University of Zagreb School of Medicine Zagreb Croatia
Department of Clinical Sciences Pediatrics Umeå University Umeå Sweden
Department of Neonatal Intensive Care CHU La Réunion Saint Pierre France
Department of Neonatal Intensive Care Oslo University Hospital Oslo Norway
Department of Neonatal Medicine University Hospital Southampton NHS Trust Southampton UK
Department of Paediatrics University Hospital Motol Prague Czech Republic
Erasmus MC Sophia Children's Hospital Rotterdam The Netherlands
Evangelisches Waldkrankenhaus Spandau Berlin Germany
France and CNRC Department of Pediatrics Baylor College of Medicine Houston TX USA
Neonatal Intensive Care Unit Necker Enfants Malades Hospital Paris University Paris France
Neonatal Unit Newcastle University Newcastle upon Tyne UK
Citace poskytuje Crossref.org
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- $a Parenteral nutrition is used to treat children that cannot be fully fed by the enteral route. While the revised ESPGHAN/ESPEN/ESPR/CSPEN pediatric parenteral nutrition guidelines provide clear guidance on the use of parenteral nutrition in neonates, infants, and children based on current available evidence, they have helped to crystallize areas where research is lacking or more studies are needed in order to refine recommendations. This paper collates and discusses the research gaps identified by the authors of each section of the guidelines and considers each nutrient or group of nutrients in turn, together with aspects around delivery and organization. The 99 research priorities identified were then ranked in order of importance by clinicians and researchers working in the field using a survey methodology. The highest ranked priority was the need to understand the relationship between total energy intake, rapid catch-up growth, later metabolic function, and neurocognitive outcomes. Research into the optimal intakes of macronutrients needed in order to achieve optimal outcomes also featured prominently. Identifying research priorities in PN should enable research to be focussed on addressing key issues. Multicentre trials, better definition of exposure and outcome variables, and long-term metabolic and developmental follow-up will be key to achieving this. IMPACT: The recent ESPGHAN/ESPEN/ESPR/CSPEN guidelines for pediatric parenteral nutrition provided updated guidance for providing parenteral nutrition to infants and children, including recommendations for practice. However, in several areas there was a lack of evidence to guide practice, or research questions that remained unanswered. This paper summarizes the key priorities for research in pediatric parenteral nutrition, and ranks them in order of importance according to expert opinion.
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