A clinical and economic evaluation of enteral nutrition

Cangelosi, Michael J.; Auerbach, Hannah R.; Cohen, Joshua T.

doi:10.1185/03007995.2010.545816

Cited by 59 publications

(30 citation statements)

References 50 publications

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“…Several RCT's have demonstrated the beneficial effect of providing enteral versus parenteral nutrition in different conditions as soon as possible in ICU patients [39, 40]. A recent large RCT indicated that early initiation of parenteral nutrition in patients not meeting the recommended caloric intakes by enteral feeding leads to higher mortality rates and longer ICU stay [41].…”

Section: : Prevention and Treatment Of Akimentioning

confidence: 99%

A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines on Acute Kidney Injury: Part 1: definitions, conservative management and contrast-induced nephropathy

Fliser

Laville

Covic

et al. 2012

Nephrology Dialysis Transplantation

460

211

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Section: : Prevention and Treatment Of Akimentioning

confidence: 99%

A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines on Acute Kidney Injury: Part 1: definitions, conservative management and contrast-induced nephropathy

Fliser

Laville

Covic

et al. 2012

Nephrology Dialysis Transplantation

460

211

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“…Of these reviews, the one by Cangelosi et al23 achieved the highest quality scores applying the AMSTAR checklist (for details, see Table S2). Most questions could be answered, and the paper included all relevant information.…”

Section: Resultsmentioning

confidence: 99%

Health economic analyses in medical nutrition: a systematic literature review

Walzer¹,

Droeschel²,

Nuijten³

et al. 2014

CEOR

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BackgroundMedical nutrition is a specific nutrition category either covering specific dietary needs and/or nutrient deficiency in patients or feeding patients unable to eat normally. Medical nutrition is regulated by a specific bill in Europe and in the US, with specific legislation and guidelines, and is provided to patients with special nutritional needs and indications for nutrition support. Therefore, medical nutrition products are delivered by medical prescription and supervised by health care professionals. Although these products have existed for more than 2 decades, health economic evidence of medical nutrition interventions is scarce. This research assesses the current published health economic evidence for medical nutrition by performing a systematic literature review related to health economic analysis of medical nutrition.MethodsA systematic literature search was done using standard literature databases, including PubMed, the Health Technology Assessment Database, and the National Health Service Economic Evaluation Database. Additionally, a free web-based search was conducted using the same search terms utilized in the systematic database search. The clinical background and basis of the analysis, health economic design, and results were extracted from the papers finally selected. The Drummond checklist was used to validate the quality of health economic modeling studies and the AMSTAR (A Measurement Tool to Assess Systematic Reviews) checklist was used for published systematic reviews.ResultsFifty-three papers were identified and obtained via PubMed, or directly via journal webpages for further assessment. Thirty-two papers were finally included in a thorough data extraction procedure, including those identified by a “gray literature search” utilizing the Google search engine and cross-reference searches. Results regarding content of the studies showed that malnutrition was the underlying clinical condition in most cases (32%). In addition, gastrointestinal disorders (eg, surgery, cancer) were often analyzed. In terms of settings, 56% of papers covered inpatients, whereas 14 papers (44%) captured outpatients, including patients in community centers. Interestingly, in comparison with the papers identified overall, very few health economic models were found. Most of the articles were modeling analyses and economic trials in different design settings. Overall, only eight health economic models were published and were validated applying the Drummond checklist. In summary, most of the models included were carried out to quite a high standard, although some areas were identified for further improvement. Of the two systematic health economic reviews identified, one achieved the highest quality score when applying the AMSTAR checklist.ConclusionThe reasons for finding only a few modeling studies but quite a large number of clinical trials with health economic endpoints, might be different. Until recently, health economics has not been required for reimbursement or coverage decisions concerning medical nutriti...

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“…We excluded studies that (1) did not include subjects older than 65 years (most notably studies of pediatric populations) or (2) did not evaluate oral or enteral supplements. We excluded parenteral nutrition studies because that administration pathway (direct infusion into the bloodstream) bypasses the gut and hence has substantially different (and more frequent) complications than either oral or enteral nutrition (EN) 15 …”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Economic Burden of Diseases Associated With Poor Nutrition Status

Cangelosi

Rodday

Saunders

et al. 2013

J Parenter Enteral Nutr

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A clinical and economic evaluation of enteral nutrition

Abstract: The evidence of both clinical and economic gains from EN is consistent with ASPEN guidelines recommending use of EN in critically ill hospital patients when possible.

Cited by 59 publications

References 50 publications

A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines on Acute Kidney Injury: Part 1: definitions, conservative management and contrast-induced nephropathy

A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines on Acute Kidney Injury: Part 1: definitions, conservative management and contrast-induced nephropathy

Health economic analyses in medical nutrition: a systematic literature review

Evaluation of the Economic Burden of Diseases Associated With Poor Nutrition Status

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