Cost of a Home Parenteral Nutrition Program

Abstract

We analyzed the costs to a hospital of providing complete home parenteral nutrition (HPN) services for eight patients. Identified cost components include patient training, equipment, supplies, and follow-up. The average annual cost of maintaining parenteral nutrition at home was 73% lower than it would have been in the hospital. The establishment of private companies to provide patients with HPN supplies and services will reduce the financial burden of HPN programs for hospitals.

Cost and Outcome Analysis of Home Parenteral and Enteral Nutrition

“…The demographics of these patients were similar to those included in the cost analysis part of the study with respect to age (median [range]: HEN: 51 [24 to 59] years; HPN: 56 [25 to 74] years), sex distribution (HEN: men, 3; women, 7; HPN: men, 8; women, 14), and indication for therapy. The indication for therapy was self-reported with the HPN patients citing short bowel syndrome (17), inflammatory bowel disease (10), Behqet's disease (1), radiation enteritis (1), and gastrointestinal motility disorders (4). Because patients checked more than one reason, the numbers added up to more than 22 in the HPN group.…”

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

“…1,2 Previous cost analyses have concluded that home PN reduces costs by 65%-81% when compared with hospital-based PN. [2][3][4][5][6][7] However, these estimates differ in the components of cost they included, the assumptions they made, and in the analytic perspective they assumed. For example, Curtas et al estimated personnel costs of home PN delivery but not the overall costs of care.…”

Short-bowel syndrome - surgical treatment with long-term benefit?

“…Maximum adaptation can only be reached when early enteral nutrition acts as a potent stimulator of mucosal growth [25]. The period of adaptation typically lasts for about 1 year in adults and up to 4 years in children [26,27]. It is commonly believed that patients will remain on TPN if enteral autonomy has not been regained by that time.…”