Use of oral supplements in malnourished elderly patients living in the community: a pharmaco-economic study*1

Arnaud-Battandier, F; Malvy, Denis; Jeandel, C; Schmitt, Claude; Aussage, P.; Beaufrère, B.; Cynober, Luc

doi:10.1016/j.clnu.2004.02.007

Cited by 66 publications

(83 citation statements)

References 22 publications

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“…An analysis of the American Medicare database containing information about 378,419 patients over 65 years old who were hospitalized for chronic obstructive pulmonary disease showed that ONS use was associated with a 12% reduction in the cost of hospitalization (US$10,953 vs US$12,523, p = 0.01) (21). The authors observed high cost-effectiveness of oral nutritional therapy with a total care cost reduction of US$18 for each US$1 spent with ONS (25).…”

Section: Depletion Of Body Muscle and Fat Tissues Including Intra-mentioning

confidence: 97%

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

Waitzberg¹,

Aguilar-Nascimento²,

Dias³

et al. 2017

Nutr Hosp

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Section: Depletion Of Body Muscle and Fat Tissues Including Intra-mentioning

confidence: 97%

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

Waitzberg¹,

Aguilar-Nascimento²,

Dias³

et al. 2017

Nutr Hosp

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“…A retrospective cost analysis by Stratton et al (7) of nine randomized controlled trails (with or without oral nutrition supplementation) demonstrated mean cost savings of between £352 and £8179 per patient in surgical, orthopaedic, elderly and cerebrovascular accident patients, using significantly lower bed-day costs than apply currently in Ireland. Studies in community patients have also shown net savings associated with oral nutrition supplementation use v. standard care in France (50) , The Netherlands (51) and Germany (52) . While it is not possible to determine precisely how much of the additional cost of DRM can be saved through an effective screening and intervention strategy in Ireland, this estimate can be used to indicate how much it would be worth for a health-care system to spend per patient on successful interventions.…”

Section: Discussionmentioning

confidence: 99%

The cost associated with disease-related malnutrition in Ireland

Rice¹,

Normand

2012

Public Health Nutr.

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Objective: The present study aimed to establish the annual public expenditure arising from the health and social care of patients with diet-related malnutrition (DRM) in the Republic of Ireland. Design: Costs were calculated by (i) estimating the prevalence of DRM in health-care settings derived from age-standardised comparisons between available Irish data and large-scale UK surveys and (ii) applying relevant costs from official sources to estimates of health-care utilisation by adults with DRM. No attempt has been made to estimate separately the costs of DRM and any associated disease, since each can be a cause or consequence of the other. The methods used are adapted from an evaluation of the cost of malnutrition in the UK by the British Association for Parenteral and Enteral Nutrition (2009). Settings: Hospitals, nursing homes, out-patient clinics, primary-care clinics and home care. Subjects: All adult patients receiving hospital in-patient, out-patient or specified community health-care services. Results: The annual public health and social care cost associated with adult malnourished patients in Ireland is estimated at over h1?4 billion, representing 10 % of the health-care budget. Most of this cost arises in acute hospital or residential care settings (i.e. 70 %), with nutritional support estimated to account for ,3 % of spend. Conclusions: The cost associated with the care of patients with DRM is substantial and may rise as the proportion of older people within the population increases, a group at increased risk of DRM. Despite growing pressure on health-care budgets, little attention has been focused on the economic burden associated with DRM in Ireland or the potential for savings arising from improved detection and treatment of those at risk.

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“…Otros estudios demuestran también que un aporte nutricional adecuado en dicha población puede mejorar el estado nutricional y los niveles deficientes de micronutrientes, reduciendo la incidencia de varias enfermedades crónicas y contribuyendo a su vez a reducir los costos en la atención de salud [16][17][18][19][20][21][22] .…”

Section: Tabla 3 Mediana Del Aporte De Energía Y Nutrientes De La Alunclassified

Análisis de la aceptabilidad, consumo y aporte nutricional del programa alimentario del adulto mayor

Masi

Atalah

2008

Rev. méd. Chile

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Use of oral supplements in malnourished elderly patients living in the community: a pharmaco-economic study*1

Cited by 66 publications

References 22 publications

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

The cost associated with disease-related malnutrition in Ireland

Análisis de la aceptabilidad, consumo y aporte nutricional del programa alimentario del adulto mayor

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