RT Journal Article
T1 [Cost analysis of home parenteral nutrition in Spain].
T2 Estimación del coste de la nutrición parenteral domiciliaria en España.
A1 Burgos Peláez, Rosa
A1 Virgili Casas, María Nuria
A1 Cuerda Compés, María Cristina
A1 Moreno Villares, José Manuel
A1 Olveira, Gabriel
A1 Luengo Pérez, Luis Miguel
A1 Wanden-Berghe Lozano, Carmina
A1 Muñoz Cuadrado, Álvaro
A1 Torres González, Covadonga
A1 Casado Gómez, Miguel Ángel
AB Introduction: Home parenteral nutrition (HPN) improves quality of life, allowing patients to receive nutrition at home and providing a social and labor integration to these patients. Objective: To assess the direct costs of HPN in adult population in Spain. Methods: A literature review of the records of HPN in Spain, carry out by NADYA-SENPE Group (years 2007-2014), was performed. The analysis included the evolution of: patients requiring HPN, number of episodes/patient, mean duration of episodes, description of delivery routes and complications rate. HPN consumption and cost were estimated. Patients were grouped according to their pathological group: benign and malignant. Direct costs (€, 2015) included were: parenteral nutrition bags, delivery sets and costs due to complications. Results: The number of patients who receive HPN has increased over years (2007: 133 patients; 2014: 220 patients). The average number of episodes per patient ranged from 1-2 episodes per year. The average duration of those episodes decreased (2007: 323 days; 2014: 202.8 days). Tunneled catheters were the most used and septic complications were the most common. The average annual cost per patient was estimated at € 8,393.30 and € 9,261.60 for benign and malign disease respectively. Considering that 220 patients required HPN in 2014, an annual cost of € 1,846.524.96 (€ 1,389,910.55 directly due to HPN) and € 2,037,551.90 (€ 1,580,937.50 directly due to HPN) was estimated for patients with benign and malignant pathologies respectively. Conclusions: These results can be used to develop future economic evaluations on HPN and to establish effi cient prioritization strategies to allocate available resources.
YR 2017
FD 2017-03-30
LK https://hdl.handle.net/10668/24929
UL https://hdl.handle.net/10668/24929
LA es
DS RISalud
RD Apr 10, 2025