This study surveyed home parenteral nutrition (HPN) in approved centers in France from 1993-1995. 524 new adult patients received HPN, with an incidence of 3.75 per 100,000 adults. Indications for AIDS increased from 8% to 18% while other indications remained stable. At six months, the probability of continuing treatment was 19.5% for cancer and AIDS but 52% for other diagnoses, with death rates of 59% and 9% respectively. Short-term treatment for cancer and AIDS patients was due to poor prognosis, while other patients had a good prognosis but dependency on long-term treatment.

1. Id: 9762271 Autor: Messing B; Barnoud D; Beau P; Bornet JL; Chambrier C; Constanzo JD;
Gerard-Boncompain M; Guedon C; Hebuterne X; Heresbach D; de Ledinghen V; Lescut D;
Reimund JM; Senesse P; Beliah M; Bouletreau P; Bretagne JF; Descos L; Duclos B; Kerjean A;
Lerebours E; Leverve X; Morichau-Beauchant M; Paris JC; Rampal P. Título: Données
épidémiologiques 1993-1995 de la nutrition parentérale à domicile en centres agréés chez l'adulte
en France.[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers
for adults in France]. Fuente: Gastroenterol Clin Biol;22(4):413-8, 1998 Apr. Resumen:
OBJECTIVES: A 1993-1995 three year epidemiological survey of home parenteral nutrition was
performed through in France in approved centers for adults. METHODS: Data were retrospectively
collected each year on a standardized questionnaire focussing on indications and short term
outcome. RESULTS: All centers (n = 14) participated in the study and 524 new adult patients were
recruited. The overall incidence was unchanged at 3.75 patients/10(6) adults. Indications for AIDS
rose (8 to 18%) whereas other indications were stable. Prevalence increased by 19%: 4.40
adults/10(6) patients at 01.01.1996. At six months, the probability to stay on treatment was 19.5%
for AIDS and cancer indications but 52% for others, whereas death rates were 59% and 9%
respectively. CONCLUSIONS: For both cancer and AIDS indications, short-term treatment was due
to a poor prognosis. For other diagnosis, complicated with a short bowel in 51% of cases,
prognosis was excellent but associated with treatment dependency. The latter point focuses on the
need for additional treatments in irreversible intestinal failure.. Descriptores: Encuestas de
Atención de la Salud
Nutrición Parenteral en el Domicilio
-Síndrome de Inmunodeficiencia Adquirida/complicaciones
Adolescente
Adulto
Anciano
Certificación
Francia
Humanos
Mediana Edad
Neoplasias/complicaciones
Nutrición Parenteral en el Domicilio/normas
Pronóstico
Calidad de la Atención de Salud
Estudios Retrospectivos
Responsable: BR1.1 - BIREME
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