Operational recommendations for the implementation of home parenteral nutrition program of care according to the guidelines of the European society for clinical nutrition and metabolism.

Autor: Pironi L; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Centre for Chronic Intestinal Failure, IRCCS AOUBO, Bologna, Italy. Electronic address: loris.pironi@unibo.it., Cuerda C; Departamento de Medicina, Universidad Complutense de Madrid, Nutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Jeppesen PB; Rigshospitalet, Department of Gastroenterology, Copenhagen, Denmark., Joly F; Department of Gastroenterology and Nutritional Support, Center for Intestinal Failure, Reference Centre of Rare Disease MarDI, AP-HP Beaujon Hospital, University of Paris Inserm UMR, 1149, Paris, France., Lal S; National Intestinal Failure Reference Centre, Northern Care Alliance and University of Manchester, Manchester, Stott Lane, Salford, M6 8HD, UK., Lamprecht G; Division of Gastroenterology and Endocrinology, Department of Medicine II, Rostock University Medical Center, Rostock, Germany., Mundi MS; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic College of Medicine, Rochester, MN, USA., Szczepanek K; General Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, Skawina, Poland., Van Gossum A; Department of medical oncology, Bordet Institute, Hopital Universitaire de Bruxelles (HUB), Brussels, Belgium., Vanuytsel T; Translational Research Center for Gastrointestinal Disorders, KU Leuven, Herestraat 49, 3000, Leuven, Belgium., Wanten G; Intestinal Failure Unit, Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands., Weimann A; Department of General, Visceral and Oncological Surgery, St. George Hospital, Leipzig, Germany., Bischoff SC; Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.
Jazyk: angličtina
Zdroj: Clinical nutrition ESPEN [Clin Nutr ESPEN] 2024 Aug 06; Vol. 63, pp. 668-675. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1016/j.clnesp.2024.07.1056
Abstrakt: Home parenteral nutrition (HPN) is a complex therapy, which requires dedicated facilities and expertise. However, the management and provision of HPN differs significantly between countries and between HPN centers within countries. These differences lead to heterogeneity in the quality of care received by patients, with variable impact on the appropriateness, safety, and effectiveness of HPN, and resultant variability in the quality of life that a patient may expect. The European Society for Clinical Nutrition and Metabolism (ESPEN) have published guidelines on the appropriate and safe provision of HPN, with an associated practical version describing a short and precise way to implement the guidelines' recommendations in clinical practice. This educational paper suggests means of implementation of evidence supported HPN guidelines, using "operational recommendations" applitngto healthcare professionals, administrators and stakeholders, with the ultimate aim of enhancing equity of patient access to an appropriate and safe HPN program of care.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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