[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France]
Bernard Messing
(1)
,
Didier Barnoud
(2)
,
Philippe Beau
(3)
,
Jean-Louis Bornet
(4)
,
Cécile Chambrier
(5)
,
Jacques Di Constanzo
(6)
,
Michèle Gerard-Boncompain
(7)
,
Claire Guedon
(8)
,
Xavier Hebuterne
(9)
,
Denis Heresbach
(10)
,
Victor de Ledinghen
(11)
,
Dominique Lescut
(12)
,
Jean-Marie Reimund
(13)
,
Pierre Senesse
(14)
,
Martine Beliah
(1)
,
Paul Bouletreau
(5)
,
Jean-François Bretagne
(10)
,
Louis Descos
(15)
,
Bernard Duclos
(13)
,
Alain Kerjean
(11)
,
Eric Lerebours
(8)
,
Xavier M Leverve
(2)
,
Michel Morichau-Beauchant
(3)
,
Jean-Claude Paris
(12)
,
Patrick Rampal
(9)
1
Service d'Hépato-Gastroentérologie
2 Clinique de réanimation médicale
3 Service d'Hépato-Gastroentérologie
4 Chirurgie Générale et Digestive [Purpan]
5 Département d'Anesthésie-Réanimation
6 Service d'Hépato-Gastroentérologie
7 Service de Réanimation Médicale
8 Service d'Hépato-Gastroentérologie [CHU Rouen]
9 Service de gastro-entérologie et nutrition clinique
10 Service d'hépato-gastro-entérologie [Rennes] = Gastroenterology [Rennes]
11 Service d'hépatologie
12 Unité de Gastroentérologie, Hépatologie et Nutrition
13 Service d'Hépato-Gastro-Enterologie et Nutrition [CHU Caen]
14 Département d'oncologie Médicale
15 Service d'hépato-gastroentérologie
2 Clinique de réanimation médicale
3 Service d'Hépato-Gastroentérologie
4 Chirurgie Générale et Digestive [Purpan]
5 Département d'Anesthésie-Réanimation
6 Service d'Hépato-Gastroentérologie
7 Service de Réanimation Médicale
8 Service d'Hépato-Gastroentérologie [CHU Rouen]
9 Service de gastro-entérologie et nutrition clinique
10 Service d'hépato-gastro-entérologie [Rennes] = Gastroenterology [Rennes]
11 Service d'hépatologie
12 Unité de Gastroentérologie, Hépatologie et Nutrition
13 Service d'Hépato-Gastro-Enterologie et Nutrition [CHU Caen]
14 Département d'oncologie Médicale
15 Service d'hépato-gastroentérologie
Victor de Ledinghen
- Fonction : Auteur
- PersonId : 756883
- ORCID : 0000-0001-6414-1951
Pierre Senesse
- Fonction : Auteur
- PersonId : 834752
- IdHAL : pierre-senesse
- ORCID : 0000-0003-3542-2898
- IdRef : 076542424
Résumé
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.