[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France]

Bernard Messing; Didier Barnoud; Philippe Beau; Jean-Louis Bornet; Cécile Chambrier; Jacques Di Constanzo; Michèle Gerard-Boncompain; Claire Guedon; Xavier Hebuterne; Denis Heresbach; Victor De Ledinghen; Dominique Lescut; Jean-Marie Reimund; Pierre Senesse; Martine Beliah; Paul Bouletreau; Jean-François Bretagne; Louis Descos; Bernard Duclos; Alain Kerjean; Eric Lerebours; Xavier Leverve; Michel Morichau-Beauchant; Jean-Claude Paris; Patrick Rampal

[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 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 [Rouen]

9 Service de gastro-entérologie et nutrition clinique

10 Service de Gastroentérologie

11 Service d'hépatologie

12 Unité de Gastroentérologie, Hépatologie et Nutrition

13 Service d'hépato-gastroentérologie

14 Département d'oncologie Médicale

15 Service d'hépato-gastroentérologie

Abstract : 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.

Type de document :

Article dans une revue

Gastroentérologie Clinique et Biologique / Research and Clinics in Hepatology and Gastroenterology, Elsevier Masson, 1998, 22 (4), pp.413-8

Liste complète des métadonnées

http://www.hal.inserm.fr/inserm-00390221
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Soumis le : lundi 1 juin 2009 - 11:55:04
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[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France]

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