[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France] - Archive ouverte HAL Access content directly
Journal Articles Gastroentérologie Clinique et Biologique / Research and Clinics in Hepatology and Gastroenterology Year : 1998

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

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Victor de Ledinghen
Pierre Senesse

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.
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Dates and versions

inserm-00390221 , version 1 (01-06-2009)

Identifiers

  • HAL Id : inserm-00390221 , version 1
  • PUBMED : 9762271

Cite

Bernard Messing, Didier Barnoud, Philippe Beau, Jean-Louis Bornet, Cécile Chambrier, et al.. [A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France]. Gastroentérologie Clinique et Biologique / Research and Clinics in Hepatology and Gastroenterology, 1998, 22 (4), pp.413-8. ⟨inserm-00390221⟩
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