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

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
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Soumis le : lundi 1 juin 2009 - 11:55:04
Dernière modification le : lundi 10 septembre 2018 - 15:38:02

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

Citation

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, Elsevier Masson, 1998, 22 (4), pp.413-8. 〈inserm-00390221〉

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