Evaluación económica de la nutrición parenteral domiciliaria en el Hospital General Universitario Gregorio Marañón

Abstract

Home parenteral nutrition (HPN) is a nutritional support modality that allows the administration of parenteral nutrition (PN) at the patient's home.The increase in the number of patients in whom this treatment is used, together with the improvement of aseptic techniques and resources used for HPN, have determined that this treatment is being used more and more frequently. In the scientific literature, there are works available that have studied HPN in all its domains: catheter care, monitoring and follow-up or the quality of life of patients with HPN.The cost analysis of HPN deserves special consideration. Although HPN has been studied from an economic point of view, the cost categories generally included were direct costs, and personal costs and productivity costs being frequently excluded. The studies that address the study of the costs of HPN in Spain were based on voluntary registries and not on a real sample of cases and, furthermore, they did not include direct non-healthcare costs or the cost of monitoring patients with HPN. Additionally, the different organisational structures and treatment strategies for HPN, combined with the different methods of cost analysis, have resulted in the publication of a variety of original articles whose objective was to study the costs of HPN. However, to our knowledge, there is no updated systematic review that provides an overview of the economic costs of HPN...