Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/29449
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorCORREIA, Maria Isabel Toulson Davisson-
dc.contributor.authorPERMAN, Mario Ignacio-
dc.contributor.authorPRADELLI, Lorenzo-
dc.contributor.authorOMARALSALEH, Abdul Jabbar-
dc.contributor.authorWAITZBERG, Dan Linetzky-
dc.date.accessioned2018-11-21T17:01:27Z-
dc.date.available2018-11-21T17:01:27Z-
dc.date.issued2018-
dc.identifier.citationJOURNAL OF MEDICAL ECONOMICS, v.21, n.11, p.1047-1056, 2018-
dc.identifier.issn1369-6998-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/29449-
dc.description.abstractAim: Disease-related malnutrition (DRM) is a prevalent condition that significantly increases the risk of adverse outcomes in hospitalized patients, particularly those with critical illness. Limited data is available on the economic burden of DRM and the cost-benefit of nutrition therapy in high-risk populations in Latin America. The aims of the present study were to estimate the economic burden of DRM and evaluate the cost-benefit of supplemental parenteral nutrition (SPN) in critically ill patients who fail to receive adequate nutrient intake from enteral nutrition (EN) in Latin America. Methods: Country-specific cost and prevalence data from eight Latin American countries and clinical data from studies evaluating outcomes in patients with DRM were used to estimate the costs associated with DRM in public hospitals. A deterministic decision model based on clinical outcomes from a randomized controlled study and country-specific cost data were developed to examine the cost-benefit of administering SPN to critically ill adults who fail to reach >= 60% of the calculated energy target with EN. Results: The estimated annual economic burden of DRM in public hospitals in Latin America is $10.19 billion (range, $8.44 billion-$11.72 billion). Critically ill patients account for a disproportionate share of the costs, with a 6.5-fold higher average cost per patient compared with those in the ward ($5488.35 vs. $839.76). Model-derived estimates for clinical outcomes and resource utilization showed that administration of SPN to critically ill patients who fail to receive the targeted energy delivery with EN would result in an annual cost reduction of $10.2 million compared with continued administration of EN alone. Limitations: The cost calculation was limited to the average daily cost of stay and antibiotic use. The costs associated with other common complications of DRM, such as prolonged duration of mechanical ventilation or more frequent readmission, are unknown. Conclusions: DRM imposes a substantial economic burden on Latin American countries, with critically ill patients accounting for a disproportionate share of costs. Cost-benefit analysis suggests that both improved clinical outcomes and significant cost savings can be achieved through the adoption of SPN as a therapeutic strategy in critically ill patients who fail to receive adequate nutrient intake from EN.-
dc.description.sponsorshipFresenius Kabi Deutschland GmbH-
dc.language.isoeng-
dc.publisherTAYLOR & FRANCIS LTD-
dc.relation.ispartofJournal of Medical Economics-
dc.rightsrestrictedAccess-
dc.subjectDisease-related malnutrition-
dc.subjectpharmacoeconomics-
dc.subjectsupplemental parenteral nutrition-
dc.subjectenteral nutrition-
dc.subjectintensive care-
dc.subjectLatin America-
dc.subject.otherdisease-related malnutrition-
dc.subject.otherintensive-care units-
dc.subject.otherlength-of-stay-
dc.subject.othermalnourished patients-
dc.subject.otherprevalence-
dc.subject.otherimpact-
dc.subject.othermulticenter-
dc.subject.othermortality-
dc.subject.otherinfections-
dc.subject.otherprovision-
dc.titleEconomic burden of hospital malnutrition and the cost-benefit of supplemental parenteral nutrition in critically ill patients in Latin America-
dc.typearticle-
dc.rights.holderCopyright TAYLOR & FRANCIS LTD-
dc.identifier.doi10.1080/13696998.2018.1500371-
dc.identifier.pmid30001667
dc.subject.wosHealth Care Sciences & Services-
dc.subject.wosMedicine, General & Internal-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-
hcfmusp.author.externalCORREIA, Maria Isabel Toulson Davisson:Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil-
hcfmusp.author.externalPERMAN, Mario Ignacio:Italian Hosp Buenos Aires, Dept Med, Adult Intens Care Unit, Buenos Aires, DF, Argentina-
hcfmusp.author.externalPRADELLI, Lorenzo:AdRes Hlth Econ & Outcomes Res, Turin, Italy-
hcfmusp.author.externalOMARALSALEH, Abdul Jabbar:AdRes Hlth Econ & Outcomes Res, Turin, Italy-
hcfmusp.description.beginpage1047-
hcfmusp.description.endpage1056-
hcfmusp.description.issue11-
hcfmusp.description.volume21-
hcfmusp.origemWOS-
hcfmusp.origem.idWOS:000447587100001-
hcfmusp.origem.id2-s2.0-85050699926-
hcfmusp.publisher.cityABINGDON-
hcfmusp.publisher.countryENGLAND-
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dc.description.indexMEDLINE-
dc.identifier.eissn1941-837X-
hcfmusp.citation.scopus25-
hcfmusp.scopus.lastupdate2024-03-07-
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Departamento de Gastroenterologia - FM/MGT

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Artigos e Materiais de Revistas Científicas - LIM/35
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