A National Observational Study of the Prevalence and Use of Enteral Tube Feeding, Parenteral Nutrition and Intravenous Glucose in Cancer Patients Enrolled in Specialized Palliative CareReportar como inadecuado




A National Observational Study of the Prevalence and Use of Enteral Tube Feeding, Parenteral Nutrition and Intravenous Glucose in Cancer Patients Enrolled in Specialized Palliative Care - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

1

Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital-Huddinge, SE-141 86 Stockholm, Sweden

2

Stockholms Sjukhem Foundation, Box 12230, SE-102 26 Stockholm, Sweden

3

Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, SE-171 77 Stockholm, Sweden

4

School of Nursing, Midwifery and Social Work, University of Manchester, Manchester M13 9PL, UK

5

Department of Oncology-Pathology, Karolinska Institutet, SE-171 77 Stockholm, Sweden





*

Author to whom correspondence should be addressed.



Abstract The use of artificial nutrition remains controversial for cancer patients in palliative care, and its prevalence is largely unknown. We therefore conducted a national study to investigate the prevalence, indications for, and perceived benefit of enteral-parenteral nutrition and intravenous glucose in this patient group. A cross-sectional study was performed within the palliative care research network in Sweden PANIS, using a web-based survey with 24 questions on demographics, prescribed nutritional treatment, estimated survival and benefit from treatment. Data was received from 32 palliative care units throughout the country, representing 1083 patients with gastrointestinal and gynecological malignancies being the most common diagnoses. Thirteen percent of the patients received enteral-parenteral nutrition or intravenous glucose. Parenteral nutrition PN was significantly more common in home care units serving the urban Stockholm region 11% than in other parts of the country 4%. Weight and appetite loss were the predominant indications for PN, with this treatment deemed beneficial for 75% of the palliative patients. Data show that there was great variation in PN use within the country. PN was predominately initiated when patients had weight and appetite loss but still had oral intake, indicating a use of PN that extends beyond the traditional use for patients with obstruction-semi obstruction. View Full-Text

Keywords: enteral tube feeding; intravenous glucose; neoplasm; nutritional support; palliative care; parenteral nutrition enteral tube feeding; intravenous glucose; neoplasm; nutritional support; palliative care; parenteral nutrition





Autor: Ylva Orrevall 1,2,3,* , Carol Tishelman 2,3,4, Johan Permert 1 and Staffan Lundström 2,5

Fuente: http://mdpi.com/



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