Evidence map›Paper›PMID 32690158›Full record

ArticleClinical nutrition ESPEN2020

Home medical nutrition during SARS-CoV-2 pandemic - A position paper.

Przemyslaw Matras, Stanislaw Klek, Marcin Folwarski, Anna Zmarzly, Lidia Bartoszewska, Wlodzimierz Cebulski, Marlena Jakubczyk, Zbigniew Kamocki, Katarzyna Klepczyk, Marek Kunecki and 11 more

Abstract readConsensus Statement
In one paragraph

Article in Clinical nutrition ESPEN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Przemyslaw MatrasFirst Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin. Home Enteral and Parental Nutrition Unit SPSK4, Lublin, Poland.
Stanislaw KlekStanley Dudrick's Memorial Hospital, General Surgery Unit with Intestinal Failure Center, Skawina, Poland. Electronic address: klek@poczta.onet.pl.
Marcin FolwarskiDepartment of Clinical Nutrition and Dietetics, Medical University of Gdansk, Copernicus Hospital, Home Enteral and Parental Nutrition Unit, Gdansk, Poland.
Anna ZmarzlyRegional Gromowski's Hospital, Center for Nutritional Therapy, 2nd Department for Infectious Diseases, Wroclaw, Poland.
Lidia BartoszewskaFirst Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin. Home Enteral and Parental Nutrition Unit SPSK4, Lublin, Poland.
Wlodzimierz CebulskiDepartment of General, Gastroenterological and Cancer Surgery, Warsaw Medical School, Warsaw, Poland.
Marlena JakubczykDepartment of Anaesthesiology and Intensive Care Collegium Medicum in Bydgoszcz. Nicolaus Copernicus University in Toruń, Poland; Nutritional Team, Home Enteral and Parenteral Nutrition Clinic University Hospital No. 1 in Bydgoszcz, Poland.
Zbigniew Kamocki2nd Department for General and Gastroenterology Surgery, Bialystok, Poland.
Katarzyna KlepczykRegional Gromowski's Hospital, Center for Nutritional Therapy, 2nd Department for Infectious Diseases, Wroclaw, Poland.
Marek KuneckiCenter for Clinical Nutrition, M Pirogow's Hospital, Lodz, Poland.
Michal LawińskiDepartment of General, Gastroenterological and Cancer Surgery, Warsaw Medical School, Warsaw, Poland.
Krystyna MajewskaDepartment of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education, Warsaw, Poland.
Maciej MatczukRegional Paediatric Hospital, Center for Clinical and Home Nutrition, Gizinscy Medical Center, Bydgoszcz, Poland.
Katarzyna Matysiak-LusniaMedical University of Wroclaw, Poland; Department and Clinic of Anaesthesiology and Intensive Therapy, Enteral and Parenteral Nutrition Outpatient Clinic, Voyevodin Hospital, Jelenia Gora, Poland; Home Hospice and Palliative Care Ward, Voyevodin Hospital, Jelenia Gora, Poland.
Maciej SadowskiRegional Hospital of the Province Olsztyn, Enteral and Parenteral Nutrition Unit, Poland.
Jacek SobockiDepartment of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education, Warsaw, Poland.
Magdalena SumletStanley Dudrick's Memorial Hospital, General Surgery Unit with Intestinal Failure Center, Skawina, Poland.
Waldemar SzafranskiCopernicus Hospital, Home Enteral and Parental Nutrtion Unit, General Surgery Unit, Gdansk, Poland.
Kinga SzczepanekFirst Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin. Home Enteral and Parental Nutrition Unit SPSK4, Lublin, Poland.
Krystyna UrbanowiczRegional Hospital of the Province Olsztyn, Enteral and Parenteral Nutrition Unit, Poland.
Agata Zoubek-WojcikNutrimed Home Nutrition Center, Rzeszow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a worldwide rapidly spreading illness, Coronavirus Disease 2019 (COVID-19). Patients fed enterally and parenterally at home are exposed to the same risk of infection as the general population, but more prone to complications than others. Therefore the guidance for care-givers and care-takers of these patients is needed.

methodsThe literature search identified no relevant systematic reviews or studies on the subject. Therefore a panel of 21 experts from 13 home medical nutrition (HMN) centres in Poland was formed. Twenty-three key issues relevant to the management of SARS-CoV-2 infection or COVID-19 in the HMN settings were identified and discussed. Some statements diverge from the available nutrition, surgical or ICU guidelines, some are based on the best available experience. Each topic was discussed and assessed during two Delphi rounds subsequently. Statements were graded strong or weak based on the balance between benefit and harm, resource and cost implications, equity, and feasibility.

resultsthe panel issued 23 statements, all of them were graded strong. Two scored 85.71% agreement, eleven 95.23%, and ten 100%. The topics were: infection control, enrolment to HMN, logistics and patient information.

conclusionsthe position paper present pragmatic statements for HMN to be implemented in places without existing protocols for SARS-CoV-2 pandemic. They represent the state of knowledge available at the moment and may change should new evidence occurs.

Indexed as

BetacoronavirusHome Care ServicesCaregiversClinical Laboratory TechniquesConsensusCoronavirus InfectionsCOVID-19COVID-19 TestingDelivery of Health CareEnteral NutritionHumansInfectious Disease Transmission, Patient-to-ProfessionalPandemicsParenteral NutritionPatient Care TeamPatient-Centered CareCOVID-19HANHENHome enteral nutritionHome medical nutrititionHome parenteral nutritionSARS-CoV-2

Identifiers

PMID32690158
PMCPMC7211693

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.