Evidence map›Paper›PMID 32713007›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2021

Cost-Effectiveness of Parenteral Nutrition Containing ω-3 Fatty Acids in Hospitalized Adult Patients From 5 European Countries and the US.

Lorenzo Pradelli, Stanislaw Klek, Konstantin Mayer, Abdul Jabbar Omar Alsaleh, Martin D Rosenthal, Axel R Heller, Maurizio Muscaritoli

Abstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

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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

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lorenzo PradelliAdRes-Health Economics and Outcome Research, Turin, Italy.ORCID 0000-0002-7648-8917
Stanislaw KlekDepartment of General and Oncology Surgery with Intestinal Failure Unit, Stanley Dudrick's Memorial Hospital, Skawina, Poland.ORCID 0000-0002-7887-3464
Konstantin MayerViDia Hospitals, Department of Pulmonary and Sleep Medicine, Karlsruhe, Germany.
Abdul Jabbar Omar AlsalehDepartment of Economics, University of Bologna, Bologna, Italy.
Martin D RosenthalDepartment of Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.ORCID 0000-0002-5682-0994
Axel R HellerDepartment of Anesthesiology and Intensive Care Medicine, University of Augsburg, Augsburg, Germany.
Maurizio MuscaritoliDepartment of Clinical Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-8771-5647

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundω-3 Fatty acid (FA)-containing parenteral nutrition (PN) is associated with improvements in patient outcomes and with reductions in hospital length of stay (HLOS) vs standard PN regimens (containing non-ω-3 FA lipid emulsions). We present a cost-effectiveness analysis of ω-3 FA-containing PN vs standard PN in 5 European countries (France, Germany, Italy, Spain, UK) and the US.

methodsThis pharmacoeconomic model was based on estimates of ω-3 efficacy reported in a recent meta-analysis and data from country-specific sources. It utilized a probabilistic discrete event simulation model to compare ω-3 FA-containing PN with standard PN in a population of critically ill and general ward patients. The influence of model parameters was evaluated using probabilistic and deterministic sensitivity analyses.

resultsOverall costs were reduced with ω-3 FA-containing PN in all 6 countries compared with standard PN, ranging from €1741 (±€1284) in Italy to €5576 (±€4193) in the US. Expenses for infections and HLOS were lower in all countries for ω-3 FA-containing PN vs standard PN, with the largest cost differences for both in the US (infection: €825 ± €4001; HLOS: €4879 ± €1208) and the smallest savings in the UK for infections and in Spain for HLOS (€63 ± €426 and €1636 ± €372, respectively).

conclusionThis cost-effectiveness analysis in 6 countries demonstrates that the superior clinical efficacy of ω-3 FA-containing PN translates into significant decreases in mean treatment cost, rendering it an attractive cost-saving alternative to standard PN across different healthcare systems.

Indexed as

Fatty Acids, Omega-3Parenteral NutritionAdultCost-Benefit AnalysisEuropeFat Emulsions, IntravenousFish OilsHumansLength of StayFat Emulsions, IntravenousFatty Acids, Omega-3Fish Oilscost-effectivenessfish oilintravenous lipid emulsionsmeta-analysisomega-3 fatty acidsparenteral nutrition

Identifiers

PMID32713007
PMCPMC8451886

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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.