ArticleJPEN. Journal of parenteral and enteral nutrition2021
Nutrition Therapy Cost-Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems.
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 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nutrition Interventions in the Treatment of Gastrointestinal Symptoms during Cancer Therapy: A Systematic Review and Meta-analysis.Advances in nutrition (Bethesda, Md.) · 2025Pooled it
- Enteral nutrition support in patients with cancer: association of short-term prognosis and medical costs with inflammation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- Assessing the impact of nutritional status at allogeneic stem cell transplantation on clinical outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Investigating the integration of sustainable food initiatives in healthcare institutions in Ontario, Canada: A grey literature scoping review protocol.Nutrition and health · 2026Article
- Abbreviation of preoperative fasting and malnutrition: impact on cost-effectiveness of surgical patients.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- A qualitative study on facilitators and barriers to adoption and implementation of nutrition interventions in higher education settings in Flanders.Scientific reports · 2024Article
- Oral Nutritional Supplementation in Older Adults with a Hip Fracture-Findings from a Bi-National Clinical Audit.Healthcare (Basel, Switzerland) · 2024Article
- Development of the Competency Evaluation Scale for Clinical Nutritionists in China: A Delphi Study.Nutrients · 2024Article
- Validating nasogastric tube placement with pH testing: A randomized controlled trial protocol.Contemporary clinical trials communications · 2024Article
- Relevance and application of clinical practice guidelines in different settings.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024Article
- Comparison of diagnosis-related group based reimbursement and case-mix index within hospitalized patients before and after modified malnutrition diagnosis.Asia Pacific journal of clinical nutrition · 2023Article
- Nutrition care is an integral part of patient-centred medical care: a European consensus.Medical oncology (Northwood, London, England) · 2023Article
- Scaling up health technology assessment capacities in selected African countries - A conceivable route ahead.International journal of technology assessment in health care · 2023Article
- Healthcare Resource Utilization and Cost Comparisons of High-Protein Enteral Nutrition Formulas Used in Critically Ill Patients.Journal of health economics and outcomes research · 2022Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition is highly prevalent in hospitalized patients but seldom recognized and treated. Malnutrition poses several adverse events, such as increased infection rates, length of hospital stay, and mortality, as well as costs. Early nutrition interventions have been shown to decrease the associated malnutrition burdens, leading to relevant savings. Thus, this study aims to evaluate the cost-effectiveness of nutrition therapy, including oral supplements to at-risk or malnourished adult inpatients admitted to the Brazilian Public System (SUS) hospitals.
methodA cost-effectiveness model, encompassing a 1-year period and regarding total costs, length of hospital stay, readmissions, and mortality related to malnutrition, was developed, having the provision of early nutrition therapy as the intervention variable. The number of avoided hospitalization days, prevented hospital readmissions, and prevented deaths defined the effectiveness of the model. All the costs were estimated based on the SUS database.
resultsEarly nutrition therapy provided to all at-risk or malnourished patients would represent cost-effectiveness of US $92.24, US $544.59, US $1848.12, and US $3698.92, for each day of hospitalization avoided, for additional patients having access to hospitalization, for preventing readmission, and for prevented death, respectively. The highest impact on savings was represented by the mean reduction in the length of hospital stay.
conclusionEarly oral nutrition intervention for patients malnourished or at risk of malnutrition resulted in overall reduced hospital costs. These findings provide a rationale to tackle the implementation of educational programs focusing on the care of inpatients with malnutrition or its risk.
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