Evidence map›Paper›PMID 33734462›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2021

Real-World Evidence of Treatment, Tolerance, Healthcare Utilization, and Costs Among Postacute Care Adult Patients Receiving Enteral Peptide-Based Diets in the United States.

Chris LaVallee, Prafullakumar Seelam, Santosh Balakrishnan, Cynthia Lowen, Aimee Henrikson, Bill Kesting, Moreno Perugini, Krysmaru Araujo Torres

Open access · hybridAbstract 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 26% of its field
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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Chris LaValleeHealth Outcomes Research, Decision Resources Group, Burlington, Massachusetts, USA.
Prafullakumar SeelamAnalytics, Decision Resources Group, Boston, Massachusetts, USA.
Santosh BalakrishnanAnalytics, Decision Resources Group, Boston, Massachusetts, USA.
Cynthia LowenMedical Affairs, Nestlé Health Science, Bridgewater Township, New Jersey, USA.
Aimee HenriksonMedical Affairs, Nestlé Health Science, Bridgewater Township, New Jersey, USA.
Bill KestingMarket Access, Nestlé Health Science, Bridgewater Township, New Jersey, USA.
Moreno PeruginiMedical Affairs, Nestlé Health Science, Bridgewater Township, New Jersey, USA.
Krysmaru Araujo TorresMedical Affairs, Nestlé Health Science, Bridgewater Township, New Jersey, USA.
Nestlé Health Science (United States)Decision Systems (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePeptide -based (PB) enteral tube feeding (ETF) formulas have been shown to reduce gastrointestinal (GI) intolerance in patients receiving enteral nutrition. However, limited data exist in relation to their use in the postacute/home care setting. We sought to assess the real-world GI tolerance, healthcare utilization, and resource use costs of 100% whey-protein PB ETF in adults in a postacute care setting and describe their demographic, clinical, and treatment characteristics.

methodUsing medical claims data from the United States, we analyzed GI intolerance events occurring in adults receiving 100% whey-protein PB ETF (Peptamen

resultsThe proportion of adults experiencing no GI intolerance events increased from 41% (418/1022) to 59% (601/1022) in the one-year period after initiation of 100% whey PB ETF (P < .001). The proportion of patients with at least one hospital inpatient visit also decreased from 100% (1022/1022) to 72% (737/1022) over the same period, and the mean number of inpatient visits per patient decreased from 15.6 to 13.0. Cost modeling revealed that outpatient visits accounted for 42% ($1174/$2820) of total estimated healthcare resource costs in the first 30 days after 100% whey PB ETF initiation, with only 9% ($255/$2820) due to emergency room visits.

conclusionThese 100% whey-protein PB ETF formulas are a valuable nutrition treatment option for patients with or at risk of malnutrition who show intolerance to standard ETF formulas and may reduce hospital inpatient visits and associated costs.

Indexed as

Patient Acceptance of Health CareSubacute CareAdultDietHealth Care CostsHumansPeptidesRetrospective StudiesUnited StatesPeptidesgastrointestinal tolerancehome enteral nutritionpeptide-based dietreal-world evidencetube-feeding

Identifiers

PMID33734462
PMCPMC9292286
OpenAlexW3137249208

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.