Evidence map›Paper›PMID 33735654›Full record

ArticleNutrition (Burbank, Los Angeles County, Calif.)2021

Organizational issues of home parenteral nutrition during COVID-19 pandemic: Results from multicenter, nationwide study.

Marcin Folwarski, Stanisław Kłęk, Przemysław Matras, Lidia Bartoszewska, Sławomir Bednarz, Marlena Jakubczyk, Zbigniew Kamocki, Grzegorz Krasowski, Marek Kunecki, Bogna Kwella and 7 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Nutrition (Burbank, Los Angeles County, Calif.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Marcin FolwarskiDepartment of Clinical Nutrition and Dietetics, Medical University of Gdansk, Gdansk, Poland; Home Enteral and Parenteral Nutrition Unit, General Surgery Department, Nicolaus Copernicus Hospital, Gdansk, Poland. Electronic address: marcinfol@gumed.edu.pl.
Stanisław KłękSurgical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Stanley Dudrick's Memorial Hospital, General Surgery Unit with Intestinal Failure Center, Skawina, Poland.
Przemysław MatrasFirst Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin, Home Enteral and Parental Nutrition Unit SPSK4, Lublin, Poland.
Lidia BartoszewskaFirst Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin, Home Enteral and Parental Nutrition Unit SPSK4, Lublin, Poland.
Sławomir BednarzGeneral Surgery Clinic, St.Queen Jadwiga's Clinical Regional Hospital No. 2, Rzeszów, Poland.
Marlena JakubczykDepartment of Anaesthesiology and Intensive Care Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.
Zbigniew Kamocki2nd Department of General and Gastroenterological Surgery Medical University of Bialystok, Poland.
Grzegorz KrasowskiKrapkowice Health Center, Surgical Ward, Krakowska 32A, Opole, Poland.
Marek KuneckiCenter of Clinical Nutrition, M. Pirogow Provincial Hospital, Lodz, Poland.
Bogna KwellaProvincial Specialist Hospital, Department of Clinical Nutrition, Olsztyn, Poland.
Katarzyna Matysiak-LuśniaMedical University of Wroclaw, Poland; Department and Clinic of Anaesthesiology and Intensive Therapy, Enteral and Parenteral Nutrition Outpatient Clinic, Voyevodin Hospital, Jelenia Gora, Poland.
Konrad MatysiakCentre for Intestinal Failure, Poznan University of Medical Sciences, Poznan, Poland.
Gabriela PierzynowskaNicolaus Copernicus Hospital, Gdansk, Poland.
Waldemar SzafrańskiHome Enteral and Parenteral Nutrition Unit, General Surgery Department, Nicolaus Copernicus Hospital, Gdansk, Poland.
Jacek SzopińskiDepartment of General Hepatobiliary and Transplant Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.
Krystyna UrbanowiczProvincial Specialist Hospital, Department of Clinical Nutrition, Olsztyn, Poland.
Jacek SobockiDepartment of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients on home parenteral nutrition (HPN) are prone to severe complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The pandemic requires adaptation of the health care standards, including epidemiologic surveillance, logistics of home supply, and monitoring. Potential lack of medical professionals may worsen the standard of care. The aim of this study was to evaluate the medical staff resources in HPN units.

resultsThe study was conducted by major Polish scientific societies in clinical nutrition. A questionnaire was distributed among all Polish adult HPN centers concerning statistics from the first 3 mo of the pandemic (March through May 2020). Data on medical staff resources and organizational issues of the units were collected. Modifications of the home procedures, SARS-CoV-2 infection rates of HPN patients and health care workers (HCW) were analyzed. Influence of the pandemic on the rates of new qualifications for home artificial nutrition (HAN) was estimated. Fourteen of 17 adult Polish HPN units took part in the study. The point prevalence of HPN in Poland was 30.75/1 million citizens. Of HCWs, 344 were involved in patient care in Polish HPN units; 18.9% were physicians (49% surgeons, 18.46% internal medicine specialists, 15.38% anesthesiologists, 7.69% pediatricians, 1.54% palliative care specialists), 32.27% nurses, 5.23% dietitians, 9.01% pharmacists, 4.94% pharmacy technicians, 3.2% pharmacy assistants, 5.81% administrative workers, 3.49% physiotherapists. HAN patient-to-HCW ratios for physicians, nurses, pharmacists, dietitians were 49.5, 29.15, 111.6, and 181.6, respectively. Medium ages of physicians and nurses were 45.6 and 44.15 y, respectively. Slightly less than half (53.8%) of physicians and 31.53% of nurses worked parallelly in hospital wards. Thirty-one pharmacists overall were working in all HPN units (2.21 per unit) as were 18 dietitians (1.3 per unit). Nine patients had a confirmed COVID-19 infection (four HPN, five home enteral nutrition). All the units introduced telemedicine solutions in the first months of the pandemic. The number of new qualifications for HPN and home enteral nutrition in the units did not significantly decline from March through May in comparison with a similar period in 2019.

conclusionsA shortage of HPN medical professionals requires attention when planning health care organization, especially during a pandemic. Severe restrictions in public health systems may not reduce the number of new qualifications for the HPN procedure. There is a need for the continuation of data collection during the evolution of the pandemic as it may have a detrimental effect on HPN including serious issues with access to professional HCWs.

Indexed as

COVID-19Parenteral Nutrition, HomeAdultHumansPandemicsPolandSARS-CoV-2COVID-19Health care workersHome enteral nutritionHome parenteral nutritionHuman resourcesPandemic

Identifiers

PMID33735654
PMCPMC7881293

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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.