Evidence map›Paper›PMID 34684466›Full record

ArticleNutrients2021

Trend Observations in Home Parenteral Nutrition. Prevalence, Hospitalizations and Costs: Results from a Nationwide Analysis of Health Care Provider Data.

Marcin Folwarski, Stanisław Kłęk, Agnieszka Szlagatys-Sidorkiewicz, Adam Wyszomirski, Michał Brzeziński, Magdalena Skotnicka

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Patterns of parenteral nutrition use in the inpatient setting: A retrospective cohort study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  2. Review
  3. Global prevalence of short bowel syndrome-associated intestinal failure in adults and children: A targeted literature review and analysis.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Parenteral nutrition at home/long-term parenteral nutrition.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2024
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. 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

6 authors at 2 institutions in 1 country.

Marcin FolwarskiDepartment of Clinical Nutrition and Dietetics, Medical University of Gdansk, 80-210 Gdańsk, Poland.ORCID 0000-0002-7301-1689
Stanisław KłękSurgical Oncology Clinic, Maria Sklodowska-Curie National Cancer Institute, 31-501 Kraków, Poland.
Agnieszka Szlagatys-SidorkiewiczDepartment of Pediatrics, Gastroenterology, Allergology and Nutrition, Medical University of Gdańsk, 80-211 Gdańsk, Poland.ORCID 0000-0002-5992-4414
Adam WyszomirskiDepartment of Adult Neurology, Faculty of Medicine, Medical University of Gdańsk, 80-211 Gdańsk, Poland.ORCID 0000-0002-6293-1439
Michał BrzezińskiDepartment of Pediatrics, Gastroenterology, Allergology and Nutrition, Medical University of Gdańsk, 80-211 Gdańsk, Poland.ORCID 0000-0002-3426-507X
Magdalena SkotnickaDepartment of Commodity Science, Medical University of Gdańsk, 80-211 Gdańsk, Poland.ORCID 0000-0002-0853-0685
Gdańsk Medical University · PLThe Maria Sklodowska-Curie National Research Institute of Oncology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe population of patients on home parenteral nutrition (HPN) worldwide is growing. Since only a few counties provide data from national registries long-term observations are valuable to address this specific area of nutrition support. This study is a nationwide analysis determining the trends in the epidemiology of HPN (prevalence, age distribution, death rates), indications for HPN, causes for hospitalizations, and cost analysis of HPN reimbursement in Poland between 2010-2020.

methodsA retrospective analysis of data obtained from the national health fund (NHF) of Poland on adult patients on HPN.

resultsThe prevalence of adult patients on HPN in Poland in 2020 was 53.26 per million citizens with a 2.99-fold increase and a growing trend observed from 2010. Significant decrease in the percentage of patients between 18-34, 45-54 and an increase in patients between 65-74 and patients over 75 years old was observed. Trend analysis showed an increase in new patients between 65-74 and a decrease between 35-54. Malnutrition (34.28%), postprocedural disorders of the GI tract (19.61%), intestinal malabsorption/other intestinal diseases (20.41%) and GI obstruction due to cancer (17.36% as primary and 23.16% as secondary diagnosis) were mostly reported as the primary indications for HPN. Cancer patients were mostly gastric, ovarian and colon cancer (34.74%, 17.83% and 12.3%). HPN and total health cost reimbursement increase was 2.6 and 2.57-fold respectively. Costs of HPN and total health care costs in 2020 per patient were € 10,015 and € 16,038, respectively. Overall death risk rate during the first year of nutrition was 0.59 with a significant increase in the observation period

conclusionsThe prevalence of HPN in Poland is growing. Trends of age distribution show increasing numbers of patients with more advanced age and shorter survival. Costs of HPN are comparable with other European data.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHealth Care CostsHealth Care SurveysHealth PersonnelHospitalizationHumansMaleMiddle AgedNutritional StatusParenteral Nutrition, HomePolandPrevalenceage distributioncost analysishome parenteral nutritionnutritionprevalence

Identifiers

PMID34684466
PMCPMC8539115
OpenAlexW3204621222

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.