Épidémiologie de la nutrition parentérale à domicile chez l’adulte en France

IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Nutrition Clinique et Metabolisme Pub Date : 2023-09-01 DOI:10.1016/j.nupar.2023.05.004
Dominique Lescut , Nicolas Danel Buhl , Luc Dauchet , Marie-France Vaillant , Stéphane Schneider
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Abstract

Objective

French epidemiological data regarding home parenteral nutrition (HPN) are not well known and give rise to imprecise estimates. This study targets the adult population to obtain accurate data especially by trying to determine the pathologies associated with the HPN.

Methods

A retrospective and observational study covering the year 2017 (from 01/01 to 31/12/2017) has been carried out, with the data of the adult population aged over 15 years, by defining three age groups: 15–39 years, 40–64 years, 65 years and over. The databases of the health insurance allowed to obtain on the one hand, the number of patients who started HPN and on the other hand, the number of patients followed in HPN. The target population (health insurance beneficiary population) being known, these data allowed to calculate incidence and prevalence, respectively. The data were also crossed with the thirty long-term diseases file of health national insurance (ALD 30), allowing patients to be classified into six categories: cancer, neurology, chronic intestinal inflammatory diseases, organ deficiency, others pathologies, and undetermined pathologies.

Results

Data from 92.1% of adult national population were obtained, totaling 50.8 millions adults. The average incidence and prevalence of HPN were estimated at 20.8/100,000 inhabitants/yr and 26.0/100,000 inhabitants, respectively. Prevalence of long-term HPN (> 12 weeks) was 6.0/100,000 inhabitants. The main pathology was cancer. Inflammatory bowel diseases were the second cause of HPN in the age range 15–39 years.

Conclusion

This is the first national study on the epidemiology of HPN in adults in France, based on data from health insurance. The projection of these figures to the entire French adult population leads to an estimate of around 14,300 patients per year benefiting from national health insurance for HPN, mainly for cancer diseases.

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法国成人家庭肠外营养流行病学
目的法国关于家庭肠外营养(HPN)的流行病学数据不为人所知,并导致不精确的估计。本研究针对成年人群,特别是通过尝试确定与HPN相关的病理来获得准确的数据。方法对2017年(2017年1月1日至12月31日)的15岁以上成年人群的数据进行了回顾性和观察性研究,定义了三个年龄组:15-39岁、40-64岁、65岁及以上。健康保险数据库一方面可以获得开始HPN的患者人数,另一方面可以获取HPN随访的患者人数。目标人群(健康保险受益人群)是已知的,这些数据可以分别计算发病率和患病率。数据还与健康国家保险(ALD 30)的30种长期疾病档案交叉,将患者分为六类:癌症、神经病学、慢性肠道炎症性疾病、器官缺乏、其他病理学和未确定病理学。结果获得的数据来自全国92.1%的成年人口,共计5080万成年人。HPN的平均发病率和患病率估计分别为20.8/10万居民/年和26./10万居民。长期HPN(>12周)的患病率为6.0/10万居民。主要病理为癌症。炎症性肠病是15-39岁人群中HPN的第二大病因。结论这是法国首次基于健康保险数据对成人HPN流行病学进行全国性研究。根据这些数字对整个法国成年人口的预测,估计每年约有14300名患者受益于HPN国家医疗保险,主要是癌症疾病。
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来源期刊
Nutrition Clinique et Metabolisme
Nutrition Clinique et Metabolisme 医学-内分泌学与代谢
CiteScore
0.80
自引率
16.70%
发文量
216
审稿时长
78 days
期刊介绍: Nutrition Clinique et Métabolisme is the journal of the French-speaking Society of Enteral and Parenteral Nutrition. Associating clinicians, biologists, pharmacists, and fundamentalists, the articles presented in the journal concern man and animals, and deal with organs and cells. The goal is a better understanding of the effects of artificial nutrition and human metabolism. Original articles, general reviews, update articles, technical notes and communications are published, as well as editorials and case reports.
期刊最新文献
Editorial board Issue contents Applicability of Global Leadership Initiative on Malnutrition (GLIM) criteria in nutrition risk screening for patients over 60 years old with digestive system tumors – A retrospective study Effect of omega-3 fatty acids supplementation on inflammatory markers following exercise-induced muscle damage: Systematic review and meta-analysis of randomized controlled trials Associations between Diet Inflammatory Index Scores and nutritional status in chronic kidney disease patients
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