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Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study.
MedLine Citation:
PMID:  22252109     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:Parenteral nutrition (PN) is critical in neonatal and pediatric care for patients unable to tolerate enteral feeding. This study assessed the total costs of compounding PN therapy for neonates, infants and children.METHODS:Face-to-face and telephone interviews were conducted in 12 hospitals across four European countries (Belgium, France, Germany and UK) to collect information on resources utilized to compound PN, including nutrients, staff time, equipment cost and supplies. A bottom-up cost model was constructed to assess total costs of PN therapy by assigning monetary values to the resource utilization using published list prices and interview data.RESULTS:A total of 49 922 PN bags per year were used to treat 4295 neonatal and pediatric patients among these hospitals. The daily total costs of one compounded PN bag for neonates in the 12 hospitals across the four countries equalled \[euro]55.16 (Belgium \[euro]53.26, France \[euro]46.23, Germany \[euro]64.05, UK Ł37.43/\[euro]42.86). Overall, nutrients accounted for 25% of total costs, supplies 18%, wages 54% and equipment 3%. Average costs per bag for infants <2 year were \[euro]84.52 (\[euro]74.65 in Belgium, \[euro]83.84 in France, \[euro]92.70 in Germany and Ł52.63/\[euro]60.26 in the UK), and for children 2-18 years \[euro]118.02 (\[euro]93.85 in Belgium, \[euro]121.35 in France, \[euro]124.54 in Germany and Ł69.49/\[euro]79.56 in the UK), of which 63% is attributable to nutrients and 28% to wages.CONCLUSION:The data indicated that PN costs differ among countries and a major proportion was due to staff time (Ł1=\[euro]1.144959).European Journal of Clinical Nutrition advance online publication, 18 January 2012; doi:10.1038/ejcn.2011.225.
Authors:
E Walter; F X Liu; P Maton; T Storme; M Perrinet; O von Delft; J Puntis; D Hartigan; A Dragosits; S Sondhi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-18
Journal Detail:
Title:  European journal of clinical nutrition     Volume:  -     ISSN:  1476-5640     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804070     Medline TA:  Eur J Clin Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Institute for Pharmacoeconomic Research, Vienna, Austria.
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