Global availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveys

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dc.contributor.authorKlek S.
dc.contributor.authordel Rio Requejo I.M.
dc.contributor.authorHardy G.
dc.contributor.authorFrancisco L.M.P.
dc.contributor.authorAbbasoglu O.
dc.contributor.authorAcosta J.C.A.
dc.contributor.authorGranados L.M.B.
dc.date.accessioned2024-08-31T07:42:28Z
dc.date.available2024-08-31T07:42:28Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: Parenteral nutrition represents a therapeutic option for patients with type 3 intestinal failure. If used exclusively, parenteral nutrition has to be complete to provide all essential nutrients. The aim was to assess the availability of parenteral nutrition in all parts of the world, to better comprehend the global situation, and to prepare an action plan to increase access to parenteral nutrition. Methods: An international survey using an electronic questionnaire was conducted in August 2019 and repeated in May 2022. An electronic questionnaire was sent to 52 members or affiliates of the International Clinical Nutrition Section of the American Society for Parenteral and Enteral Nutrition. Questions addressed the availability of parenteral nutrition admixtures and their components, reimbursement, and prescribing pre- and post-COVID-19 pandemic. All participating countries were categorized by their economic status. Results: Thirty-six country representatives responded, answering all questions. Parenteral nutrition was available in all countries (100%), but in four countries (11.1%) three-chamber bags were the only option, and in six countries a multibottle system was still used. Liver-sparing amino acids were available in 18 (50%), kidney-sparing in eight (22.2%), and electrolyte-free in 11 (30.5%) countries (30.5%). In most countries (n = 28; 79.4%), fat-soluble and water-soluble vitamins were available. Trace elements solutions were unavailable in four (11.1%) countries. Parenteral nutrition was reimbursed in most countries (n = 33; 91.6%). No significant problems due to the coronavirus pandemic were reported. Conclusions: Despite the apparent high availability of parenteral nutrition worldwide, there are some factors that may have a substantial effect on the quality of parenteral nutrition admixtures. These shortages create an environment of inequality. © 2024 Elsevier Inc.en_US
dc.identifier.doi10.1016/j.nut.2024.112396
dc.identifier.issn0899-9007
dc.identifier.pmid38554461en_US
dc.identifier.scopus2-s2.0-85189079429en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org10.1016/j.nut.2024.112396
dc.identifier.urihttps://hdl.handle.net/11454/103898
dc.identifier.volume123en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofNutritionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectAll-in-one admixturesen_US
dc.subjectPandemicen_US
dc.subjectParenteral nutritionen_US
dc.subjectTrace elementsen_US
dc.subjectVitaminsen_US
dc.titleGlobal availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveysen_US
dc.typeArticleen_US

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