Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Eisenberg, J. M.
Right arrow Articles by Williford, W. O.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Eisenberg, J. M.
Right arrow Articles by Williford, W. O.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Clinical Trial

Does Perioperative Total Parenteral Nutrition Reduce Medical Care Costs?

John M. Eisenberg, MD

Section of General Internal Medicine (Department of Medicine), Department of Surgery, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Department of Veterans Affairs Medical Center, Department of Veterans Affairs Medical Research Service, Department of Cooperative Studies Program, Perry Point, Maryland

Henry A. Glick, MA

Section of General Internal Medicine (Department of Medicine), Department of Surgery, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Department of Veterans Affairs Medical Center, Department of Veterans Affairs Medical Research Service, Department of Cooperative Studies Program, Perry Point, Maryland

Gordon P. Buzby, MD

Section of General Internal Medicine (Department of Medicine), Department of Surgery, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Department of Veterans Affairs Medical Center, Department of Veterans Affairs Medical Research Service, Department of Cooperative Studies Program, Perry Point, Maryland

Bruce Kinosian, MD

Section of General Internal Medicine (Department of Medicine), Department of Surgery, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Department of Veterans Affairs Medical Center, Department of Veterans Affairs Medical Research Service, Department of Cooperative Studies Program, Perry Point, Maryland

William O. Williford, PHD

Section of General Internal Medicine (Department of Medicine), Department of Surgery, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Department of Veterans Affairs Medical Center, Department of Veterans Affairs Medical Research Service, Department of Cooperative Studies Program, Perry Point, Maryland

An economic analysis accompanied a multicenter Department of Veterans Affairs randomized, controlled trial of perioperative total parenteral nutrition (TPN). The cost of providing TPN for an average of 16.15 days before and after surgery was $2405, more than half of which ($1025) included costs of purchasing, preparing, and delivering the TPN solution itself; lipid solutions accounted for another $181, additional nursing care for $843, and miscellaneous costs for $356. Prolonged hospital stay added another $764 per patient to the $2405 cost of providing TPN, bringing the total to $3169. The incremental costs attributed to perioperative TPN were highest ($3921) for the patients least likely to benefit, that is, those who were less malnourished and at low risk of nutrition-related complications. Incremental costs were lowest ($3071) for high-risk patients. On the basis of the hospital-based method of administering TPN that was used in the clinical trial, perioperative TPN did not result in decreased costs for any subgroup of patients. (Journal of Parenteral and Enteral Nutrition 17:201-209, 1993)

Journal of Parenteral and Enteral Nutrition, Vol. 17, No. 3, 201-209 (1993)
DOI: 10.1177/0148607193017003201
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Nutr Clin PractHome page
J. B. Ochoa, B. Magnuson, M. Swintowsky, T. Loan, B. Boulanger, C. McClain, and P. Kearney
Long-Term Reduction in the Cost of Nutritional Intervention Achieved by a Nutrition Support Service
Nutr Clin Pract, August 1, 2000; 15(4): 174 - 180.
[Abstract] [PDF]

Home page
 Nutr Clin PractHome page
M. A. Cimino, N. Claxton, C. Manz, T. Kelly, and T. M. Rossi
Clinical Observations; Experience of a Clinical Outcome-Based Pediatric Nutrition Support Service
Nutr Clin Pract, October 1, 1999; 14(5): 250 - 253.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
P. M. Charuhas, K. L. Fosberg, B. Bruemmer, S. N. Aker, W. Leisenring, K. Seidel, and K. M. Sullivan
A Double-Blind Randomized Trial Comparing Outpatient Parenteral Nutrition With Intravenous Hydration: Effect on Resumption of Oral Intake After Marrow Transplantation
JPEN J Parenter Enteral Nutr, May 1, 1997; 21(3): 157 - 161.
[Abstract] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
T. O. Lipman
The Cost of Total Parenteral Nutrition: Is the Price Right?
JPEN J Parenter Enteral Nutr, May 1, 1993; 17(3): 199 - 200.
[PDF]