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Enteral and Parenteral Nutrition: When and How Is Appropriate?

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 2827

Special Issue Editors


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Guest Editor
Department of Clinical Nutrition, Scientific Institute for Residential and Hospital Care (IRCCS) INRCA Ancona, Via della Montagnola, 60100 Ancona, Italy
Interests: artificial nutrition; home enteral nutrition; geriatrics; dysphagia; microbiota

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Co-Guest Editor
Vivisol Srl at Department of Clinical Nutrition, Scientific Institute for Residential and Hospital Care (IRCCS) INRCA Ancona, Via della Montagnola, 60100 Ancona, Italy
Interests: artificial nutrition; home enteral nutrition; geriatrics; dysphagia; caregiving; quality indicators

Special Issue Information

Dear Colleagues,

Enteral and parenteral nutrition represent extreme nutritional interventions that are used only when patients are unable to meet their protein–caloric needs otherwise. They are used in all fields, including pediatric patients and patients with acute conditions, but their use is particularly frequent in patients with chronic conditions, frail and older subjects, or those at the end of life. Both nutritional therapies are normally provided to patients following the instructions contained in the guidelines, which are specific for different categories of patients. Some of them, however, have important deficiencies regarding the level of detail of the indications provided and, above all, the solidity of the evidence on which they are based. These characteristics of the guidelines leave room for the adoption of very different practices and do not guarantee uniformity of outcomes. In addition, in the case of artificial nutrition, clinical decisions must take into account ethical aspects, even more so than in other fields of medicine.

There is still a need to deepen knowledge and collect more evidence that can help ensure greater safety for patients, the achievement of therapy goals, and improvement in caregivers' living conditions. The tools useful for evaluating the quality of the current choices and practices in different phases of the administration of artificial nutrition are also necessary.

This Special Issue of Nutrients welcomes original research and reviews covering a wide range of topics that are relevant for defining the appropriateness of artificial nutrition in different settings (hospital, home, and nursing homes) and in different populations of patients, as well as to deep the knowledge about the needs of formal and informal caregivers.

Dr. Paolo Orlandoni
Guest Editors

Dr. Nikolina Jukic Peladic
Co-Guest Editor

Manuscript Submission Information

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Keywords

  • enteral nutrition
  • parenteral nutrition
  • home enteral nutrition
  • home parenteral nutrition
  • quality of nutrition therapy
  • quality assessment
  • safety
  • complications
  • outcomes
  • ethics
  • indications for artificial nutrition
  • feeding formulas
  • access routs
  • caregiving for subjects in artificial nutrition
  • cost–benefit analyses

Published Papers (2 papers)

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Research

15 pages, 1576 KiB  
Article
Influence of Enteral Nutrition on Quality of Life in Head and Neck Cancer and Upper Gastrointestinal Tract Cancer Patients within a Pair-Matched Sample
by Elwira Gliwska, Dominika Głąbska, Zuzanna Zaczek, Jacek Sobocki and Dominika Guzek
Nutrients 2023, 15(21), 4698; https://doi.org/10.3390/nu15214698 - 6 Nov 2023
Cited by 1 | Viewed by 1400
Abstract
Patients with cancers of the head and neck and upper gastrointestinal tract are particularly susceptible to malnutrition, which worsens both their prognosis and quality of life and may result in the need for enteral or parenteral nutrition. The aim of this study was [...] Read more.
Patients with cancers of the head and neck and upper gastrointestinal tract are particularly susceptible to malnutrition, which worsens both their prognosis and quality of life and may result in the need for enteral or parenteral nutrition. The aim of this study was to investigate the impact of enteral nutrition on the quality of life in a paired sample. This study included 50 patients with cancer in two paired subgroups: with enteral nutrition (studied group) and without enteral nutrition (matched group). This study was based on self-reports collected with the EORTC QLQ C30 questionnaire and retrospective analysis of medical records. The analysis revealed that weight loss, group type, and age were the primary factors influencing patients’ quality of life. Compared with all cancer patients and the general Polish population, the scores of patients in both groups were below reference values for functional scales and exceeded reference values or were similar for fatigue and vomiting/nausea. Patients who received enteral nutrition more frequently scored lower on the functional scales and higher on the symptomatic scales than the control group. These findings emphasize the complex relationship between cancer, nutritional status, and quality of life. Full article
(This article belongs to the Special Issue Enteral and Parenteral Nutrition: When and How Is Appropriate?)
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10 pages, 241 KiB  
Article
Development of Quality Indicators for Geriatric Home Enteral Nutrition (HEN) Services
by Nikolina Jukic Peladic and Paolo Orlandoni
Nutrients 2023, 15(14), 3119; https://doi.org/10.3390/nu15143119 - 12 Jul 2023
Viewed by 1008
Abstract
The evidence on the safety, efficacy and patient centeredness of Home Enteral Nutrition (HEN) services is scarce. In 2015, we carried out a search of the literature to identify specific indicators for HEN services as tools to be used to assess the quality [...] Read more.
The evidence on the safety, efficacy and patient centeredness of Home Enteral Nutrition (HEN) services is scarce. In 2015, we carried out a search of the literature to identify specific indicators for HEN services as tools to be used to assess the quality of INRCA HEN services. No specific indicators for HEN services were found. Through a subsequent search of the literature, we have identified the appropriate methodology to define quality indicators and developed eight (8) specific indicators to track the quality of our HEN service for geriatric patients. Following Donabiedan’s classification, we have defined two structure indicators, two process indicators and four outcome indicators that are presented in this manuscript. Though they may be used to make a comparison of HEN services for geriatric patients and to monitor the quality of therapy provided at patients’ homes, the definition of quality system indicators for HEN services requires the additional joint efforts of experts in the field of nutrition and the scientific community for their validation. Full article
(This article belongs to the Special Issue Enteral and Parenteral Nutrition: When and How Is Appropriate?)
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