Trends in adult Home Parenteral Nutrition in Spain. 1992-2003
MORENO VILLARES JM, CUERDA C, PLANAS M, GÓMEZ CANDELA C, LEÓN-SANZ M, DE COS A, PEDRÓN C, GRUPO NADYA-SENPE
Nutrición Hospitalaria 2006;21(5): 617-621
Resumen del Autor:
There are very few data on trends in prevalence in
home parenteral nutrition (HPN) in different countries.
NADYA is the committee of the Spanish Society for
Parenteral and Enteral Nutrition that takes care of the
Spanish registry since 1992. Method: A 12-year retrospective
study of the activity of the registry was performed.
The data were extracted from the NADYA's database as
well as from the publications and abstracts reported on a
yearly basis since 1992. Data on years 1993 and 1997-9
were not available. Results: Yearly prevalence has more
than doubled to 86 patients since 1992. The number of
reporting centres went up to 17 in 2003 (10 centres in
1992) As an average, the number of patients per centre is
5. The prevalence in 2003 was 2.15 patients per million
inhabitants. There are trends to increasing age at the time
of the first indication (42 years in 1992; 51 in 2003). Ischemic
and thrombotic vascular diseases were the most common
underlying diagnosis in adults. Tunnelled central
venous catheters were chosen in 2/3 of the patients. Only
around 17% of the patients received support from home
delivery companies (11% in 1992) There were more than
1 complication per patient and year, mostly HPN-related.
Conclusions: We found a steadily increase in the number
of reported patients and reporting centres over time. Prevalence
went up to 2.15 patients per million inhabitants in
2003, still far behind the figures from other western countries.
The NADYA registry allows a close follow-up of the
evolution of HPN in Spain.
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