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

Stanislaw Klek; Isabel Martinez Del Rio Requejo; Gil Hardy; Liza Mei P. Francisco; Osman Abbasoglu; Juan Carlos Ayala Acosta; Luis Miguel Becerra Granados; Kurt Boeykens; Sharon Carey; Michael Chourdakis; Charlene Compher; Joeri De Cloet; Sergiej Dubrov; Catalina Fuentes; Ana Karina García Sámano; María Eloisa García Velasquez; Cezanne Goos; José Guillermo Gutierrez Reyes; Lee V Joon; Andrius Klimasauskas; Regina Komsa; Zeljko Krznaric; Dina Ljubas; Claudia P. Maza Moscoso; Rosa Larreategui; Liliana Mirea; Remy Meier; Ibolya Nyulasi; Irtun Oivind; Marina Panisic-Sekeljic; Kalliopi Anna Poulia; Henrik Højgaard Rasmussen; Patricia Savino; Pierre Singer; Peter Tamasi; Mehmet Uyar; Nguyen Viet Quynh Thu; Dan Waitzberg; Arved Weimann; Theodoric Wong; Jianchun Yu; Paulina Wojcik; Stephane Schneider

doi:10.1016/j.nut.2024.112396

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

Stanislaw Klek^*, Isabel Martinez Del Rio Requejo, Gil Hardy, Liza Mei P. Francisco, Osman Abbasoglu, Juan Carlos Ayala Acosta, Luis Miguel Becerra Granados, Kurt Boeykens, Sharon Carey, Michael Chourdakis, Charlene Compher, Joeri De Cloet, Sergiej Dubrov, Catalina Fuentes, Ana Karina García Sámano, María Eloisa García Velasquez, Cezanne Goos, José Guillermo Gutierrez Reyes, Lee V Joon, Andrius KlimasauskasRegina Komsa, Zeljko Krznaric, Dina Ljubas, Claudia P. Maza Moscoso, Rosa Larreategui, Liliana Mirea, Remy Meier, Ibolya Nyulasi, Irtun Oivind, Marina Panisic-Sekeljic, Kalliopi Anna Poulia, Henrik Højgaard Rasmussen, Patricia Savino, Pierre Singer, Peter Tamasi, Mehmet Uyar, Nguyen Viet Quynh Thu, Dan Waitzberg, Arved Weimann, Theodoric Wong, Jianchun Yu, Paulina Wojcik, Stephane Schneider

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

Abstract

OBJECTIVE: 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.

Original language	English
Article number	112396
Journal	Nutrition
Volume	123
Number of pages	8
ISSN	0899-9007
DOIs	https://doi.org/10.1016/j.nut.2024.112396
Publication status	Published - Jul 2024

Bibliographical note

Keywords

All-in-one admixtures
Pandemic
Parenteral nutrition
Trace elements
Vitamins

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10.1016/j.nut.2024.112396

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Klek, S., Del Rio Requejo, I. M., Hardy, G., Francisco, L. M. P., Abbasoglu, O., Acosta, J. C. A., Granados, L. M. B., Boeykens, K., Carey, S., Chourdakis, M., Compher, C., De Cloet, J., Dubrov, S., Fuentes, C., Sámano, A. K. G., Velasquez, M. E. G., Goos, C., Reyes, J. G. G., Joon, L. V., ... Schneider, S. (2024). Global availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveys. Nutrition, 123, Article 112396. https://doi.org/10.1016/j.nut.2024.112396

@article{972aedd68d6b48dfb0a1b51009a79e8c,

title = "Global availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveys",

abstract = "OBJECTIVE: 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.",

keywords = "All-in-one admixtures, Pandemic, Parenteral nutrition, Trace elements, Vitamins",

author = "Stanislaw Klek and {Del Rio Requejo}, {Isabel Martinez} and Gil Hardy and Francisco, {Liza Mei P.} and Osman Abbasoglu and Acosta, {Juan Carlos Ayala} and Granados, {Luis Miguel Becerra} and Kurt Boeykens and Sharon Carey and Michael Chourdakis and Charlene Compher and {De Cloet}, Joeri and Sergiej Dubrov and Catalina Fuentes and S{\'a}mano, {Ana Karina Garc{\'i}a} and Velasquez, {Mar{\'i}a Eloisa Garc{\'i}a} and Cezanne Goos and Reyes, {Jos{\'e} Guillermo Gutierrez} and Joon, {Lee V} and Andrius Klimasauskas and Regina Komsa and Zeljko Krznaric and Dina Ljubas and Moscoso, {Claudia P. Maza} and Rosa Larreategui and Liliana Mirea and Remy Meier and Ibolya Nyulasi and Irtun Oivind and Marina Panisic-Sekeljic and Poulia, {Kalliopi Anna} and Rasmussen, {Henrik H{\o}jgaard} and Patricia Savino and Pierre Singer and Peter Tamasi and Mehmet Uyar and Thu, {Nguyen Viet Quynh} and Dan Waitzberg and Arved Weimann and Theodoric Wong and Jianchun Yu and Paulina Wojcik and Stephane Schneider",

year = "2024",

month = jul,

doi = "10.1016/j.nut.2024.112396",

language = "English",

volume = "123",

journal = "Nutrition",

issn = "0899-9007",

publisher = "Elsevier",

}

Klek, S, Del Rio Requejo, IM, Hardy, G, Francisco, LMP, Abbasoglu, O, Acosta, JCA, Granados, LMB, Boeykens, K, Carey, S, Chourdakis, M, Compher, C, De Cloet, J, Dubrov, S, Fuentes, C, Sámano, AKG, Velasquez, MEG, Goos, C, Reyes, JGG, Joon, LV, Klimasauskas, A, Komsa, R, Krznaric, Z, Ljubas, D, Moscoso, CPM, Larreategui, R, Mirea, L, Meier, R, Nyulasi, I, Oivind, I, Panisic-Sekeljic, M, Poulia, KA, Rasmussen, HH, Savino, P, Singer, P, Tamasi, P, Uyar, M, Thu, NVQ, Waitzberg, D, Weimann, A, Wong, T, Yu, J, Wojcik, P & Schneider, S 2024, 'Global availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveys', Nutrition, vol. 123, 112396. https://doi.org/10.1016/j.nut.2024.112396

TY - JOUR

T1 - Global availability of parenteral nutrition: Pre- and post-COVID-19 pandemic surveys

AU - Klek, Stanislaw

AU - Del Rio Requejo, Isabel Martinez

AU - Hardy, Gil

AU - Francisco, Liza Mei P.

AU - Abbasoglu, Osman

AU - Acosta, Juan Carlos Ayala

AU - Granados, Luis Miguel Becerra

AU - Boeykens, Kurt

AU - Carey, Sharon

AU - Chourdakis, Michael

AU - Compher, Charlene

AU - De Cloet, Joeri

AU - Dubrov, Sergiej

AU - Fuentes, Catalina

AU - Sámano, Ana Karina García

AU - Velasquez, María Eloisa García

AU - Goos, Cezanne

AU - Reyes, José Guillermo Gutierrez

AU - Joon, Lee V

AU - Klimasauskas, Andrius

AU - Komsa, Regina

AU - Krznaric, Zeljko

AU - Ljubas, Dina

AU - Moscoso, Claudia P. Maza

AU - Larreategui, Rosa

AU - Mirea, Liliana

AU - Meier, Remy

AU - Nyulasi, Ibolya

AU - Oivind, Irtun

AU - Panisic-Sekeljic, Marina

AU - Poulia, Kalliopi Anna

AU - Rasmussen, Henrik Højgaard

AU - Savino, Patricia

AU - Singer, Pierre

AU - Tamasi, Peter

AU - Uyar, Mehmet

AU - Thu, Nguyen Viet Quynh

AU - Waitzberg, Dan

AU - Weimann, Arved

AU - Wong, Theodoric

AU - Yu, Jianchun

AU - Wojcik, Paulina

AU - Schneider, Stephane

PY - 2024/7

Y1 - 2024/7

N2 - OBJECTIVE: 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.

AB - OBJECTIVE: 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.

KW - All-in-one admixtures

KW - Pandemic

KW - Parenteral nutrition

KW - Trace elements

KW - Vitamins

U2 - 10.1016/j.nut.2024.112396

DO - 10.1016/j.nut.2024.112396

M3 - Journal article

C2 - 38554461

SN - 0899-9007

VL - 123

JO - Nutrition

JF - Nutrition

M1 - 112396

ER -

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

Abstract

Bibliographical note

Keywords

Access to Document

AUB Link

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Cite this