Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized
Background: Parenteral nutrition (PN) is a costly technology used widely to provide nutrition to patients who have an inaccessible or non-functioning intestine. Two all-in-one systems currently being used are customized formulations and three-compartment bags. Objective:To provide a systematic cost...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2013 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10459.1/463636 |
| Acceso en línea: | https://doi.org/10.3305/nh.2013.28.6.6862 https://hdl.handle.net/10459.1/463636 |
| Access Level: | acceso abierto |
| Palabra clave: | Cost analysis Parenteral nutrition Parenteral nutrition methods Parenteral nutrition economics Análisis de costes Nutrición parenteral Métodos de nutrición parenteral Economía de la nutrición parenteral |
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Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized Análisis de costes de los sistemas de nutrición parental; bolsa tricompartimental versus individualizada |
| title |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| spellingShingle |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized Berlana, David Cost analysis Parenteral nutrition Parenteral nutrition methods Parenteral nutrition economics Análisis de costes Nutrición parenteral Métodos de nutrición parenteral Economía de la nutrición parenteral |
| title_short |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| title_full |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| title_fullStr |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| title_full_unstemmed |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| title_sort |
Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customized |
| dc.creator.none.fl_str_mv |
Berlana, David Sabin, Pilar Gimeno Ballester, Vicente Romero Jiménez, Rosa Zapatas Rojas, Amalia Márquez, Esther Martínez Cutillas, Julio Schoenenberger, Joan Antoni |
| author |
Berlana, David |
| author_facet |
Berlana, David Sabin, Pilar Gimeno Ballester, Vicente Romero Jiménez, Rosa Zapatas Rojas, Amalia Márquez, Esther Martínez Cutillas, Julio Schoenenberger, Joan Antoni |
| author_role |
author |
| author2 |
Sabin, Pilar Gimeno Ballester, Vicente Romero Jiménez, Rosa Zapatas Rojas, Amalia Márquez, Esther Martínez Cutillas, Julio Schoenenberger, Joan Antoni |
| author2_role |
author author author author author author author |
| dc.subject.none.fl_str_mv |
Cost analysis Parenteral nutrition Parenteral nutrition methods Parenteral nutrition economics Análisis de costes Nutrición parenteral Métodos de nutrición parenteral Economía de la nutrición parenteral |
| topic |
Cost analysis Parenteral nutrition Parenteral nutrition methods Parenteral nutrition economics Análisis de costes Nutrición parenteral Métodos de nutrición parenteral Economía de la nutrición parenteral |
| description |
Background: Parenteral nutrition (PN) is a costly technology used widely to provide nutrition to patients who have an inaccessible or non-functioning intestine. Two all-in-one systems currently being used are customized formulations and three-compartment bags. Objective:To provide a systematic cost comparison of the two all-in-one PN systems: individualized (made from nutrient solutions) versus commercialized (made from three-compartment bag), both prepared in hospital pharmacies. Setting:This study was conducted in three public Spanish hospitals. Method:We conducted a cost-minimization study to analyze prospectively the total cost of PN bags, accounting for all of the processes involved in preparing and delivering PN bags (cost of manpower, nutrition solutions, medical supplies and quality controls) in three different healthcare settings. To compare therapeutic alternatives of equivalent nutritional value, the study was performed for the most frequently employed formulation and similar to commercial preparations. A univariate sensitivity analysis was performed to evaluate the impact of different rates of use of three-compartment PN bag. Results: 157 routine acts of PN bag preparation (65 customized and 92 three-compartment) were observed and timed over 9 days. Total costs of the 157 PN bags were included in the study. Mean costs of customized bags were higher than three-compartment bags, 51.16 ± 5.63 € versus 39.69 ± 3.00 € respectively (p < 0.01). Manpower costs were responsible for the majority of the differences found (70%). The time to complete an adult bag for the hospital compounded system was a mean of 25.9 minutes longer than the three-compartment system. In scenarios using a three-compartment system for 30%, 70% and 90% of PN provision, a cost savings of 4.3%, 10.1% and 12.9% respectively could be achieved. Greatest rates of changing from customized bags (70% and 90%), in a hospital with 1,800 PN bags/year, might reduce the annual budget by 9306 € and 11,964.8 €, respectively. Meanwhile, in a large facility the savings for 8,000 TPN days would be 64,248 € and 82,605 €, respectively. Conclusions:Since seeking cost-reduction of effective treatments is needed, the use of three-compartment bags for standard adult PN could lead to cost savings. Our data should be helpful for health care providers to calculate their own cost of administer. |
| publishDate |
2013 |
| dc.date.none.fl_str_mv |
2013 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://doi.org/10.3305/nh.2013.28.6.6862 https://hdl.handle.net/10459.1/463636 |
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https://doi.org/10.3305/nh.2013.28.6.6862 https://hdl.handle.net/10459.1/463636 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Reproducció del document publicat a: https://doi.org/10.3305/nh.2013.28.6.6862 Nutricion Hospitalaria, 2013, vol. 28, núm. 6, p. 2135-2141 |
| dc.rights.none.fl_str_mv |
cc-by-nc-sa (c) Nutrición Hospitalaria, 2013 Attribution-NonCommercial-ShareAlike 4.0 International info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-sa/4.0/ |
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cc-by-nc-sa (c) Nutrición Hospitalaria, 2013 Attribution-NonCommercial-ShareAlike 4.0 International http://creativecommons.org/licenses/by-nc-sa/4.0/ |
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openAccess |
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Aran Ediciones |
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Aran Ediciones |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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Cost analysis of adult parenteral nutrition systems: three-compartment bag versus customizedAnálisis de costes de los sistemas de nutrición parental; bolsa tricompartimental versus individualizadaBerlana, DavidSabin, PilarGimeno Ballester, VicenteRomero Jiménez, RosaZapatas Rojas, AmaliaMárquez, EstherMartínez Cutillas, JulioSchoenenberger, Joan AntoniCost analysisParenteral nutritionParenteral nutrition methodsParenteral nutrition economicsAnálisis de costesNutrición parenteralMétodos de nutrición parenteralEconomía de la nutrición parenteralBackground: Parenteral nutrition (PN) is a costly technology used widely to provide nutrition to patients who have an inaccessible or non-functioning intestine. Two all-in-one systems currently being used are customized formulations and three-compartment bags. Objective:To provide a systematic cost comparison of the two all-in-one PN systems: individualized (made from nutrient solutions) versus commercialized (made from three-compartment bag), both prepared in hospital pharmacies. Setting:This study was conducted in three public Spanish hospitals. Method:We conducted a cost-minimization study to analyze prospectively the total cost of PN bags, accounting for all of the processes involved in preparing and delivering PN bags (cost of manpower, nutrition solutions, medical supplies and quality controls) in three different healthcare settings. To compare therapeutic alternatives of equivalent nutritional value, the study was performed for the most frequently employed formulation and similar to commercial preparations. A univariate sensitivity analysis was performed to evaluate the impact of different rates of use of three-compartment PN bag. Results: 157 routine acts of PN bag preparation (65 customized and 92 three-compartment) were observed and timed over 9 days. Total costs of the 157 PN bags were included in the study. Mean costs of customized bags were higher than three-compartment bags, 51.16 ± 5.63 € versus 39.69 ± 3.00 € respectively (p < 0.01). Manpower costs were responsible for the majority of the differences found (70%). The time to complete an adult bag for the hospital compounded system was a mean of 25.9 minutes longer than the three-compartment system. In scenarios using a three-compartment system for 30%, 70% and 90% of PN provision, a cost savings of 4.3%, 10.1% and 12.9% respectively could be achieved. Greatest rates of changing from customized bags (70% and 90%), in a hospital with 1,800 PN bags/year, might reduce the annual budget by 9306 € and 11,964.8 €, respectively. Meanwhile, in a large facility the savings for 8,000 TPN days would be 64,248 € and 82,605 €, respectively. Conclusions:Since seeking cost-reduction of effective treatments is needed, the use of three-compartment bags for standard adult PN could lead to cost savings. Our data should be helpful for health care providers to calculate their own cost of administer.Antecedentes: La nutrición parenteral (NP) es una tecnología costosa que se usa ampliamente para proporcionar nutrición a los pacientes que tienen un intestino inaccesible o no funcional. Los dos sistemas todo en uno que se utilizan en la actualidad son las formulaciones individualizadas y las bolsas tri-compartimentales. Objetivo: Proporcionar una comparación de costes sistemática entre los dos sistemas todo en uno: los sistemas individualizados (preparados a partir de soluciones de nutrientes) frente a los comerciales (hechos a partir de una bolsa tri-compartimental). Contexto: Este estudio se realizó en tres hospitales públicos españoles. Método: Realizamos un estudio de minimización de costes para analizar prospectivamente el coste total de las bolsas de NP, considerando todos los procesos implicados en la preparación y suministro de las bolsas (coste de personal, soluciones de nutrición, material fungible y controles de calidad) en tres centros hospitalarios distintos. Para comparar alternativas terapéuticas de valor nutricional equivalente, el estudio se realizó con la formulación que se empleaba con mayor frecuencia y similar a los preparados comerciales. Se realizó un análisis de sensibilidad univariaante para evaluar el impacto de las diferentes tasas de uso de la bolsa de NP tri-compartimental. Resultados:Se analizaron 157 elaboraciones de bolsas de NP (65 individualizada y 92 tri-compartimentales) programadas durante 9 días. Los costes totales de las 157 bolsas de NP se incluyeron en el estudio. Los costes medios de las bolsas individualizadas fueron superiores a los costes de las bolsas tri-compartimentales, 51,16 ± 5,63 € frente a 39,69 ± 3,00 €, respectivamente (p < 0,01). Los costes de personal fueron los responsables de la mayor parte de las diferencias encontradas (70%). El tiempo para completar una bolsa de formulación individualizada fue en promedio 25,9 minutos superior que para el sistema tri-compartimental. En los supuestos en que se utilizase el sistema tri-compartimental un 30%, 70% y 90% del total de NP, se producirían unos ahorros del 4,3%, 10,1% y 12,9%, respectivamente. Con mayores tasas de cambio (70% y 90%), en un hospital con 1.800 bolsas de NP/año, se podría obtener un ahorro en el presupuesto anual de 9.306 € y 11.964.8 €, respectivamente. A su vez, en un centro hospitalario mayor, el ahorro para 8.000 bolsas de NP sería de 64.248 € y 82.605 €, respectivamente. Conclusiones: Dada la necesidad de buscar una reducción de costes de tratamientos efectivos, el uso de las bolsas tri-compartimentales para la NP estándar del adulto podría conllevar una reducción de costes. Nuestros datos pueden ayudar a los gestores sanitarios a calcular su propio coste de administración de la NPT.Aran Ediciones2013info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.3305/nh.2013.28.6.6862https://hdl.handle.net/10459.1/463636reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3305/nh.2013.28.6.6862Nutricion Hospitalaria, 2013, vol. 28, núm. 6, p. 2135-2141cc-by-nc-sa (c) Nutrición Hospitalaria, 2013Attribution-NonCommercial-ShareAlike 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/4.0/oai:recercat.cat:10459.1/4636362026-05-29T05:05:01Z |
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15,811543 |