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Published on: September 20, 2019
Ambulatory artificial nutrition support use in adolescents and adults: A nationwide population-based descriptive
Claire Rives-Lange1,2,3, David Desplas1, Mahmoud Zureik1,4
1EPI-PHARE, French National Agency for Medicines and Health Products Safety (ANSM) and French National Health Insurance (CNAM), Saint-Denis, France.
Background:
Nutrition care is increasingly integrated into multimodal patient management. This study aimed to describe the evolution of ambulatory nutrition support in outpatients aged ≥15 years in France, including oral nutrition supplements and enteral and parenteral nutrition.
Materials And Methods:
We conducted a nationwide population-based descriptive cohort study using data from the French National Health System (SNDS), covering nearly the entire French population. All adolescents and adults who received at least one nutrition support product between 2013 and 2023 were included. Repeated cross-sectional analyses were used to assess the number of users and their sociodemographic characteristics (sex, age, deprivation index, region).
Results:
Between 2013 and 2023, the number of oral nutritional supplements and enteral nutrition users increased significantly, with annual variation in use of 4.7% (95% CI [4.0-5.4]) and 4.2% (95% CI [3.6-4.8]), reaching 1,426,827 and 44,663 users in 2023, respectively. In contrast, parenteral nutrition use declined (annual variation in use of -2.9%, 95% CI [-4.3 to -1.4]) to 16,445 users in 2023. Mean age was 70.7 for oral nutritional supplements, 60.6 for enteral nutrition, and 66.5 for parenteral nutrition users. A notable rise was observed in the use of high-protein, high-energy (HP-HE) products across all support types, and in parenteral nutrition with omega-3.
Conclusion:
This large real-world study offers the first national overview of outpatient artificial nutrition support in France, highlighting growing use of oral nutritional supplements and enteral nutrition and changing trends in product types over the last decade.
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