The Impact of Perioperational Malnutrition on the Cost on Gastroenterological Cancer Patients
Recruitment status was: Recruiting
Undernutrition is a state marked by energy and/or protein intake deficiency or mal-absorption, and is often described as protein energy malnutrition (PEM). Malnutrition is common in hospitalized patients worldwide. The prevalence of malnutrition in hospitalized patients range from 20% - 50%, depends on the varieties of diseases, health system, population and assessment tools. It is well documented in Western countries that malnutrition affects clinical outcomes negatively. Compared with well-nourished patients, patients with malnutrition stay longer in hospitals and related cost is significantly higher.
There is increasing evidence which indicates that appropriate nutrition support (e.g., standardized nutrition screening procedures, delivering nutrients with appropriate path, etc) may improve clinical outcome on malnutrition, along with cost saving.
To date, there is no study to document specifically the impact of malnutrition and related nutrition support on the health economics in China. Considering China now is on its way to establish public health security system and a diagnosis-related grouping system, the understanding of the cost effectiveness of nutrition support under the current clinical conditions is crucial.
This study aims to investigate the prevalence of perioperational malnutrition in gastroenterological cancer patient, the nutrition support status and related health economic effects.
Surgical Procedures, Operative
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Malnutrition and Its Impact on the Perioperational Hospitalization Cost: A Prospective, Cohort Study on Gastroenterological Cancer Patients|
- Cost [ Time Frame: 30 days after operation ] [ Designated as safety issue: No ]
- Mortality [ Time Frame: 30 days after operation ] [ Designated as safety issue: No ]
- Infectious morbidity [ Time Frame: 30 days after operation ] [ Designated as safety issue: No ]
- Length of hospitalization [ Time Frame: 30 days after operation ] [ Designated as safety issue: No ]
|Study Start Date:||April 2009|
|Estimated Study Completion Date:||December 2009|
|Estimated Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
The patients with undernutrition
Well nourished cohort
Patient that well nourished and without undernutrition
Please refer to this study by its ClinicalTrials.gov identifier: NCT00987883
|Peking Union Medical College Hospital|
|Beijing, Beijing, China, 100730|
|Study Director:||Wei Chen, M.D||Peking Union Medical College Hospital|
|Study Chair:||Chongmei Lu, M.D||Peking Union Medical College Hospital|
|Principal Investigator:||Hua Jiang, M.D||Sichuan Academy of Medical Sciences &Sichuan Provincial People’s Hospital|