[A 1993-1995 epidemiological survey of home parenteral nutrition in approved centers for adults in France].
OBJECTIVE
A 1993-1995 three year epidemiological survey of home parenteral nutrition was performed through in France in approved centers for adults.


METHODS
Data were retrospectively collected each year on a standardized questionnaire focussing on indications and short term outcome.


RESULTS
All centers (n = 14) participated in the study and 524 new adult patients were recruited. The overall incidence was unchanged at 3.75 patients/10(6) adults. Indications for AIDS rose (8 to 18%) whereas other indications were stable. Prevalence increased by 19%: 4.40 adults/10(6) patients at 01.01.1996. At six months, the probability to stay on treatment was 19.5% for AIDS and cancer indications but 52% for others, whereas death rates were 59% and 9% respectively.


CONCLUSIONS
For both cancer and AIDS indications, short-term treatment was due to a poor prognosis. For other diagnosis, complicated with a short bowel in 51% of cases, prognosis was excellent but associated with treatment dependency. The latter point focuses on the need for additional treatments in irreversible intestinal failure.
Messing
B
B
Service d'Hépato-Gastroentérologie, Hôpital Saint-Lazare, Paris.
Barnoud
D
D
Beau
P
P
Bornet
J L
JL
Chambrier
C
C
Constanzo
J D
JD
Gerard-Boncompain
M
M
Guedon
C
C
Hebuterne
X
X
Heresbach
D
D
de Ledinghen
V
V
Lescut
D
D
Reimund
J M
JM
Senesse
P
P
Beliah
M
M
Bouletreau
P
P
Bretagne
J F
JF
Descos
L
L
Duclos
B
B
Kerjean
A
A
Lerebours
E
E
Leverve
X
X
Morichau-Beauchant
M
M
Paris
J C
JC
Rampal
P
P
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000293:Adolescent; D000328:Adult; D000368:Aged; D002568:Certification; D005602:France; D019538:Health Care Surveys; D006801:Humans; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D016331:Parenteral Nutrition, Home / Q000592:standards; D011379:Prognosis; D011787:Quality of Health Care; D012189:Retrospective Studies
Données épidémiologiques 1993-1995 de la nutrition parentérale à domicile en centres agréés chez l'adulte en France.