Intradialytic parenteral nutrition and intraperitoneal nutrition.
Intradialytic parenteral nutrition and intraperitoneal nutrition are methods to provide supplemental nutrition support to patients with chronic kidney disease (also referred to as end-stage renal disease) while they are receiving dialytic therapy. There has been considerable controversy over indications and benefits of intradialytic parenteral nutrition and intraperitoneal nutrition. A major stumbling block had been problematic reimbursement for the therapy under Medicare. Medicare Part D has alleviated some of the reimbursement obstacles and has increased interest in reexamining the benefits and burdens of supplemental nutrition support therapies for patients receiving dialysis.
Fuhrman
M Patricia
MP
DCRX Infusion, Sunrise, Florida, USA. nutrisha50@earthlink.net
D003362:Cost-Benefit Analysis; D003376:Counseling / Q000191:economics; D006801:Humans; D007274:Injections, Intraperitoneal / Q000191:economics / Q000379:methods*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000191:economics / Q000628:therapy*; D044342:Malnutrition / Q000517:prevention & control; D006278:Medicare / Q000191:economics; D017063:Outcome Assessment, Health Care / Q000379:methods; D010288:Parenteral Nutrition / Q000191:economics / Q000379:methods*; D006435:Renal Dialysis / Q000191:economics; D014481:United States