- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00987883
The Impact of Perioperational Malnutrition on the Cost on Gastroenterological Cancer Patients
Malnutrition and Its Impact on the Perioperational Hospitalization Cost: A Prospective, Cohort Study on Gastroenterological Cancer Patients
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.
Studieoversikt
Status
Studietype
Registrering (Forventet)
Kontakter og plasseringer
Studiesteder
-
-
Beijing
-
Beijing, Beijing, Kina, 100730
- Rekruttering
- Peking Union Medical College Hospital
-
Ta kontakt med:
- Wei Chen, M.D
- Telefonnummer: 86 10 65294095
- E-post: txchenwei@gmail.com
-
Ta kontakt med:
- Hua Jiang, M.D
- Telefonnummer: 86 28 86741981
- E-post: cdjianghua@gmail.com
-
Hovedetterforsker:
- Wei Chen, M.D
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
Inclusion Criteria:
- Age 18 or older
- With gastroenterological cancer
- Will receive resectional operation
- Consent informed
Exclusion Criteria:
- With severly cardiac, pulmonary, liver or renal disease
- With endocrine or metabolic disease
- With dyslipidemia
- Without consent
Studieplan
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
|---|
|
Malnutrition cohort
The patients with undernutrition
|
|
Well nourished cohort
Patient that well nourished and without undernutrition
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Cost
Tidsramme: 30 days after operation
|
30 days after operation
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Mortality
Tidsramme: 30 days after operation
|
30 days after operation
|
|
Infectious morbidity
Tidsramme: 30 days after operation
|
30 days after operation
|
|
Length of hospitalization
Tidsramme: 30 days after operation
|
30 days after operation
|
Samarbeidspartnere og etterforskere
Etterforskere
- Studieleder: Wei Chen, M.D, Peking Union Medical College Hospital
- Studiestol: Chongmei Lu, M.D, Peking Union Medical College Hospital
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Robinson G, Goldstein M, Levine GM. Impact of nutritional status on DRG length of stay. JPEN J Parenter Enteral Nutr. 1987 Jan-Feb;11(1):49-51. doi: 10.1177/014860718701100149.
- Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008 Feb;27(1):5-15. doi: 10.1016/j.clnu.2007.10.007. Epub 2007 Dec 3.
- Correia MI, Campos AC; ELAN Cooperative Study. Prevalence of hospital malnutrition in Latin America: the multicenter ELAN study. Nutrition. 2003 Oct;19(10):823-5. doi: 10.1016/s0899-9007(03)00168-0.
- Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider S, van den Berghe G, Pichard C. Introductory to the ESPEN Guidelines on Enteral Nutrition: Terminology, definitions and general topics. Clin Nutr. 2006 Apr;25(2):180-6. doi: 10.1016/j.clnu.2006.02.007. Epub 2006 May 11.
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- PUMCH-DPEN-09001
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