Home parenteral nutrition: An international benchmarking exercise

Janet P. Baxter*, Lyn Gillanders, Kath Angstmann, Michael Staun, Carmel O'Hanlon, Trevor Smith, Fransica Joly, Paul Thul, Cora Jonkers, Geert Wanten, Keith Gardiner, Stansilaw Klek, Cristina Cuerda, Winnie Magambo, A. Barney Hawthorne, A. Lukes, Andre Van Gossum, Miriam Theilla, Pierre Singer, Raanan ShamirLoris Pironi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background & aims: Information relating to the provision of HPN in New Zealand and Scotland has been published. 1 This paper expands that benchmarking exercise to examine the organisation, prevalence and referral pathways across several countries of the world. Methods: The ESPEN Home Artificial Nutrition Chronic Intestinal Failure working group agreed a pro forma and circulated a network of international colleagues. Results: Responses were received from 16 countries treating an estimated 9200 patients. Period prevalence figures ranged from 3.25 to 66 patients per million of the population. Eight countries (53%) had published HPN guidelines; of the 7 who did not, 4 (27%) had adopted guidelines such as ESPEN. Eleven (73%) had an HPN educational programme in place. The most common underlying disease for HPN in adults were ischaemia, Crohns' disease, motility disorders and cancer; and in children enteropathy, motility and inflammatory bowel disease (unknown in 4 countries). Conclusions: There is a wide range in HPN prevalence figures and the existence of organised care varies across the countries studied. Most countries either had developed their own clinical guidelines or standards or had adopted an international society guideline to improve patient care. It is recognised that several countries have under reported the HPN prevalence as registries are not fully available or used. This comparative data is interesting to enable the planning of equitable care.

Original languageEnglish
Pages (from-to)e211-e214
Journale-SPEN Journal
Issue number5
StatePublished - Oct 2012
Externally publishedYes


  • Benchmarking
  • Guidelines
  • Home parenteral nutrition
  • Organisation


Dive into the research topics of 'Home parenteral nutrition: An international benchmarking exercise'. Together they form a unique fingerprint.

Cite this