Abstract | BACKGROUND: METHODS: Using a case-control design, we compared 2 groups of affiliated patients with nonaffiliated controls, who were matched for diagnosis, HPN duration, sex, and age. Group 1 data were obtained from patients in large HPN medical practice programs. Group 2 data were obtained from patients in small medical practices with a small number of HPN patients. All participants were evaluated by structured interviews every 6 months over 18 months. RESULTS: In both data collection groups, affiliated patients (A) had significantly higher (mean +/- SD) quality-of-life scores compared with nonaffiliated patients (NA): (Gr 1: A, 19.8 +/- 4.7 versus NA, 17.6 +/- 5.6, p = .05; Gr 2: A, 20.4 +/- 5.2 versus NA, 17.3 +/- 4.8, p = .05). Affiliated patients also had lower depression scores (Gr 1: A, 10.9 +/- 10.4 versus NA, 20.4 +/- 13.6, p = .01; Gr 2: A, 12.5 +/- 9.6 versus NA, 18.5 +/- 10.8, p = .03) and a lower incidence of catheter-related infections (Gr 1: A, 0.10 +/- 0.3 versus NA, 0.60 +/- 0.55, p = .01; Gr 2: A, 0.27 +/- 0.55 versus NA, 0.71 +/- 0.64, p = .02) than nonaffiliated patients. CONCLUSIONS: Affiliation with an organization that provides ongoing HPN education and peer support was associated with significantly better HPN outcomes. Alternative explanations are discussed in relation to limitations of the case-control design.
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Authors | Carol E Smith, Susan Curtas, Marilyn Werkowitch, Susan V M Kleinbeck, Lyn Howard |
Journal | JPEN. Journal of parenteral and enteral nutrition
(JPEN J Parenter Enteral Nutr)
2002 May-Jun
Vol. 26
Issue 3
Pg. 159-63
ISSN: 0148-6071 [Print] United States |
PMID | 12005455
(Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
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Topics |
- Adult
- Aged
- Case-Control Studies
- Catheters, Indwelling
(adverse effects, microbiology, standards)
- Depression
(etiology, prevention & control)
- Equipment Contamination
(prevention & control)
- Female
- Humans
- Infection Control
(methods)
- Infections
(epidemiology)
- Interviews as Topic
- Male
- Middle Aged
- Parenteral Nutrition, Home
(adverse effects, psychology)
- Patient Education as Topic
- Quality of Life
- Self-Help Groups
- Treatment Outcome
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