Pharmacoeconomics of Parenteral Nutrition with ω-3 Fatty Acids in Hospitalized Adults

JPEN J Parenter Enteral Nutr. 2020 Feb:44 Suppl 1:S68-S73. doi: 10.1002/jpen.1775.

Abstract

The inclusion of ω-3 fatty acids as part of parenteral nutrition is associated with clinical benefits such as a reduced likelihood of infectious complications and shorter hospital and intensive care unit (ICU) stays. As healthcare resources are limited, pharmacoeconomic analyses have been performed, typically modeling studies, using cost and outcomes data to investigate the cost-effectiveness of parenteral nutrition regimens including ω-3 fatty acids from fish oil compared with standard parenteral nutrition without such ω-3 fatty acids. This review covers pharmacoeconomic studies encompassing Italian, French, German, and UK hospitals for ICU and non-ICU hospitalized patients, and for ICU patients in China. The results show that the use of parenteral nutrition including ω-3 fatty acids more than offsets any additional acquisition costs in all national scenarios investigated to date, indicating that parenteral nutrition including ω-3 fatty acids is a clinically and economically beneficial strategy compared with standard parenteral nutrition.

Keywords: China; Europe; cost-effectiveness; fish oil; infections; intensive care; lipids; omega-3; parenteral nutrition; pharmacoeconomics.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • China
  • Economics, Pharmaceutical*
  • Fat Emulsions, Intravenous
  • Fatty Acids, Omega-3*
  • Fish Oils
  • Humans
  • Italy
  • Parenteral Nutrition*

Substances

  • Fat Emulsions, Intravenous
  • Fatty Acids, Omega-3
  • Fish Oils