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Review
. 2020 Jun;39(6):1645-1666.
doi: 10.1016/j.clnu.2020.03.005. Epub 2020 Apr 18.

ESPEN guideline on home parenteral nutrition

Loris Pironi  1 , Kurt Boeykens  2 , Federico Bozzetti  3 , Francisca Joly  4 , Stanislaw Klek  5 , Simon Lal  6 , Marek Lichota  7 , Stefan Mühlebach  8 , Andre Van Gossum  9 , Geert Wanten  10 , Carolyn Wheatley  11 , Stephan C Bischoff  12
Affiliations
Review

ESPEN guideline on home parenteral nutrition

Loris Pironi et al. Clin Nutr. 2020 Jun.

Abstract

This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home parenteral nutrition (HPN) providers, as well as healthcare administrators and policy makers, about appropriate and safe HPN provision. This guideline will also inform patients requiring HPN. The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion line and CVAD site care, nutritional admixtures, program monitoring and management. Meta-analyses, systematic reviews and single clinical trials based on clinical questions were searched according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing Scottish Intercollegiate Guidelines Network methodology. The guideline was commissioned and financially supported by ESPEN and members of the guideline group were selected by ESPEN.

Keywords: Central venous access device; Home parenteral nutrition; Intestinal failure; Multidisciplinary team; Parenteral nutrition admixture; Patient training.

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Conflict of interest statement

Conflicts of Interest The expert members of the working group were accredited by the ESPEN Guidelines Group, the ESPEN Education and Clinical Practice Committee, and the ESPEN executive. All expert members have declared their individual conflicts of interest according to the rules of the International Committee of Medical Journal Editors (ICMJE). If potential conflicts were indicated, they were reviewed by the ESPEN guideline officers and, in cases of doubts, by the ESPEN executive. None of the expert panel had to be excluded from the working group or from co-authorship because of serious conflicts. The conflict of interest forms are stored at the ESPEN guideline office and can be reviewed by ESPEN members with legitimate interest upon request to the ESPEN executive.

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