Disparities in Oral Nutritional Supplement Usage and Dispensing Patterns across Primary Care in Ireland: ONSPres Project

Nutrients

Karen Finnigan¹  Laura McCullagh¹  Barbara Clyne²  Sarah Clarke³  Margaret O’Neill⁴  David Hanlon⁵  Sharon Kennelly⁵  Gerard Bury⁶  Ciara M. E. Reynolds⁷  Patricia Dominguez Castro⁷  Aisling A. Geraghty⁷  Laura McBean⁷  Sarah Browne⁷  Clare A. Corish⁷ 

[1] Department of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St. James’s Hospital, Dublin 8, Ireland;HRB Centre for Primary Care Research, Department of General Practice, RSCI University of Medicine and Health Sciences, 123 St. Stephens Green, Dublin 2, Ireland;HSE Medicines Management Programme, Department of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St. James’s Hospital, Dublin 8, Ireland;National HSE Health and Wellbeing Division, Dr. Steevens’ Hospital, Dublin 8, Ireland;National HSE Primary Care Division, Service Improvement, Mountmellick Primary Care Building, Co. Laois, Ireland;School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland;School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland;

关键词: malnutrition;    oral nutritional supplements;    primary care;    older adults;   

DOI  :  10.3390/nu14020338

来源: DOAJ

【 摘 要 】

When treating malnutrition, oral nutritional supplements (ONSs) are advised when optimising the diet is insufficient; however, ONS usage and user characteristics have not been previously analysed. A retrospective secondary analysis was performed on dispensed pharmacy claim data for 14,282 anonymised adult patients in primary care in Ireland in 2018. Patient sex, age, residential status, ONS volume (units) and ONS cost (EUR) were analysed. The categories of ‘Moderate’ (<75th centile), ‘High’ (75th–89th centile) and ‘Very High’ ONS users (≥90th centile) were created. The analyses among groups utilised t-tests, Mann–Whitney U tests and chi-squared tests. This cohort was 58.2% female, median age was 76 years, with 18.7% in residential care. The most frequently dispensed ONS type was very-high-energy sip feeds (45% of cohort). Younger males were dispensed more ONSs than females (<65 years: median units, 136 vs. 90; p < 0.01). Patients living independently were dispensed half the volume of those in residential care (112 vs. 240 units; p < 0.01). ‘Moderate’ ONS users were dispensed a yearly median of 84 ONS units (median cost, EUR 153), ‘High’ users were dispensed 420 units (EUR 806) and ‘Very High’ users 892 yearly units (EUR 2402; p < 0.01). Further analyses should focus on elucidating the reasons for high ONS usage in residential care patients and younger males.

【 授权许可】

Unknown