Cost-effectiveness of nutritional improvement by supplements

To everyone that has been damaged by the Great East Japan Earthquake, I would the sympathy sincerely. Earliest possible restoration of the affected areas, we wish from the bottom of my heart reconstruction. Activities by the DHC is here. "About the support activities to the Great East Japan Earthquake disaster area" You can confirm from. Specialized journal (electronic version) of the month of clinical nutrition, nutritional interventions by oral administration of nutritional supplements, studies to verify the cost-effective, has been reported from a group of Germany. (Eur J Clin Nutr. 2011 Mar 16.) Administration of supplements, including the general nutrients, in patients cause malnutrition, it shows the effect of improving the general condition and QOL. In this study, the intervention effects of supplementation after discharge, the cost-effectiveness has been verified. Specifically, malnutrition patient 114 people caused by the digestive system diseases of benign (50.6 ± 16.1 years, of which women 57 people) to the subject, At the time of discharge, And nutrition counseling + supplementation conducted the intervention group (n = 60), And nutritional counseling only implemented the control group (n = 54) For three months intervention is taking place in two groups. With regard to nutrition improvement, indicators such as SF-36, QALYs (Quality-adjusted life years) are measured, For the verification of cost-effective, 2.30 euros as the minimum value per bag supplements, it has been set to 2.93 euros as the maximum value. In the intervention group, supplements of 2.4 ± 0.8 bags / day has been ingested. At the time of the start of the administration, there is no significant difference between the two groups with respect to nutritional status and health condition (0.594 ± 0.017 vs 0.619 ± 0.018). By three months of the intervention, in the supplementation group, as compared to the nutrition counseling group, it has been shown significant improvement (0.731 ± 0.015 vs 0.671 ± 0.016, P = 0.028). In the supplementation group, certain of the cost has occurred (ICER: \ [euro] 9497 and \ [euro] 12 099 / additional QALY, respectively) is, in the verification of cost-effectiveness, benefits are supported (<\ [euro] and is 50 000 / QALY) called. (In other words, by supplementation, a relatively small cost, it has improved the nutritional status and health condition was observed.) From the above data, the nutritional management after hospital discharge benign digestive system disease patients is suggested that the use of supplements is a cost-effective method useful. As a general rule, to the nutritional status improvement after surgery, Effectiveness is considered supplements, Multi-vitamin, Multi-mineral, DHA, EPA, CoQ10 And so on.