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  • Johnson, Mark J.Department of Neonatal Medicine, University Hospital Southampton NHS Trust, Southampton, United Kingdom; National Institute for Health Research Biomedical Research Centre Southampton, University Hospital Southampton NHS Trust and University of Southampton, Southampton, United Kingdom (author)

Research priorities in pediatric parenteral nutrition : a consensus and perspective from ESPGHAN/ESPEN/ESPR/CSPEN

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2021-09-02
  • Springer Nature,2022
  • electronicrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:umu-187727
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-187727URI
  • https://doi.org/10.1038/s41390-021-01670-9DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • Abstract: Parenteral nutrition is used to treat children that cannot be fully fed by the enteral route. While the revised ESPGHAN/ESPEN/ESPR/CSPEN pediatric parenteral nutrition guidelines provide clear guidance on the use of parenteral nutrition in neonates, infants, and children based on current available evidence, they have helped to crystallize areas where research is lacking or more studies are needed in order to refine recommendations. This paper collates and discusses the research gaps identified by the authors of each section of the guidelines and considers each nutrient or group of nutrients in turn, together with aspects around delivery and organization. The 99 research priorities identified were then ranked in order of importance by clinicians and researchers working in the field using a survey methodology. The highest ranked priority was the need to understand the relationship between total energy intake, rapid catch-up growth, later metabolic function, and neurocognitive outcomes. Research into the optimal intakes of macronutrients needed in order to achieve optimal outcomes also featured prominently. Identifying research priorities in PN should enable research to be focussed on addressing key issues. Multicentre trials, better definition of exposure and outcome variables, and long-term metabolic and developmental follow-up will be key to achieving this.Impact:The recent ESPGHAN/ESPEN/ESPR/CSPEN guidelines for pediatric parenteral nutrition provided updated guidance for providing parenteral nutrition to infants and children, including recommendations for practice.However, in several areas there was a lack of evidence to guide practice, or research questions that remained unanswered. This paper summarizes the key priorities for research in pediatric parenteral nutrition, and ranks them in order of importance according to expert opinion.

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  • Lapillonne, AlexandreNeonatal Intensive Care Unit, Necker-Enfants Malades Hospital, Paris University, Paris, France; France and CNRC, Department of Pediatrics, Baylor College of Medicine, TX, Houston, United States (author)
  • Bronsky, JiriDepartment of Paediatrics, University Hospital Motol, Prague, Czech Republic (author)
  • Domellöf, Magnus,1963-Umeå universitet,Pediatrik(Swepub:umu)mado0002 (author)
  • Embleton, NicholasNeonatal Unit, Newcastle University, Newcastle upon Tyne, United Kingdom; Newcastle University, Newcastle Upon Tyne, United Kingdom (author)
  • Iacobelli, SilviaDepartment of Neonatal Intensive Care, CHU La Réunion, Saint Pierre, France (author)
  • Jochum, FrankEvangelisches Waldkrankenhaus Spandau, Berlin, Germany (author)
  • Joosten, KoenErasmus MC-Sophia Children’s Hospital, Rotterdam, Netherlands (author)
  • Kolacek, SanjaChildren’s Hospital, University of Zagreb School of Medicine, Zagreb, Croatia (author)
  • Mihatsch, Walter A.Department of Pediatrics Ulm University, Ulm, and Neu-Ulm University of Applies Sciences, Neu-Ulm, Germany (author)
  • Moltu, Sissel J.Department of Neonatal Intensive Care, Oslo University Hospital, Oslo, Norway; Oslo University Hospital, Oslo, Norway (author)
  • Puntis, John W. L.The General Infirmary at Leeds, Leeds, United Kingdom (author)
  • Riskin, AriehBnai Zion Medical Center, Rappaport Faculty of Medicine, Haifa, Technion, Israel (author)
  • Shamir, RaananInstitute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children’s Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel (author)
  • Tabbers, Merit M.Amsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children’s Hospital, Amsterdam, Netherlands (author)
  • Van Goudoever, Johannes B.Amsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children’s Hospital, Amsterdam, Netherlands (author)
  • Saenz de Pipaon, MiguelDepartment of Neonatology, La Paz University Hospital, Red De Salud Materno Infantil Y Desarrollo E Samid, Universidad Autonoma De Madrid, Madrid, Spain (author)
  • Department of Neonatal Medicine, University Hospital Southampton NHS Trust, Southampton, United Kingdom; National Institute for Health Research Biomedical Research Centre Southampton, University Hospital Southampton NHS Trust and University of Southampton, Southampton, United KingdomNeonatal Intensive Care Unit, Necker-Enfants Malades Hospital, Paris University, Paris, France; France and CNRC, Department of Pediatrics, Baylor College of Medicine, TX, Houston, United States (creator_code:org_t)

Related titles

  • In:Pediatric Research: Springer Nature92:1, s. 61-700031-39981530-0447

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