Use of Peptamen^® Formula resulted in a decrease of $17,615 in total cost of care per patient in feeding intolerant patients who received home enteral nutrition.

Background

Home enteral nutrition (HEN) is often used to provide long-term nutrition therapy. Enteral feeding intolerance (EFI) is prevalent in HEN patients and often requires transition to a peptide-based tube feeding formula (PBF).

Objective

Determine the economic impact of using specialized formulas for the treatment of EFI in the HEN population.

Methods

This was a retrospective analysis of the Mayo Clinic Rochester HEN population data, evaluating the cost of transitioning to a 100% whey PBF during therapy from October 2018 through August 2020, with evaluation of demographic data, enteral nutrition (EN) regimen and cost of care being captured through October of 2020 or termination of EN.

Cost of care was categorized as follows:

• Emergency Department visits-ED
• Inpatient care-IP
• Outpatient care-OP
• Total cost of care-TC

Results

• Indication for EN included dysphagia/odynophagia, malnutrition, nausea and vomiting, fistula or bowel perforation, inadequate oral intake or obstruction/stricture.

Average cost of total care per patient on PBD

US Dollars

$50K $40K $30K $20K $10K $0

$38,744

 

$33,944

 

↓ 45.5%$21,129

 

Last 4 weeks prior to PBD

First 4 weeks of PBD

Second 4 weeks of PBD

 

Cost of Care Per Patient (Week - 4 to Week 8)

ED = Emergency Department Visits IP = In Patient OP = Out Patient TC = Total Cost of Care