caa a22 4500 386355916 CHVBK 20180307111853.0 cr unu---uuuuu 161130e198904 xx s 000 0 eng 10.1017/S0266462300006413 doi S0266462300006413 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300006413 A Cost-Utility Analysis of Preoperative Total Parenteral Nutrition [Elektronische Daten] It has been suggested that preoperative total parentetal nutrition may be used to reduce the risk of nutrition-associated postoperative complications in high-risk patients. These patients can be identified based on their nutritional status. The efficiency of this intervention is assessed using the technique of cost-utility analysis. Data from multiple sources is integrated to perform the economic assessment. The cost-utility ratios for treating several malnourished patients with localized upper gastrointestinal cancer are below $40,000. These cost-utility ratios compare favorably with published results of other programs. The ratios increase considerably if patients who are better nourished (at lower risk of postoperative complication) receive the intervention. The analysis is very sensitive to the efficacy of the intervention. Copyright © Cambridge University Press 1989 Goel Vivek University of Toronto Detsky Allan S. University of Toronto International Journal of Technology Assessment in Health Care Cambridge University Press 5/2(1989-04), 183-194 0266-4623 5:2<183 1989 5 THC https://doi.org/10.1017/S0266462300006413 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300006413 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Goel Vivek University of Toronto NATIONALLICENCE 700 1- Detsky Allan S. University of Toronto NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/2(1989-04), 183-194 0266-4623 5:2<183 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge