Impact of enteral nutritional supplementation on the quality of life of hospitalized patients with chronic kidney disease

Abstract

Rationale: In the comprehensive care of cancer patients, interventions related to treatment can generate improvements in quality of life and survival, implying an increase in the costs of attention. Methods: Application of the methodology: Time-Driven Activity-Based Costing (TDABC). Results: The population consists of 471 patients, with diagnoses of stomach, colon and rectum cancer, whose distribution by gender is 52% men and 48% women; a greater proportion of patients with stomach cancer was observed 39.5%, followed by colon cancer 37.98%, and rectal cancer 23.79%. In reviewing the variable costs, the total cost of the nutritional care process was established, calculating a capacity cost coefficient per minute of $ 539 (0.15 Euros), in relation to the cost system based on the time invested per activity ( TDABC), this thesis allowed the breakdown of costs per hospital unit of care, which yields a net profit of 3.7% for the organization. This research is the first time the TDABC methodology is applied to a process of hospital nutrition, carried out in the country, in the patient with stomach, colon and rectum cancer, generating a positive net benefit. Conclusions: A model of nutritional intervention in patients with gastrointestinal cancer, improves the care process, favors cost control and actively involves the clinical teams and administrative staff in charge of the care cycle, making it possible to demonstrate that this nutritional inter- vention closes the existing gap between comprehensive health care and reducing the costs of care