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Centre for Policy on Ageing | |
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Cost-effectiveness of food, supplement and environmental interventions to address malnutrition in residential aged care
— a systematic review | | Author(s) | Cherie Hugo, Elisabeth Isenring, Micelle Miller, Skye Marshall |
| Journal title | Age and Ageing, vol 47, no 3, May 2018 |
| Publisher | Oxford University Press, May 2018 |
| Pages | pp 356-366 |
| Source | https://academic.oup.com/ageing |
| Keywords | Malnutrition ; Preventative medicine ; Nutrition ; Vitamins ; Food ; Cost effectiveness ; Care homes ; Nursing homes ; Literature reviews. |
| Annotation | Observational studies have shown that nutritional strategies to manage malnutrition may be cost-effective in aged care; but more robust economic data is needed to support and encourage translation to practice. This systematic review aims to compare the cost-effectiveness of implementing nutrition interventions targeting malnutrition in care homes versus usual care. The authors conducted a systematic literature review of studies published between January 2000 and August 2017 across 10 electronic databases. Cochrane Risk of Bias tool and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) were used to evaluate the quality of the studies. Of 3,098 studies initially screened, eight reported on 11 intervention groups: 1 evaluated the effect of modifications to dining environment, 5 supplements, and 5 on food-based interventions. Interventions had a low cost of implementation (<£2.30 per resident per day) and provided clinical improvement for a range of outcomes including weight, nutritional status and dietary intake. Supplements and food-based interventions further demonstrated a low cost per quality adjusted life year or unit of physical function improvement. GRADE assessment revealed the quality of the body of evidence that introducing malnutrition interventions, whether they be environmental, supplements or food-based, are cost-effective in care homes was low. This review suggests supplements and food-based nutrition interventions in the aged care setting are clinically effective, have a low cost of implementation and may be cost-effective at improving clinical outcomes associated with malnutrition. More studies using well-defined frameworks for economic analysis, stronger study designs with improved quality, along with validated malnutrition measures are needed to confirm and increase confidence with these findings. (RH). |
| Accession Number | CPA-190615222 A |
| Classmark | CSM: LK2: CF: CFE: YP: WEC: KW: LHB: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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