Training in Paediatric Clinical Nutrition Across Europe: A Survey of the National Societies Network (2016-2019) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition.

Fecha de publicación: 01/05/2022 Fecha Ahead of Print: 10/02/2022

Autores de IIS La Fe

Carmen Ribes Koninckx

Autor

Participantes ajenos a IIS La Fe

Papadopoulou A
Baker A
Noni M
Koutri E
Karagianni MV
Protheroe S
Guarino A
Mas E
Wilschanski M
Roman E
Escher J
Furlano RI
Posovszky C
Hoffman I
Veres G
Bronsky J
Hauer AC
Tjesic-Drinkovic D
Fotoulaki M
Orel R
Urbonas V
Kansu A
Georgieva M
Koletzko B

Grupos

Enfermedad celíaca e Inmunopatología digestiva

Leader

Carmen Ribes Koninckx

Abstract

OBJECTIVES/BACKGROUND: Disease-related malnutrition is common in patients with chronic diseases and has detrimental effects, therefore, skills in nutrition care are essential core competencies for paediatric digestive medicine. The aim of this survey, conducted as part of a global survey of paediatric gastroenterology, hepatology and nutrition (PGHN) training in Europe, was to assess nutrition care-related infrastructure, staff, and patient volumes in European PGHN training centres. METHODS: Standardized questionnaires related to clinical nutrition (CN) care were completed by representatives of European PGHN training centres between June 2016 and December 2019. RESULTS: One hundred training centres from 17 European countries, Turkey, and Israel participated in the survey. Dedicated CN clinics exist in 66% of the centres, with fulltime and part-time CN specialists in 66% and 42%, respectively. Home tube feeding (HTF) and home parenteral nutrition (HPN) programmes are in place in 95% and 77% of centres, respectively. Twenty-four percent of centres do not have a dedicated dietitian and 55% do not have a dedicated pharmacist attached to the training centre. Even the largest centres with >5000 outpatients reported that 25% and 50%, respectively do not have a dedicated dietitian or pharmacist. Low patient numbers on HTF and HPN of <5 annually are reported by 13% and 43% of centres, respectively. CONCLUSIONS: The survey shows clear differences and deficits in Clinical Nutrition training infrastructure, including staff and patient volumes, in European PGHN training centres, leading to large differences and limitations in training opportunities in Clinical Nutrition. An infographic is available for this article at:http://links.lww.com/MPG/C653.

Datos de la publicación

ISSN/ISSNe:: 0277-2116, 1536-4801
Tipo:: Article
Páginas:: 662-667
DOI:: 10.1097/MPG.0000000000003376
Factor de Impacto:: 0,919 SCImago ℠
Cuartil:: Q1 SCImago ℠

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Métricas

Filiaciones

Papadopoulou A:: Division of Gastroenterology and Hepatology, First Department of Paediatrics, University of Athens, Children's hospital Agia Sofia, Athens, Greece Paediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain Paediatric Liver Centre, King's College Hospital, London Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, United Kingdom Department of Translational Medical Science, Section of Paediatrics, University of Naples Federico II, Naples, Italy Unit of Gastroe
Ribes-Koninckx C:: The Paediatric Gastroenterology unit, La Fe university Hospital, Valencia, Spain
Noni M:: The Division of Gastroenterology and Hepatology, First Department of Paediatrics, University of Athens, Children's hospital Agia Sofia, Athens, Greece
Koutri E:: The Division of Gastroenterology and Hepatology, First Department of Paediatrics, University of Athens, Children's hospital Agia Sofia, Athens, Greece
Karagianni MV:: The Division of Gastroenterology and Hepatology, First Department of Paediatrics, University of Athens, Children's hospital Agia Sofia, Athens, Greece
Guarino A:: The Department of Translational Medical Science, Section of Paediatrics, University of Naples Federico II, Naples, Italy
Mas E:: The Unit of Gastroenterology, Hepatology, Nutrition, Diabetes, and inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, France
Wilschanski M:: The Paediatric Gastroenterology Unit, Department of Paediatrics, Hadassah University Hospitals, Jerusalem, Israel
Roman E:: The Paediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
Escher J:: The Department of Paediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands
Furlano RI:: The Division of Paediatric Gastroenterology and Nutrition, University Children's Hospital, Basel, Switzerland
Posovszky C:: The Department of Paediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany
Hoffman I:: The Department of Paediatric Gastroenterology, Leuven University Hospital, Leuven, Belgium
Veres G:: The Paediatric Institute-Clinic, University of Debrecen, Debrecen, Hungary
Bronsky J:: The Department of Paediatrics, University Hospital Motol, Prague, Czech Republic
Hauer AC:: Department of Paediatrics, Medical University of Graz, Graz, Austria
Tjesic-Drinkovic D:: The University Hospital Center Zagreb - Division for Paediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia
Fotoulaki M:: The 4th Department of Paediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece
Orel R:: The Department of Gastroenterology, Hepatology and Nutrition, Ljubljana University Children's Hospital, Ljubljana, Slovenia
Urbonas V:: The Vilnius University Clinic of Children's Diseases, Vilnius, Lithuania
Kansu A:: The Division of Paediatric Gastroenterology, Department of Paediatrics, Ankara University School of Medicine, Ankara, Turkey
Georgieva M:: The 2nd Department of Paediatrics, Saint Marina University hospital, Varna, Bulgaria
Koletzko B:: The LMU - Ludwig Maximilians Universität Munich, Department of Paediatrics, Dr. von Hauner Children's Hospital, LUM University Hospitals, Munich, Germany