Quality of life and home parenteral nutrition version 1

  • Research type

    Research Study

  • Full title

    A longitudinal study of factors that impact on the quality of life of intestinal failure patients treated with home parenteral nutrition

  • IRAS ID

    297366

  • Contact name

    C Kirk

  • Contact email

    colette.kirk@nhs.net

  • Sponsor organisation

    The Newcastle Joint Research Office

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Parenteral nutrition refers to the administration of nutrients directly into a persons blood. It is a life-saving treatment for people with intestinal failure. Intestinal failure occurs when a person’s gut (intestine) is unable to process food and drink. Patients are taught how to administer this at home. In England, there are over 2500 people treated with home parenteral nutrition (HPN). HPN is time-consuming and invasive. Patients struggle with ongoing symptoms of their underlying condition, and live with multiple health problems. This inevitably has severe consequences for their quality of life (QoL). There are also life-threatening consequences of HPN. The most serious is if the liver begins to fail requiring a liver and gut transplant.
    Very little is known about the true causes of poor QoL, how to treat them, or the extent to which liver disease impacts QoL. Contributory factors may include the ingredients of parenteral nutrition which are often variable due to a lack of clinical guidelines.
    This research aims to understand how HPN impacts on the QoL of patients, and the contribution played by liver disease.
    Methods:
    Investigate the QoL of patients treated with HPN using validated questionnaires at study commencement and 12 months later. Detailed analysis will be performed to understand which factors affect scores, and the potential pathways between them. For example, length of time on treatment, dietary intake, liver function.

  • REC name

    South Central - Hampshire B Research Ethics Committee

  • REC reference

    21/SC/0316

  • Date of REC Opinion

    25 Oct 2021

  • REC opinion

    Further Information Favourable Opinion