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Behandeling van ondervoeding noodzakelijk en (kosten)effectief onderdeel van het medisch handelen

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Ziektegerelateerde ondervoeding komt veelvuldig voor in Westerse landen waaronder Nederland. Ondervoeding heeft grote gevolgen voor zowel de acute als chronische patiënt, zoals een verminderd inspanningsvermogen, trager herstel, en het gaat gepaard met hoge kosten voor de Nederlandse gezondheidszorg (1,7 miljard per jaar). Er is veel winst te halen bij vroege herkenning en behandeling van ondervoeding. Studies tonen aan dat de behandeling van ziektegerelateerde ondervoeding als onderdeel van het medisch handelen kosteneffectief is. Dit geldt ook voor de inzet van dieetvoeding voor medisch gebruik (‘medische voeding’).

Abstract

A adequate treatment of DRM as well as the use of medical nutrition is cost effective

Disease-Related Malnutrition (DRM) is very common in Western-Europe, including the Netherlands.

Malnutrition has major consequences for the acute as well as for the chronically ill patient such as impaired muscle strength and prolonged rehabilitation which are accompanied by high costs for the Dutch Health Care system (1,7 billion per year). There is a lot to be gained by early screening and treatment of DRM. Therefore screening for DRM has been added to the “basisset prestatie-indicatoren” of the Netherlands Health Care Inspectorate for the hospitals. From 2009 also the treatment of DRM has been added. Assessing nutritional status including weighing the patient, has become one of the indicators for quality for the section Care & Attendence. To support healthcare professionals in early screening and treatment of DRM validated screening tools are available as well as a treatment plan has been developed commissioned by the Dutch Malnutrition Steering Group. The focus in the treatment of adults does not concern only an optimal intake of energy, but especially an optimal intake of protein as the lack of these nutrients are associated with the negative consequences of DRM. Using the right in between meals and/or food for special medical purposes, also known as medical nutrition, is an important way to gain the needed amount of protein which is a part of the treatment plan. Evidence shows that adequate treatment of DRM as well as the use of medical nutrition is cost effective.

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    E. van der Heijden

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  1. E. van der Heijden
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  2. J. M. G. A. Schols
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  3. J. J. van Binsbergen
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  4. A. M. Evers
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  5. H. M. Kruizenga
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  6. T. A. Remijnse
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  7. A. M. W. J. Schols
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  8. C. J. J. Mulder
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Correspondence to E. van der Heijden.

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Stuurgroep Ondervoeding, Amsterdam

Vivre, Maastricht

Universiteit Maastricht

UMC St. Radboud, Nijmegen

VU medisch centrum, Amsterdam

Nederlandse Vereniging van Diëtisten

Maastricht Universitair Medisch Centrum

E. van der Heijden, Stuurgroep Ondervoeding, Nic. Witsenkade 13hs, 1017 ZR Amsterdam, tel: 020- 6266694

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van der Heijden, E., Schols, J.M.G.A., van Binsbergen, J.J. et al. Behandeling van ondervoeding noodzakelijk en (kosten)effectief onderdeel van het medisch handelen. TVGW 87, 341–345 (2009). https://doi.org/10.1007/BF03082295

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