BANS BANS Update: The 2010 Report
TREVOR SMITH Chair BANS
The 2010 BANS report is now available, free to download, on the BAPEN website. The report includes data relating to the prevalence of adult and paediatric home artificial nutrition support (enteral and parenteral) in the UK. Despite a fall in reporting rates over the last 3 years due to issues around consent, over 8500 patients were registered and updated with BANS during 2009. Reporters are therefore making a vital contribution to
this unique national survey which makes important contributions to the planning and delivery of high quality nutritional care in the UK. Some conclusions from the adult home enteral tube feeding (HETF) data are presented here.
3282 adults receiving HETF were registered as new patients during 2009; 6704 patients received ongoing HETF during 2009 (period prevalence). The report includes data submitted to BANS over the last 10 years which has enabled us to document some important trends in clinical practice. Cancer continues to account for an increasing proportion of new HETF registrations – increasing from 25% in 2000 to 37.4% in 2009. 96% of new cancer registrations were diagnosed with head and neck or oesophageal cancers. Neurological disorders accounted for 47.5% of new cases, with stroke disease being the commonest neurological diagnosis. Dementia as a primary indication for HETF has gradually fallen
over the last 10 years, accounting for 6.7% and 3% of new registrations in 2000 and 2009 respectively. Two thirds of all patients were over 60 years of age, with a similar proportion (68%) living in their own homes, a figure that has increased from 56% in 2000. There has been a gradual rise in the proportion of new patients who live independently from 21% in 2000 to 36% in 2009, and a fall in those requiring ‘total help’ from 57% to 43%. These data are in part explained by the increase in head and neck cancer patients, who usually live independently at home, and a reduction in patients with severe neuro-disability. Gastrostomy feeding was by far the commonest route of administration although the use of
nasogastric feeding accounts for 17.5% of new cases, having previously fallen from 16.4% to 13% between 2000 and 2004. 16% of patients receiving HETF died during 2009, predominantly from their underlying disease process. More BANS data will be summarised in future editions of in-touch and we hope that readers will access the full report at
www.bapen.org.uk. BANS now have a re- launched e-bans website (
www.e-bans.com) and we strongly encourage healthcare professionals to register all patients who are receiving home artificial nutrition support. Reporters are no longer required to obtain consent from patients and registration is quick and simple.
To become an e-bans Reporter, or for further information, please email:
BANS@Streets-Heaver.com
BAPEN Reports
BAPEN are continuously working as an Association, and with other likeminded Associations, to collate information and produce reports on current nutritional issues affecting hospital, community and social care. BAPEN has recently produced a number of new reports that are now available to purchase or download via the BAPEN office and website.
New Reports
• Annual BANS Report 2010 • Improving Nutritional Care & Treatment: Perspectives & Recommendations from Population Groups, Patients & Carers
• Combating Malnutrition: Recommendations For Action • Nutrition Screening Week 2008 Results • Malnutrition in Sheltered Housing Report • British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients - GIFTASUP
For further information, or to order a BAPEN Report, simply visit the publications section of the BAPEN website:
www.bapen.org.uk/res_pub.html – order online, or contact the BAPEN office on: 01527 457 850
7 BAPEN In Touch No.60 February 2011
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