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HPN was more common (11%) than home enteral tube feeding (HETF, 3%). Home artificial nutrition (including HPN and HETF) was usually introduced more than four months before death. Three of four HPN recipients also had oral food intake. HPN use was associated with eating difficulties, nausea\/vomiting, and fatigue rather than gastrointestinal problems per se. HETF was generally used for patients with problems related to oesophagus and head and neck tumours. In conclusion the results suggest that, contrary to existing guidelines, HPN is used to supplement oral intake, and not only for patients with a non-functioning gastrointestinal tract.<\/jats:p>","DOI":"10.1177\/0269216309105811","type":"journal-article","created":{"date-parts":[[2009,5,28]],"date-time":"2009-05-28T20:24:02Z","timestamp":1243542242000},"page":"556-564","source":"Crossref","is-referenced-by-count":23,"title":["The use of artificial nutrition among cancer patients enrolled in palliative home care services"],"prefix":"10.1177","volume":"23","author":[{"given":"Y","family":"Orrevall","sequence":"first","affiliation":[{"name":"Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm; Stockholms Sjukhem Foundation, Stockholm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Tishelman","sequence":"additional","affiliation":[{"name":"Stockholms Sjukhem Foundation, Stockholm; Department of Learning, Informatics, Management and Ethics, Medical Management Center, Karolinska Institutet, Stockholm; University of Manchester, School of Nursing, Midwifery and Social Work, Manchester"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Permert","sequence":"additional","affiliation":[{"name":"Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Cederholm","sequence":"additional","affiliation":[{"name":"Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,5,28]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426506021002134"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-007-0354-4"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2002.0560"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20824"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.008"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-008-0467-4"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(96)91120-X"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1007\/s005200050140"},{"key":"atypb9","doi-asserted-by":"crossref","unstructured":"9 ASPEN Board of Directors and the Clinical Guidelines Task Force. 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