Gastrostomies in dementia: Bad practice or bad evidence?

Age and Ageing

Volumn 39, Issue 3, 2010, Pages 282-284

  Regnard, Claud ^a,d   Leslie, Paula ^b   Crawford, Hannah ^c   Matthews, Dorothy ^d   Gibson, Lynn ^d  

^a NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF PITTSBURGH   (United States)

^c Woodside Resource Centre   (United Kingdom)

^d TYNE AND WEAR NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DEMENTIA; DISTRESS SYNDROME; DYSPHAGIA; EDITORIAL; GASTROTOMY; HOSPITAL ADMISSION; HUMAN; MALNUTRITION; MEDICAL PRACTICE; MEDICAL SOCIETY; MORTALITY; NUTRITIONAL DEFICIENCY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROGNOSIS; REFEEDING SYNDROME; TUBE FEEDING; WEIGHT REDUCTION;

DEGLUTITION DISORDERS; DEMENTIA; ENTERAL NUTRITION; GASTROSTOMY; HUMANS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE);

EID: 77951907638     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afq012     Document Type: Editorial

References (22)

1. Royal College of Physicians and the British Society of Gastroenterologists. Oral feeding difficulties and dilemmas: a guide to practical care, particularly towards the end of life. London: RCP, 2010.
2. Dharmarajan TS, Unnikrishnan D, Pitchumoni CS. Percutaneous endoscopic gastrostomy and outcome in dementia. Am J Gastroenterol 2001; 96: 2556-63.
3. Mitchell SL, Kiely DK, Lipsitz LA. The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment. Arch Int Med 1997; 157: 327-32.
4. Murphy LM, Lipman TO. Percutaneous endoscopic gastrostomy does not prolong survival in clients with dementia. Arch Intern Med 2003; 163: 1351-53.
5. Sanders DS, Carter MJ, D'Silva J, Bolton JG, Bardhan KD. Survival analysis in percutaneous endoscopic gastrostomy feeding: a worse outcome in clients with dementia. Am J Gastroenterol 2000; 95: 1472-75.
6. Abuksis G, Mor M, Segal N et al. Percutaneous endoscopic gastrostomy: high mortality rates in hospitalized clients. Am J Gastroenterol 2000; 95: 128-32.
7. Hoffer LJ. Tube feeding in advanced dementia: the metabolic perspective. BMJ 2006; 333: 1214-5.
8. Priefer BA, Robbins JA. Eating changes in mild-stage Alzheimer's disease: a pilot study. Dysphagia 1997; 12: 212-21.
9. McHorney CA, Bricker DE, Kramer AE et al. The SWALQOL outcomes tool for oropharyngeal dysphagia in adults: (i) Conceptual foundation and item development. Dysphagia 2000; 15: 115-21.
10. Smith HA, Kindell J, Baldwin RC, Waterman D, Makin AJ. Swallowing problems and dementia in acute hospital settings: practical guidance for the management of dysphagia. Clin Med 2009; 9: 544-8.
11. Candy B, Sampson EL, Jones L. Enteral tube feeding in older people with advanced dementia: findings from a Cochrane systematic review. Int J Pall Nurs 2009; 15: 396-404.
12. Nair S, Hertan H, Pitchumoni CS. Hypoalbuminemia is a poor predictor of survival after percutaneous endoscopic gastrostomy in elderly clients with dementia. Am J Gastroenterol 2000; 95: 133-6.
13. Alvarez-Fernandez B, Garcia-Ordonez MA, Martinez-Manzanares C, Gomez-Huelgas R. Survival of a cohort of elderly patients with advanced dementia: nasogastric tube feeding as a risk factor for mortality. Int J Ger Psych 2005; 20: 363-70.
14. Rimon E, Kagansky N, Levy S. Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups. Age Ageing 2005; 34: 353-7.
15. Jaul E, Singer P, Calderon-Margalit R. Tube feeding in the demented elderly with severe disabilities. IMAJ 2006; 8: 870-4.
16. Higaki F, Yokota O, Ohishi M. Factors predictive of survival after percutaneous endoscopic gastrostomy in the elderly: is dementia really a risk factor? Am J Gastroenterol 2008; 103: 1011-6.
17. Kraft MD, Btaiche IF, Sacks GS. Review of the refeeding syndrome. Nutr Clin Pract 2005; 20: 625-33.
18. Crook MA, Panteli JV. The refeeding syndrome and hypophosphataemia in the elderly. J Int Med 2005; 257: 397-8.
19. Rudberg MA, Egleston BL, Grant MD, Brody JA. Effectiveness of feeding tubes in nursing home residents with swallowing disorders. JPEN 2000; 24: 97-102.
20. Regnard C, Reynolds J, Watson B, Matthews D, Gibson L, Clarke C. Understanding distress in people with severe communication difficulties: developing and assessing the Disability Distress Assessment Tool (DisDAT). J Intellect Disabil Res 2007; 51: 277-92.
21. Regnard C, Mathews M, Gibson L, Clarke C. Difficulties in identifying distress and its causes in people with severe communication problems. In J Pall Nurs 2003; 9: 173-6.
22. DisDAT (Disability Distress Assessment Tool). www.disdat.co.uk.