ArticleJournal of the American Medical Directors Association2009
Natural history of feeding-tube use in nursing home residents with advanced dementia.
Article in Journal of the American Medical Directors Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.
- Enteral tube feeding for people with severe dementia.The Cochrane database of systematic reviews · 2021Pooled it
- Modifying the consistency of food and fluids for swallowing difficulties in dementia.The Cochrane database of systematic reviews · 2018Pooled it
- Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study.BMC geriatrics · 2014Trial
- Feeding-related hospitalizations and outcomes in advanced dementia.European geriatric medicine · 2026Observational
- Comparison of survival and pneumonia risk in advanced dementia patients on nasogastric tube feeding versus careful hand feeding.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- The dialectics of enteral nutrition in advanced dementia.Singapore medical journal · 2025Article
- Use of Feeding Tubes Among Hospitalized Older Adults With Dementia.JAMA network open · 2025Article
- Annual Wellness Visits and Early Dementia Diagnosis Among Medicare Beneficiaries.JAMA network open · 2024Article
- Pre-hospitalization dysphagia and feeding tube placement in nursing home residents with advanced dementia.Journal of the American Geriatrics Society · 2024Article
- Crushed Tablet Administration for Patients with Dysphagia and Enteral Feeding: Challenges and Considerations.Drugs & aging · 2023Review
- Hospital Careful Hand Feeding Program Reduced Feeding Tube Use in Patients with Advanced Dementia.The journal of nutrition, health & aging · 2023Article
- Life-Sustaining Treatments Among Medicare Beneficiaries with and without Dementia at the End of Life.Journal of Alzheimer's disease : JAD · 2023Article
- Article
- Systematic Review of Dementia Support Programs with Multicultural and Multilingual Populations.Geriatrics (Basel, Switzerland) · 2021Review
- Characteristics Associated with Feeding Tube Placement: Retrospective Cohort Study of Texas Nursing Home Residents with Advanced Dementia.Journal of the American Medical Directors Association · 2021Article
- Assessing Caregivers' Skills in Assisting People with Dementia during Mealtime: Portuguese Cultural Adaptation of the Feeding Skills Checklist.International journal of environmental research and public health · 2021Article
- Improving All-Cause Inpatient Mortality After Percutaneous Endoscopic Gastrostomy.Digestive diseases and sciences · 2021Article
- Guardianship and End-of-Life Care for Veterans with Dementia in Nursing Homes.Journal of the American Geriatrics Society · 2021Article
- Eating Problems in Advanced Dementia: Navigating Difficult Conversations.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Cachexia and advanced dementia.Journal of cachexia, sarcopenia and muscle · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesDespite the evidence that feeding-tube use in persons with advanced dementia is not associated with improved outcomes, there remains striking variation in their use. Yet, little is known about the national incidence of feeding-tube insertions, the circumstances of their insertion, and post-insertion health care use.
designSecondary analysis of Minimum Data Set merged onto Medicare Claims Files. SETTING AND
participantsNursing home residents (NHR) without a feeding tube. MEASUREMENTS: NHR were followed for up to 1 year to see whether a feeding tube was inserted and then followed for 1 year after insertion to examine health care use and survival.
resultsThe incidence of feeding-tube insertion was 53.6/1000 residents. Most (68.1%) feeding-tube insertions were performed in an acute care hospital with the most common reasons for admission being pneumonia, dehydration, and dysphagia. One year post-insertion mortality was 64.1% with median survival of 56 days. Within 1 year, 19.3% of those who had a feeding tube inserted required a tube replacement or repositioning within a median 145 days after the initial insertion. Over 1 year, tube feeding was associated with an average of 9.1 hospitalized days per person, 1.0 hospitalizations, 0.3 emergency room visits that did not result in a hospital admission.
conclusionMost feeding tubes are inserted in an acute care hospital. Feeding-tube insertions are also associated with poor survival and significant rate of health care use after insertion.
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Registered trials
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