Evidence map›Paper›PMID 25751819›Full record

ArticleNutrients2015

Development and evaluation of a home enteral nutrition team.

Sarah Dinenage, Morwenna Gower, Joanna Van Wyk, Anne Blamey, Karen Ashbolt, Michelle Sutcliffe, Sue M Green

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Nutrients, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. A scoping review of best practices in home enteral tube feeding.Primary health care research & development · 2022
    Article
  8. The experience of family caregivers of patients receiving home nasogastric tube feeding in China: A descriptive qualitative study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sarah DinenageUniversity Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, SO16 6YD, UK. sarah.dinenage@nhs.net.
Morwenna GowerSolent NHS Trust, Adelaide Health Centre, Western Community Hospital Campus, Southampton, SO16 4XE, UK. morwenna.gower@solent.nhs.uk.
Joanna Van WykNutricia Ltd., Trowbridge, Wiltshire, BA14 0XQ, UK. Johanna.vanwyk@nutricia.com.
Anne BlameyUniversity Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, SO16 6YD, UK. anne.blamey@uhs.nhs.uk.
Karen AshboltUniversity Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, SO16 6YD, UK. Karen.ashbolt@uhs.nhs.uk.
Michelle SutcliffeUniversity Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, SO16 6YD, UK. michelle.sutcliffe@nhs.net.
Sue M GreenSolent NHS Trust/University of Southampton, Highfield, Southampton, SO17 1BJ, UK. S.M.Green@soton.ac.uk.
University Hospital Southampton NHS Foundation Trust · GBSolent NHS Trust · GBWiltshire Council · GB

Funding

Department of Health CAT CL-2013-04-014
6 · The paper itself

Abstract

The organisation of services to support the increasing number of people receiving enteral tube feeding (ETF) at home varies across regions. There is evidence that multi-disciplinary primary care teams focussed on home enteral nutrition (HEN) can provide cost-effective care. This paper describes the development and evaluation of a HEN Team in one UK city. A HEN Team comprising dietetians, nurses and a speech and language therapist was developed with the aim of delivering a quality service for people with gastrostomy tubes living at home. Team objectives were set and an underpinning framework of organisation developed including a care pathway and a schedule of training. Impact on patient outcomes was assessed in a pre-post test evaluation design. Patients and carers reported improved support in managing their ETF. Cost savings were realised through: (1) prevention of hospital admission and related transport for ETF related issues; (2) effective management and reduction of waste of feed and thickener; (3) balloon gastrostomy tube replacement by the HEN Team in the patient's home, and optimisation of nutritional status. This service evaluation demonstrated that the establishment of a dedicated multi-professional HEN Team focussed on achievement of key objectives improved patient experience and, although calculation of cost savings were estimates, provided evidence of cost-effectiveness.

Indexed as

Cost-Benefit AnalysisEnteral NutritionAdultAgedAged, 80 and overCaregiversCost SavingsGastrostomyHealth ServicesHome Care ServicesHospitalizationHumansMiddle AgedNutritional StatusOutcome Assessment, Health CarePatient Care Team

Identifiers

PMID25751819
PMCPMC4377869
OpenAlexW2099296006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.