Evidence map›Paper›PMID 27939123›Full record

ArticleThe Journal of pediatrics2017

Feeding Methods at Discharge Predict Long-Term Feeding and Neurodevelopmental Outcomes in Preterm Infants Referred for Gastrostomy Evaluation.

Sudarshan R Jadcherla, Tanvi Khot, Rebecca Moore, Manish Malkar, Ish K Gulati, Jonathan L Slaughter

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
15.7field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 107 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinician insights into pediatric temporary feeding tube management: Unseen barriers, unclear roles revealed from a prospective mixed methods study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  4. Incidence and factors associated with dysphagia in infants born very preterm or very low birth weight.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Feeding outcomes of preterm infants discharged with feeding tubes.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Method of home tube feeding and 2-3-year neurodevelopmental outcome.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. A Unique Clinical Tool for the Evaluation of Oral Feeding Skills in Infants.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2023
    Article
  20. 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

6 authors at 2 institutions in 1 country.

Sudarshan R JadcherlaInnovative Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH; Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH; Division of Neonatology, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH. Electronic address: Sudarshan.Jadcherla@Nationwidechildrens.org.
Tanvi KhotInnovative Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH.
Rebecca MooreInnovative Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH.
Manish MalkarInnovative Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH; Division of Pediatric Cardiology, Saint Louis University School of Medicine, St Louis, MO.
Ish K GulatiInnovative Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH; Division of Neonatology, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
Jonathan L SlaughterCenter for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH; Division of Neonatology, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
Nationwide Children's Hospital · USSaint Louis University · US

Funding

Pathophysiology of Aerodigestive Reflexes in InfantsR01DK068158 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI JADCHERLA, SUDARSHAN R · 2006 to 2016
$3.7M
Comparative Effectiveness of N-said Treatment Versus No Treatment for PDA in PretK08HL121182 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SLAUGHTER, JONATHAN LEE · 2014 to 2017
$551k
NHLBI NIH HHS K08 HL121182NIDDK NIH HHS R01 DK068158
6 · The paper itself

Abstract

objectiveTo test the hypothesis that oral feeding at first neonatal intensive care unit discharge is associated with less neurodevelopmental impairment and better feeding milestones compared with discharge with a gastrostomy tube (G-tube). STUDY

designWe studied outcomes for a retrospective cohort of 194 neonates <37 weeks' gestation referred for evaluation and management of feeding difficulties between July 2006 and July 2012. Discharge milestones, length of hospitalization, and Bayley Scales of Infant Development-Third Edition scores at 18-24 months were examined. χ

resultsA total of 60% (n = 117) of infants were discharged on oral feedings; of these, 96% remained oral-fed at 1 year. The remaining 40% (n = 77) were discharged on G-tube feedings; of these, 31 (40%) remained G-tube dependent, 17 (22%) became oral-fed, and 29 (38%) were on oral and G-tube feedings at 1 year. Infants discharged on a G-tube had lower cognitive (P <.01), communication (P = .03), and motor (P <.01) composite scores. The presence of a G-tube, younger gestation, bronchopulmonary dysplasia, or intraventricular hemorrhage was associated significantly with neurodevelopmental delay.

conclusionsFor infants referred for feeding concerns, G-tube evaluations, and feeding management, the majority did not require a G-tube. Full oral feeding at first neonatal intensive care unit discharge was associated with superior feeding milestones and less long-term neurodevelopmental impairment, relative to full or partial G-tube feeding. Evaluation and feeding management before and after G-tube placement may improve long-term feeding and neurodevelopmental outcomes.

Indexed as

Feeding MethodsInfant, PrematurePatient DischargeCohort StudiesDevelopmental DisabilitiesEatingEnteral NutritionFemaleGastrostomyGestational AgeHumansInfant, NewbornIntensive Care Units, NeonatalLogistic ModelsLong-Term CareMaleaerodigestivefeeding difficultiesgastrostomyinfantsneurodevelopmental outcomes

Identifiers

PMID27939123
PMCPMC5724518
OpenAlexW2560270464

What OpenQuestion holds

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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.