ReviewJournal of aging research2019
Tube Feeding in Individuals with Advanced Dementia: A Review of Its Burdens and Perceived Benefits.
Review in Journal of aging research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled 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.
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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Enteral tube feeding for people with severe dementia.The Cochrane database of systematic reviews · 2021Pooled it
- Mapping and understanding the decision-making process for providing nutrition and hydration to people living with dementia: a systematic review.BMC geriatrics · 2020Pooled it
- Feeding-related hospitalizations and outcomes in advanced dementia.European geriatric medicine · 2026Observational
- Breaking with the status quo in end-of-life care through de-implementation.Journal of internal medicine · 2025Review
- Ethical Considerations of Percutaneous Endoscopic Gastrostomy Tube Placement in a Patient With Creutzfeldt-Jakob Disease and Advanced Dementia.HCA healthcare journal of medicine · 2025Article
- Informed Decision-Making with and for People with Dementia-Efficacy of the PRODECIDE Education Program for Legal Representatives: A Randomized Controlled Trial (PRODECIDE-RCT) and Process Evaluation.Geriatrics (Basel, Switzerland) · 2024Article
- Effects of Advance Care Planning on End-of-Life Indicators for Nursing Home Residents-An Experimental Study with a Retrospective Chart Review.Geriatrics (Basel, Switzerland) · 2024Article
- Pre-hospitalization dysphagia and feeding tube placement in nursing home residents with advanced dementia.Journal of the American Geriatrics Society · 2024Article
- Tube feeding in advanced dementia: Insights from South African speech-language therapists.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
- Urinary Hydration Biomarkers and Water Sources in Older Adults with Neurocognitive Disorder.Nutrients · 2023Article
- Does enteral nutrition through a percutaneous endoscopic gastrostomy, attenuate Helicobacter pylori colonization?: is it worth mentioning?Revista da Associacao Medica Brasileira (1992) · 2023Article
- South African speech-language therapists' practices regarding feeding tube placement in people with advanced dementia.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2022Article
- Management in severe dementia: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology.Dementia & neuropsychologia · 2022Article
- Managing feeding needs in advanced dementia: perspectives from ethics of care and ubuntu philosophy.Medicine, health care, and philosophy · 2022Article
- Caregivers' roles in preventing patients with severe Alzheimer's disease from becoming distracted during mealtimes: two case reports.Journal of physical therapy science · 2021Article
- Eating Problems in Advanced Dementia: Navigating Difficult Conversations.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness.Gerontology & geriatric medicineReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDementia remains a growing concern for societies globally, particularly as people now live longer. About 90% of individuals with advanced dementia suffer from eating problems that lead to general health decline and ultimately impacts upon the physical, psychological, and economic wellbeing of the individuals, caregivers, and the wider society.
objectiveTo evaluate the burdens and perceived benefits of tube feeding in individuals with advanced dementia.
designNarrative review.
methodsComputerized databases, including PubMed, Embase, Medline, CINAHL, PsycInfo, and Google Scholar were searched from 2000 to 2019 to identify research papers, originally written in or translated into English language, which investigated oral versus tube feeding outcome in individuals with advanced dementia.
resultsOver 400 articles were retrieved. After quality assessment and careful review of the identified articles, only those that met the inclusion criteria were included for review.
conclusionTube feeding neither stops dementia disease progression nor prevents imminent death. Each decision for feeding tube placement in individuals with advanced dementia should be made on a case-by-case basis and involve a multidisciplinary team comprising experienced physicians, nurses, family surrogates, and the relevant allied health professionals. Careful considerations of the benefit-harm ratio should be discussed and checked with surrogate families if they would be consistent with the wishes of the demented person. Further research is required to establish whether tube feeding of individuals with advanced dementia provides more burdens than benefits or vice-versa and evaluate the impacts on quality of life and survival.
Identifiers
What OpenQuestion holds
Registered trials
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.