Evidence map›Paper›PMID 36856955›Full record

SynthesisJournal of clinical psychology in medical settings2023

Pediatric Tube Weaning: A Meta-Analysis of Factors Contributing to Success.

Haley J Killian, Dana M Bakula, Anna Wallisch, Rebecca Swinburn Romine, Kandace Fleming, Sarah T Edwards, Amanda S Bruce, Chi-Ning Chang, Hayat Mousa, Ann M Davis

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical psychology in medical settings, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Nutritional adequacy and diet diversity following a tube weaning program.Journal of pediatric gastroenterology and nutrition · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

10 authors.

Haley J KillianDepartment of Psychology, University of Missouri-Kansas City, 5030 Cherry St, Kansas City, MO, USA. hjkillian@cmh.edu.ORCID 0000-0002-8010-7339
Dana M BakulaDivision of Pediatric Gastroenterology, University of Missouri-Kansas City, 2411 Holmes, Kansas City, MO, 64108, USA.
Anna WallischJuniper Gardens Children's Project, University of Kansas, 444 Minnesota Ave #300, Kansas City, KS, USA.
Rebecca Swinburn RomineLife Span Institute, Dole Human Development Center, University of Kansas, 1000 Sunnyside Ave, Lawrence, KS, USA.
Kandace FlemingLife Span Institute, Dole Human Development Center, University of Kansas, 1000 Sunnyside Ave, Lawrence, KS, USA.
Sarah T EdwardsDivision of Pediatric Gastroenterology, University of Missouri-Kansas City, 2411 Holmes, Kansas City, MO, 64108, USA.
Amanda S BruceCenter for Children's Healthy Lifestyles & Nutrition, 610 E 22nd St, Kansas City, MO, USA.
Chi-Ning ChangDepartment of Foundations of Education, School of Education, Virginia Commonwealth University, 1015 W. Main Street, PO Box 842020, Richmond, VA, USA.
Hayat MousaDivision of Gastroenterology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, USA.
Ann M DavisCenter for Children's Healthy Lifestyles & Nutrition, 610 E 22nd St, Kansas City, MO, USA.

Funding

Institutional Career Development CoreKL2TR002367 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MATTHEW W MOSCONI, NICOLE L NOLLEN · 2017 to 2026
$7.3M
The safety and efficacy of megesterol as part of an outpatient feeding protocol for children with chronic medical conditionsR01HD093933 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI DAVIS, ANN M · 2018 to 2023
$2.2M
NCATS NIH HHS KL2 TR002367NICHD NIH HHS R01 HD093933
6 · The paper itself

Abstract

Approximately 3-10% of children have severe feeding issues, and some require enteral/tube nutrition to grow and thrive. For many children, tube feeding is temporary, making efficacious interventions for tube weaning essential. We conducted a systematic review and meta-analysis of tube weaning treatments. Outcomes included percentage of participants completely weaned from the tube, and mean percentage of kilocalories consumed orally following treatment. Data were extracted from 42 studies, including cohort studies and single-subject research design studies. We evaluated moderators of treatment success, including treatment setting, use of behavioral approaches, use of hunger provocation, and use of a multidisciplinary approach. Results indicated that, after treatment, children received significantly more calories orally, and 67-69% of children were fully weaned. These analyses suggest that current interventions are generally effective; however, variability within treatments exist. Prospective randomized clinical trials are needed to understand effective components of weaning interventions.

Indexed as

Enteral NutritionFeeding BehaviorChildHumansProspective StudiesWeaningMeta-AnalysisPercent WeanedWeaning from G and/or J tubes

Identifiers

PMID36856955
PMCPMC10989027

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.