Evidence map›Paper›PMID 38129118›Full record

ArticleArchives of disease in childhood2024

Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: findings from 'YourTube' - a prospective cohort study.

Lorna K Fraser, Andre Bedendo, Mark O'Neill, Jo Taylor, Julia Hackett, Karen Alice Horridge, Janet Cade, Gerry Richardson, Han Phung, Alison McCarter and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Archives of disease in childhood, 2024. 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
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Lorna K FraserCicely Saunders Institute, King's College London, London, UK lorna.fraser@kcl.ac.uk.ORCID 0000-0002-1360-4191
Andre BedendoHealth Sciences, University of York, York, UK.
Mark O'NeillHealth Sciences, University of York, York, UK.
Jo TaylorHealth Sciences, University of York, York, UK.ORCID 0000-0001-5898-0900
Julia HackettHealth Sciences, University of York, York, UK.
Karen Alice HorridgeUniversity of Sunderland, Sunderland, UK.
Janet CadeUniversity of Leeds, Leeds, UK.
Gerry RichardsonUniversity of York Centre for Health Economics, York, UK.
Han PhungUniversity of York Centre for Health Economics, York, UK.
Alison McCarterSomerset Partnership NHS and Social Care Trust, Taunton, UK.
Catherine Elizabeth HewittHealth Sciences, University of York, York, UK.ORCID 0000-0002-0415-3536
University of York · GBKing's College London · GBSomerset Partnership NHS Foundation Trust · GBUniversity of Leeds · GBUniversity of Sunderland · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the risks, benefits and resource implications of using home-blended food in children with gastrostomy tubes compared with currently recommended formula feeds.

designThis is a cohort study. Data were collected at months 0, 12 and 18 from parents and clinicians using standardised measures.

setting32 sites across England: 28 National Health Service trusts and 4 children's hospices. PATIENTS: Children aged 6 months-18 years who were gastrostomy fed.

main outcome measureThe main outcome measure was the PedsQL Gastrointestinal Symptoms Scales score. Secondary outcomes included quality of life, sleep (child, parent), dietary intake, anthropometry, healthcare usage, safety outcomes and resource use.

results180 children and families completed the baseline data collection, with 134 (74%) and 105 (58%) providing follow-up data at 12 and 18 months. There were fewer gastrointestinal (GI) symptoms at all time points in the home-blended diet group, but there was no difference in change over time within or between the groups. The nutritional intake of those on a home-blended diet had higher calories per kilogram and fibre, and both home-blended and formula-fed children have values above the dietary reference values for most micronutrients. Safety outcomes were similar between groups and over time. The total costs to the statutory sector were higher among children who were formula fed, but the costs of purchasing special equipment for home-blended food and the total time spent on childcare were higher for families with home-blended diet.

conclusionsChildren who are gastrostomy fed a home-blended diet have similar safety profile, adequate nutritional intake and lower burden of GI symptoms than formula-fed children.

Indexed as

Enteral NutritionGastrostomyAdolescentChildChild, PreschoolEnglandFemaleFood, FormulatedHumansInfantMaleNutritive ValueProspective StudiesQuality of LifeChild HealthGastroenterologyPaediatrics

Identifiers

PMID38129118
PMCPMC11287525
OpenAlexW4390062526

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.