Evidence map›Paper›PMID 39189113›Full record

ArticleMovement disorders clinical practice2024

Clinical Practices and Opinions toward Gastrostomy Use in Patients with Atypical Parkinsonian Syndromes: A National Survey in the UK.

Christopher Kobylecki, Yee Yen Goh, Rahema Mohammad, Alanna Beat, Emilia Michou, Samantha Pavey, Huw Morris, Henry Houlden, Viorica Chelban

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Christopher KobyleckiDivision of Neuroscience, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-7797-0756
Yee Yen GohDepartment of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London, London, UK.
Rahema MohammadDepartment of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London, London, UK.
Alanna BeatDepartment of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London, London, UK.
Emilia MichouDivision of Diabetes, Endocrinology and Gastroenterology, University of Manchester, Manchester, UK.
Samantha PaveyMultiple System Atrophy Trust, London, UK.
Huw MorrisDepartment of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London, UK.ORCID https://orcid.org/0000-0002-5473-3774
Henry HouldenDepartment of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London, London, UK.ORCID https://orcid.org/0000-0002-2866-7777
Viorica ChelbanDepartment of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London, London, UK.

Funding

Guarantors of Brain 565908Medical Research Council G0802760Medical Research Council G1001253Medical Research Council MRC UK MR/J004758/1Multiple System Atrophy Trust 576402
6 · The paper itself

Abstract

backgroundSevere dysphagia poses a significant challenge for clinicians regarding feeding tube choices, practices, and timing due to a lack of evidence-based guidance.

objectivesTo assess national clinical practices and opinions on gastrostomy use in patients with atypical parkinsonian syndromes (APS) across the UK.

methodsOnline survey was administered to clinicians and allied health professionals regarding availability of services, current use, perceived advantages, and problems associated with gastrostomy insertion.

resultsWe received responses from 47 respondents across 12 UK centers, including 44 clinicians specialized in APS. Consensus was observed regarding primary indications for gastrostomy insertion and circumstances justifying avoidance of the procedure. Limitations in recommending gastrostomy due to insufficient evidence on safety and outcomes, survival and quality of life were identified. Widespread agreement on delays in gastrostomy discussions was highlighted as a challenge in optimizing patient care, together with variability in current practices and concerns over the lack of a standardized gastrostomy pathway, emphasizing the need for further research to address existing evidence gaps.

conclusionThis multi-center survey highlights agreement among clinicians on key aspects of indication, challenges, and limitations such as delayed decision-making and the absence of standardized pathways regarding the timing, method, and overall approach to gastrostomy insertion in APS. This study identified next steps to facilitate a more structured approach to future research toward a consensus on best practices for gastrostomy in APS. Addressing these challenges is crucial for enhancing patient outcomes and overall care quality in APS.

Indexed as

GastrostomyParkinsonian DisordersDeglutition DisordersEnteral NutritionFemaleHumansMalePractice Patterns, Physicians'Surveys and QuestionnairesUnited Kingdomatypical parkinsonian syndromesdysphagiagastrostomymultiple system atrophyprogressive supranuclear palsy

Identifiers

PMID39189113
PMCPMC11489604

What OpenQuestion holds

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LicenceCC BY
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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.