Evidence map›Paper›PMID 40916504›Full record

ArticleCroatian medical journal2025

The efficacy of a hunger-induced two-week tube-weaning program: a retrospective study.

Maria Elena Papagni, Sara Sila, Tena Niseteo, Tihana Koren, Ivana Bukovina, Mara Vukadin Petković, Zrinjka Mišak, Ana Močić Pavić, Sanja Kolaček, Iva Hojsak

Abstract read
In one paragraph

Article in Croatian medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Nutritional adequacy and diet diversity following a tube weaning program.Journal of pediatric gastroenterology and nutrition · 2026
    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.

Maria Elena Papagni
Sara SilaSara Sila, Department of Pediatrics, Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, Klaićeva 16, 10000 Zagreb, Croatia, sara.sila@kdb.hr.
Tena Niseteo
Tihana Koren
Ivana Bukovina
Mara Vukadin Petković
Zrinjka Mišak
Ana Močić Pavić
Sanja Kolaček
Iva Hojsak

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the efficacy of a multidisciplinary tube-weaning program.

methodsThis retrospective cohort study enrolled children with feeding tube dependency who had not responded to standard tube-weaning interventions. All participants underwent a structured two-week multidisciplinary tube weaning delivered in a day-hospital setting at the Children's Hospital Zagreb in the period from August 2016 to February 2023. The program was based on a hunger-induction approach and combined with mealtime therapy, sensory integration therapy, parental group therapy and individual support, nutritional counseling, and a workshop for parents. The outcomes were evaluated at the beginning of the program, the end of the program, 3-6 months after the program, and at the last follow-up.

resultsThe study enrolled 30 patients (mean age 2.6±1.9 years; 60.0% girls). All patients had complex medical conditions and were tube-dependent for a mean of 29±22 months. The majority (70.0%) had a psychomotor delay. At the end of the program, 27 (90.0%) patients showed improved oral intake, and 10 (33.3%) were completely weaned off tube feeding. During follow-up (mean 40.5 months, n=24 children), 18 children (78.0%) were weaned off tube feeding.

conclusionsA two-week program effectively improved oral intake and resulted in a high success rate for tube weaning in the long term.

Indexed as

Enteral NutritionHungerWeaningChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesTreatment Outcome

Identifiers

PMID40916504
PMCPMC12426866

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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.