Evidence map›Paper›PMID 41281079›Full record

ReviewCureus2025

Ethical Challenges in Advanced Dementia: Role of Enteral Feeding Devices.

Maria Luísa Olim, Sofia Osório Ferreira, Sara Santos, Luís Fernandes, Sérgio Gomes Ferreira, Gonçalo Carneiro, Lúcia Guedes

Abstract readReview
In one paragraph

Review in Cureus, 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. 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

7 authors.

Maria Luísa OlimInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Sofia Osório FerreiraInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Sara SantosInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Luís FernandesInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Sérgio Gomes FerreiraInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Gonçalo CarneiroInternal Medicine, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.
Lúcia GuedesPalliative Care, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review presents a critical analysis of enteral nutrition through feeding tubes in patients with advanced dementia, exploring medical, ethical, and sociofamilial aspects. The main goals include understanding the implications of artificial nutrition, considering human rights and medical ethics, and providing practical guidance for physicians and caregivers. We discuss different forms of enteral nutrition, such as nasogastric tubes and gastrostomies, highlighting specific indications and associated risks. The right to informed consent, treatment refusal, and advance directives is explored in detail. It is concluded that the decision to initiate artificial feeding should be a collaborative one, involving physicians, family members, and, when possible, the patient - always prioritizing the patient's best interests. Continuous education, debunking myths, and flexibility in approach are essential. Additionally, respecting patient autonomy and supporting caregivers are fundamental to providing compassionate end-of-life care for patients with advanced dementia.

Indexed as

care ethicsdementia careenteral nutritiongeriatricsinternal medicine and geriatrics

Identifiers

PMID41281079
PMCPMC12635514

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.