ArticleDEN open2026
Comparison of the Non-intubated Behavioral Pain Scale Score During Replacement of Ideal Button ZERO and Non-ZERO Gastrostomy Tubes.
Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Many patients report pain during bumper-type gastrostomy tube replacement. The Ideal Button ZERO (ZERO) is a 24-Fr bumper-type gastrostomy tube that was developed to eliminate such pain, but its efficacy has not yet been evaluated. We compared the pain during replacement of the ZERO and of other non-ZERO bumper-type gastrostomy tubes. Methods: This retrospective cohort study included 180 patients who underwent gastrostomy tube replacement at our institution during 2023-2024. The primary outcome was the Non-intubated Behavioral Pain Scale (BPS-NI) score when the gastrostomy tubes were replaced. Scores were compared among ZERO, non-ZERO 20-Fr, and non-ZERO 24-Fr groups. Results: Pain during gastrostomy tube removal was assessed in 80 (44.4%), 66 (36.7%), and 34 (18.9%) patients in the ZERO, non-ZERO 20-Fr, and non-ZERO 24-Fr groups, respectively. The median BPS-NI was significantly lower in the ZERO (3.0 [interquartile range [IQR]: 3.0-3.0]) than non-ZERO 20-Fr (6.0 [IQR: 4.0-8.0]) and non-ZERO 24-Fr (5.0 [IQR: 4.0-7.0]) groups. Pain during gastrostomy tube insertion was assessed as follows: the ZERO was replaced from a 24-Fr tube and a 20-Fr tube in 80 (44.4%) and 41 (22.8%) cases, respectively; a non-ZERO 20-Fr tube and a non-ZERO 24-Fr tube were inserted in 25 (13.9%) and 34 (18.9%) cases, respectively. The median BPS-NI score was significantly lower in the ZERO (replaced 24-Fr) group (3.0 [IQR: 3.0-3.3]) than in both the non-ZERO 20-Fr (5.0 [IQR: 3.0-6.0]) and non-ZERO 24-Fr (5.0 [IQR: 4.0-6.0]) groups. Conclusions: Use of the ZERO reduces pain during gastrostomy tube replacement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.