Evidence map›Paper›PMID 42144661›Full record

ReviewJournal of eating disorders2026

Clinical guidance for the use of nasogastric tube feeding under restraint in eating disorders care: a systematic scoping review.

Helen West, Oli Williams, Una Foye, Glenn Robert

Abstract readReview
In one paragraph

Review in Journal of eating disorders, 2026. 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

4 authors.

Helen WestElysium Healthcare, Watford, UK. helen.west@kcl.ac.uk.
Oli WilliamsKing's College London, London, UK.
Una FoyeMental Health Nursing Department, Health Services and Population Research, at the Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Glenn RobertFaculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.

Funding

THIS Institute, University of Cambridge PHD-2022-01-023
6 · The paper itself

Abstract

backgroundPersistent dietary restriction can result in people with eating disorders becoming so severely physically and mentally compromised that they are considered a risk to their own life. In these circumstances, individuals may be subjected to involuntary treatments, including nasogastric tube (NGT) feeding under restraint. This systematic scoping review identifies and assesses the evidence available to healthcare professionals to inform clinical practice decisions related to NGT feeding under restraint in eating disorder care, and highlights gaps in knowledge to be addressed in future research. MAIN TEXT: Six electronic databases, six grey literature sites, 12 professional bodies, and four eating disorder conference websites were searched in May 2025. 36 sources met inclusion criteria, including: peer reviewed papers and practice guidelines. Peer-reviewed literature (22) included quantitative, qualitative, and mixed methods research studies, and systematic reviews. Grey literature (14) included practice guidance in the form of expert opinion, expert consensus, and practice standards. A narrative review was structured using deductive analysis focused on the following research questions in relation to eating disorders care: (1) where and how is NGT feeding under restraint happening? (2) how are healthcare professionals making decisions about when and how to use NGT feeding under restraint? (3) what are patients, parents/carers, and healthcare professionals' experiences of NGT feeding under restraint? And (4) what are the patient outcomes of NGT feeding under restraint?

conclusionsThere is clear guidance that NGT feeding under restraint should be delivered minimally, as a lifesaving intervention in line with the legal principle of 'least restrictive practice'. No comprehensive, multi-disciplinary guidelines or frameworks were identified to support achieving this in practice. Further research is required to improve understanding of who is at risk of receiving NGT feeding under restraint, the long- and short-term risks associated with its use, and what care processes can improve patient outcomes. Future research should support development of multi-disciplinary guidance to improve clinical decision-making and patient outcomes.

Indexed as

AnorexiaEating disordersNasogastric tube feedingRestraintRestrictive practice

Identifiers

PMID42144661
PMCPMC13459209

What OpenQuestion holds

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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.