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Summary of Systematic Review

Decision-Making Around Gastrostomy-Feeding in Children with Neurologic Disabilities
Mahant, S., Jovcevska, V., et al. (2011).
Pediatrics, 127(6), e1471-81.

This review meets the criteria for a high-quality evidence-based systematic review.

Indicators of Review Quality:

The review states a clearly focused question or aim No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes*
Quality assessments are reproducible Yes
Characteristics of the included studies are provided Yes

*Quality of reporting of selected studies was assessed.

Description:
This is a review of qualitative research literature exploring parents’ experiences with tube feeding with their children with neurologic disability.

Question(s)/Aim(s) Addressed:
Question not specifically stated.

Population:
Children with neurologic disabilities.

Intervention/Assessment:
Gastrostomy-feeding.

Number of Studies Included:
11

Years Included:
Through July 2010.

Conclusions:
 
  • Treatment

    • Tube Feeding – Patient Perspective

      • “The major source of decisional conflict relates to the meaning of feeding by mouth and feeding through a tube for parents and the values they place on them. Contextual factors unique to child and family and process factors related to information exchange and support are also important in understanding and improving the decision-making process” (p. e1480).

Sponsoring Body:
Hospital for Sick Children; SickKids Foundation (Canada)

Keywords:
Tube Feeding, Swallowing Disorders

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