Medically Assisted Nutrition for Adult Palliative Care Patients

Overview

Journal Cochrane Database Syst Rev

Publisher Wiley

Specialties General Medicine
Health Services

Date 2014 Apr 25

PMID 24760679

Citations 13

Authors

Phillip Good

Russell Richard

William Syrmis

Sue Jenkins-Marsh

Jane Stephens

Affiliations

Soon will be listed here.

Abstract

Background: Many palliative care patients have a reduced oral intake during their illness. The management of this can include the provision of medically assisted nutrition with the aim of prolonging the length of life of a patient, improving their quality of life, or both. This is an updated version of the original Cochrane review published in Issue 4, 2008.

Objectives: To determine the effect of medically assisted nutrition on the quality and length of life of palliative care patients.

Search Methods: We identified studies from searching Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, CANCERLIT, Caresearch, Dissertation abstracts, SCIENCE CITATION INDEX and the reference lists of all eligible trials, key textbooks and previous systematic reviews. The date of the latest search was 26 March 2014.

Selection Criteria: All relevant randomised controlled trials (RCTs) or prospective controlled trials (if no RCTs were found).

Data Collection And Analysis: We found no RCTs or prospectively controlled trials that met the inclusion criteria.

Main Results: The original review identified four prospective non-controlled trials and the updated search in 2014 identified one more (plus an updated version of a Cochrane review on enteral feeding in motor neuron disease). There were five prospective non-controlled trials (including one qualitative study) that studied medically assisted nutrition in palliative care participants, and one Cochrane systematic review (on motor neuron disease that found no RCTs), but no RCTs or prospective controlled studies.

Authors' Conclusions: Since the last version of this review, we found no new studies. There are insufficient good-quality trials to make any recommendations for practice with regards to the use of medically assisted nutrition in palliative care patients.

Citing Articles

Can we improve the management of inoperable malignant bowel obstruction? Results of a feasibility study of elemental diet as an alternative to parenteral nutrition in patients with advanced gynaecological cancer.

Allan L, Skene S, Eastley K, Herbertson R, Smith E, Michael A Support Care Cancer. 2024; 32(8):567.

PMID: 39093327 PMC: 11297088. DOI: 10.1007/s00520-024-08709-7.

Parenteral nutrition in palliative care: single-centre observational study.

Berbee C, Marx J, Voelker M, Schotte D, Bercker S BMJ Support Palliat Care. 2022; .

PMID: 35667819 PMC: 11671919. DOI: 10.1136/bmjspcare-2022-003581.

C-reactive protein and white blood cell count are adverse prognostic markers for patients with advanced cancer on parenteral nutrition in a palliative care unit setting: A retrospective cohort study.

Kieler M, Kossler P, Milovic M, Meyer E, Krizanova K, Kum L Palliat Med. 2022; 36(3):540-548.

PMID: 35184630 PMC: 8972954. DOI: 10.1177/02692163211073939.

Multinational Association of Supportive Care in Cancer (MASCC) expert opinion/guidance on the use of clinically assisted nutrition in patients with advanced cancer.

Alderman B, Allan L, Amano K, Bouleuc C, Davis M, Lister-Flynn S Support Care Cancer. 2021; 30(4):2983-2992.

PMID: 34665311 PMC: 8857106. DOI: 10.1007/s00520-021-06613-y.

Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review.

Sanchez-Sanchez E, Ruano-Alvarez M, Diaz-Jimenez J, Diaz A, Ordonez F Nutrients. 2021; 13(5).

PMID: 34066386 PMC: 8148195. DOI: 10.3390/nu13051562.

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