JAMDA
Volume 8, Issue 4 , Pages 205-208 , May 2007

Tube Feeding in Dementia: How Incentives Undermine Health Care Quality and Patient Safety

References 

  1. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: A review of the evidence. JAMA. 1999;282:1365–1370
  2. Gillick MR. Rethinking the role of tube feeding in patients with advanced dementia. N Engl J Med. 2000;342:206–210
  3. Mitchell SL, Kiely DK, Lipsitz LA. The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment. Arch Intern Med. 1997;157:327–332
  4. Mitchell SL, Tetroe JM. Survival after percutaneous endoscopic gastrostomy placement in older persons. J Gerontol A Biol Sci Med Sci. 2000;55:M735–M739
  5. Finucane TE, Bynum JP. Use of tube feeding to prevent aspiration pneumonia. Lancet. 1996;348:1421–1424
  6. Kaw M, Sekas G. Long-term follow-up of consequences of percutaneous endoscopic gastrostomy (PEG) tubes in nursing home patients. Dig Dis Sci. 1994;39:738–743
  7. Mitchell SL, Teno JM, Roy J, et al. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. JAMA. 2003;290:73–80
  8. Morley JE, Thomas DR, Wilson MM. Cachexia: Pathophysiology and clinical relevance. Am J Clin Nutr. 2006;83:735–743
  9. Mitchell SL, Lawson FM. Decision-making for long-term tube-feeding in cognitively impaired elderly people. CMAJ. 1999;160:1705–1709
  10. Callahan CM, Haag KM, Buchanan NN, Nisi R. Decision-making for percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 1999;47:1105–1109
  11. Van Rosendaal GM, Verhoef MJ, Kinsella TD. How are decisions made about the use of percutaneous endoscopic gastrostomy for long-term nutritional support?. Am J Gastroenterol. 1999;94:3225–3228
  12. Shega JW, Hougham GW, Stocking CB, et al. Barriers to limiting the practice of feeding tube placement in advanced dementia. J Palliat Med. 2003;6:885–893
  13. Lacey D. Tube feeding, antibiotics, and hospitalization of nursing home residents with end-stage dementia: Perceptions of key medical decision-makers. Am J Alzheimers Dis Other Demen. 2005;20:211–219
  14. Carey TS, Hanson L, Garrett JM, et al. Expectations and outcomes of gastric feeding tubes. Am J Med. 2006;119:527.el1–527.el6
  15. Ahronheim JC, Gasner MR. The sloganism of starvation. Lancet. 1990;335:278–279
  16. Mitchell SL, Kiely DK, Gillick MR. Nursing home characteristics associated with tube feeding in advanced cognitive impairment. J Am Geriatr Soc. 2003;51:75–79
  17. Mitchell SL. Financial incentives for placing feeding tubes in nursing home residents with advanced dementia. J Am Geriatr Soc. 2003;51:129–131
  18. Mitchell SL, Buchanan JL, Littlehale S, Hamel MB. Tube-feeding versus hand-feeding nursing home residents with advanced dementia: A cost comparison. J Am Med Dir Assoc. 2003;4:27–33
  19. Simmons SF, Schnelle JF. Feeding assistance needs of long-stay nursing home residents and staff time to provide care. J Am Geriatr Soc. 2006;54:919–924
  20. United States General Accounting Office. Nursing Home Quality. Washington, DC: US General Accounting Office; 2003;
  21. Monteleoni C, Clark E. Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: before and after study. BMJ. 2004;329:491–494
  22. Braun UK, Rabeneck L, McCullough LB, et al. Decreasing use of percutaneous endoscopic gastrostomy tube feeding for veterans with dementia—racial differences remain. J Am Geriatr Soc. 2005;53:242–248
  23. Veblen T. The Theory of the Leisure Class. New York: Modern Library; 2001;
  24. Keys AB. The Biology of Human Starvation. Minneapolis: University of Minnesota Press; 1950;
  25. Zimmerman MD, Appadurai K, Scott JG, et al. Survival. Ann Intern Med. 1997;127:405–409
  26. Henderson CT, Trumbore LS, Mobarhan S, et al. Prolonged tube feeding in long-term care: Nutritional status and clinical outcomes. J Am Coll Nutr. 1992;11:309–325
  27. Koretz RL. Nutritional support: How much for how much?. Gut. 1986;27(Suppl 1):85–95
  28. Klein S, Kinney J, Jeejeebhoy K, et al. Nutrition support in clinical practice: Review of published data and recommendations for future research directions (Summary of a conference sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition). Am J Clin Nutr. 1997;66:683–706
  29. Leff B, Cheuvront N, Russell W. Discontinuing feeding tubes in a community nursing home. Gerontologist. 1994;34:130–133
  30. Naik AD, Abraham NS, Roche VM, Concato J. Predicting which patients can resume oral nutrition after percutaneous endoscopic gastrostomy tube placement. Aliment Pharmacol Ther. 2005;21:1155–1161
  31. Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293:2609–2617

 This work was funded by the Institute for Incentives in Health Care and the Borchard Foundation.

PII: S1525-8610(07)00022-9

doi: 10.1016/j.jamda.2007.01.007

JAMDA
Volume 8, Issue 4 , Pages 205-208 , May 2007