JAMDA
Volume 10, Issue 4 , Pages 264-270 , May 2009

Natural History of Feeding-Tube Use in Nursing Home Residents With Advanced Dementia

  • Sylvia Kuo, PhD

      Affiliations

    • The Warren Alpert Medical School of Brown University, Providence, RI
    • ,
  • Ramona L. Rhodes, MD, MPH

      Affiliations

    • The Warren Alpert Medical School of Brown University, Providence, RI
    • ,
  • Susan L. Mitchell, MD, MPH

      Affiliations

    • Hebrew Rehabilitation Center for Aged, Boston, MA
    • ,
  • Vincent Mor, PhD

      Affiliations

    • The Warren Alpert Medical School of Brown University, Providence, RI
    • ,
  • Joan M. Teno, MD, MS

      Affiliations

    • The Warren Alpert Medical School of Brown University, Providence, RI
    • Corresponding Author InformationAddress correspondence to Joan M. Teno, MD, MS, The Warren Alpert Medical School of Brown University, 121 South Main Street, Box G-121–612, Providence, RI 02912.

References 

  1. Dittrick Medical History Center, Case Western Reserve University. Percutaneous Endoscopic Gastronomy Available at: http://www.cwru.edu/artsci/dittrick/site2/museum/artifacts/group-d/peg.htm. Accessed December 11, 2008.
  2. 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
  3. Anis MK, Abid S, Jafri W, et al. Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG) tube placement—patients' and care givers' perspectives. BMC Gastroenterol. 2006;6:37
  4. Carey TS, Hanson L, Garrett JM, et al. Expectations and outcomes of gastric feeding tubes. Am J Med. 2006;527(119):e11–e16
  5. Mitchell SL, Lawson FM. Decision-making for long-term tube-feeding in cognitively impaired elderly people. CMAJ. 1999;160:1705–1709
  6. Dharmarajan TS, Unnikrishnan D, Pitchumoni CS. Percutaneous endoscopic gastrostomy and outcome in dementia. Am J Gastroenterol. 2001;96:2556–2563
  7. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: A review of the evidence. JAMA. 1999;282:1365–1370
  8. Finucane TE, Christmas C, Leff BA. Tube feeding in dementia: How incentives undermine health care quality and patient safety. J Am Med Dir Assoc. 2007;8:205–208
  9. Gillick MR. Rethinking the role of tube feeding in patients with advanced dementia. N Engl J Med. 2000;342:206–210
  10. Callahan CM, Haag KM, Weinberger M, et al. Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 2000;48:1048–1054
  11. Mitchell SL, Tetroe JM. Survival after percutaneous endoscopic gastrostomy placement in older persons. J Gerontol A Biol Sci Med Sci. 2000;55:M735–M739
  12. 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
  13. Mitchell SL, Kiely DK, Lipsitz LA. Does artificial enteral nutrition prolong the survival of institutionalized elders with chewing and swallowing problems?. J Gerontol A Biol Sci Med Sci. 1998;53:M207–M213
  14. Murphy LM, Lipman TO. Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Arch Intern Med. 2003;163:1351–1353
  15. Meier DE, Ahronheim JC, Morris J, et al. High short-term mortality in hospitalized patients with advanced dementia: Lack of benefit of tube feeding. Arch Intern Med. 2001;161:594–599
  16. Teno JM, Mor V, DeSilva D, et al. Use of feeding tubes in nursing home residents with severe cognitive impairment. JAMA. 2002;287:3211–3212
  17. Gessert CE, Mosier MC, Brown EF, et al. Tube feeding in nursing home residents with severe and irreversible cognitive impairment. J Am Geriatr Soc. 2000;48:1593–1600
  18. Ahronheim JC, Mulvihill M, Sieger C, et al. State practice variations in the use of tube feeding for nursing home residents with severe cognitive impairment. J Am Geriatr Soc. 2001;49:148–152
  19. 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
  20. Morris JN, Fries BE, Mehr DR, et al. MDS Cognitive Performance Scale. J Gerontol. 1994;49:M174–M182
  21. Lewis CL, Cox CE, Garrett JM, et al. Trends in the use of feeding tubes in North Carolina hospitals. J Gen Intern Med. 2004;19:1034–1038
  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. Grant MD, Rudberg MA, Brody JA. Gastrostomy placement and mortality among hospitalized Medicare beneficiaries. JAMA. 1998;279:1973–1976
  24. Sanders DS, Carter MJ, D'Silva J, et al. Survival analysis in percutaneous endoscopic gastrostomy feeding: A worse outcome in patients with dementia. Am J Gastroenterol. 2000;95:1472–1475

 Funding for this research was based on grant from the National Institute of Aging (R01 AG024265).

 The authors have no conflicts of interest.

PII: S1525-8610(08)00412-X

doi: 10.1016/j.jamda.2008.10.010

JAMDA
Volume 10, Issue 4 , Pages 264-270 , May 2009

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