Pediatric Tube Weaning: A Meta-Analysis of Factors Contributing to Success.

Document Type

Article

Publication Date

12-2023

Identifier

DOI: 10.1007/s10880-023-09948-2

Abstract

Approximately 3-10% of children have severe feeding issues, and some require enteral/tube nutrition to grow and thrive. For many children, tube feeding is temporary, making efficacious interventions for tube weaning essential. We conducted a systematic review and meta-analysis of tube weaning treatments. Outcomes included percentage of participants completely weaned from the tube, and mean percentage of kilocalories consumed orally following treatment. Data were extracted from 42 studies, including cohort studies and single-subject research design studies. We evaluated moderators of treatment success, including treatment setting, use of behavioral approaches, use of hunger provocation, and use of a multidisciplinary approach. Results indicated that, after treatment, children received significantly more calories orally, and 67-69% of children were fully weaned. These analyses suggest that current interventions are generally effective; however, variability within treatments exist. Prospective randomized clinical trials are needed to understand effective components of weaning interventions.

Journal Title

Journal of clinical psychology in medical settings

Volume

30

Issue

4

First Page

753

Last Page

769

Keywords

Meta-Analysis; Percent Weaned; Weaning from G and/or J tubes

Comments

Grants and funding

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