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Doctors' Knowledge and Attitudes Regarding Enteral Feeding and Eating Problems in Advanced Dementia

BACKGROUND: The use of feeding tubes (FTs) in patients with advanced dementia does not yield positive health outcomes and can have a negative effect. METHODS: A cross-sectional study assessed the knowledge and attitudes of physicians on the use of FTs for patients with advanced dementia. RESULTS: 20...

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Detalles Bibliográficos
Autores principales: Punchik, Boris, Komissarov, Elena, Zeldez, Vladimir, Freud, Tamar, Samson, Tali, Press, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103352/
https://www.ncbi.nlm.nih.gov/pubmed/30140276
http://dx.doi.org/10.1159/000489489
Descripción
Sumario:BACKGROUND: The use of feeding tubes (FTs) in patients with advanced dementia does not yield positive health outcomes and can have a negative effect. METHODS: A cross-sectional study assessed the knowledge and attitudes of physicians on the use of FTs for patients with advanced dementia. RESULTS: 201 of 240 doctors (83.8%) participated in the study; 61.7% of the doctors claimed that FTs prevent aspiration, 51.7% that they prevent pneumonia, and 38.8% that they prevent weight gain. Almost one-third (32.3%) said that the decision to use FTs could be taken by a hospitalist or a primary physician (28.9%). CONCLUSION: We found large gaps in knowledge among doctors about the use of FTs and consequences in patients with advanced dementia.