4.5 Article

Nutritional support practices and opinions toward gastrostomy use in pediatric bone marrow transplant centers: A national survey

期刊

NUTRITION
卷 95, 期 -, 页码 -

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.nut.2021.111556

关键词

Pediatric; Hematopoietic stem cell transplantation; Gastrostomy; Nutrition support; Enteral nutrition; Survey

资金

  1. National Institute for Health Research (NIHR
  2. Clinical Doctoral Research Fellowship) [NIHR300554]
  3. NIHR Great Ormond Street Hospital Biomedical Research Centre
  4. National Institutes of Health Research (NIHR) [NIHR300554] Funding Source: National Institutes of Health Research (NIHR)

向作者/读者索取更多资源

This study investigated nutrition support practices in pediatric allogeneic BMT centers and compared clinicians' opinions on gastrostomy use. The results showed that there was a similar approach to nutritional support in many aspects. The use of gastrostomy divided opinions among clinicians, but there was agreement on potential complications.
Objective: Previous surveys have shown deviations in nutritional practices from international guidelines during bone marrow transplant (BMT). Guidelines recommend enteral nutrition first-line and nasogastric tubes are the mainstay for its provision. Gastrostomies provide an alternative, yet their use is less common. This national survey investigated nutrition support practices in pediatric allogeneic BMT centers and compared clinicians' opinions on gastrostomy use. The aim of this study was to identify the national picture of nutritional support practices across pediatric allogeneic BMT centers, including use and opinions of dietitians, clinical nurse specialists, and physicians, toward gastrostomy feeding.Methods: An online survey was administered to 12 centers. The lead dietitian answered questions regarding nutritional counseling, screening, assessment, and interventions. Questions regarding current use, perceived advantages, and problems of gastrostomies were answered by the dietitian, lead clinical nurse specialist, and physician.Results: A 100% response rate was achieved from 12 centers (N = 36 clinicians). Nutritional counseling was provided in 92% of centers before and routinely throughout admission, 83% screened on and regularly throughout admission, 83% assessed nutritional status before transplant, and 92% used enteral nutrition first-line. Fortytwo percent of the centers used gastrostomies. In those not using gastrostomies, 76% of clinicians felt some children should be offered a gastrostomy. Clinicians perceived less displacements (78%) and cosmetic appearance (69%) as the most common advantages of gastrostomies over nasogastric tubes. Risks associated with surgery (92%) and tube/stoma complications (58%) were the most common perceived problems.Conclusions: A similar approach was shown on many aspects of nutritional support. Gastrostomy use divided opinion with differences in use and perceived advantages, but agreement on potential complications. Despite their risks, clinicians wanted to use gastrostomies more. Placement requires careful consideration of the risks, benefits, and family preferences.(c) 2021 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据