• Cochrane Db Syst Rev · Jan 2008

    Review

    Medically assisted nutrition for palliative care in adult patients.

    • Phillip Good, John Cavenagh, Mark Mather, and Peter Ravenscroft.
    • Palliative Care, Calvary Mater Hospital and University of Newcastle, Locked Bag 7, Hunter Regional Mail Centre, Warabrook, Newcastle, NSW, Australia, 2310. phillip.good@mater.health.nsw.gov.au
    • Cochrane Db Syst Rev. 2008 Jan 1(4):CD006274.

    BackgroundMany palliative care patients have a reduced oral intake during their illness. The management of this can include the provision of medically assisted nutrition with the aim of prolonging the length of life of a patient, improving their quality of life, or both.ObjectivesTo determine the effect of medically assisted nutrition on the quality and length of life of palliative care patients.Search StrategyStudies were identified from searching The Cochrane Library, MEDLINE (1966 to 2008), EMBASE (1980 to 2008), CINAHL, CANCERLIT, Caresearch, Dissertation abstracts, SCIENCE CITATION INDEX and the reference lists of all eligible trials, key textbooks, and previous systematic reviews. The date of the latest search was July 2008.Selection CriteriaAll relevant randomised controlled trials (RCTs) or prospective controlled trials (if no RCTs were found).Data Collection And AnalysisThere were no RCTs or prospectively controlled trials found that met the inclusion criteria.Main ResultsThere were four prospective non-controlled trials (including one qualitative study) that studied medically assisted nutrition in palliative care participants, and one Cochrane systematic review (on Motor Neurone disease), but no RCTs or prospective controlled studies.Authors' ConclusionsThere are insufficient good quality trials to make any recommendations for practice with regards to the use of medically assisted nutrition in palliative care patients.

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