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Karger Publishers, Dementia and Geriatric Cognitive Disorders Extra, 2(8), p. 268-276, 2018

DOI: 10.1159/000489489

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

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<b><i>Background:</i></b> The use of feeding tubes (FTs) in patients with advanced dementia does not yield positive health outcomes and can have a negative effect. <b><i>Methods:</i></b> A cross-sectional study assessed the knowledge and attitudes of physicians on the use of FTs for patients with advanced dementia. <b><i>Results:</i></b> 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%). <b><i>Conclusion:</i></b> We found large gaps in knowledge among doctors about the use of FTs and consequences in patients with advanced dementia.