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Interventions for feeding and nutrition in cerebral palsy |
Ferluga ED, Archer KR, Sathe NA, Krishnaswami S, Klint A, Lindegren ML, McPheeters ML |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ferluga ED, Archer KR, Sathe NA, Krishnaswami S, Klint A, Lindegren ML, McPheeters ML. Interventions for feeding and nutrition in cerebral palsy. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 94. 2013 Authors' objectives The Vanderbilt Evidence-based Practice Center examined the effects of available interventions for feeding and nutrition problems that have been evaluated in individuals with cerebral palsy (CP). Authors' conclusions Evidence for behavioral interventions for feeding disorders in CP consists of mostly small, short-term, pre-post studies, with strength of evidence ranging from insufficient to moderate. Some studies suggest that interventions such as oral appliances may enhance oral sensorimotor skills, but there is a clear need for rigorous, comparative studies. Evidence for surgical interventions is insufficient to low. All studies to date demonstrate significant weight gain with gastrostomy. Results for other growth measures are mixed, and substantial numbers of children remained underweight, although given a lack of appropriate reference standards for the CP population, these results should be interpreted cautiously. Longer term, comprehensive case series are needed, as are prospective cohort studies. More research is needed to understand potential harms in the context of benefits and potential risks of not treating. Indexing Status Subject indexing assigned by CRD MeSH Cerebral Palsy; Enteral Nutrition; Feeding and Eating Disorderss; Gastrostomy Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence AHRQ, Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA Email: AHRQTAP@ahrq.hhs.gov AccessionNumber 32013000741 Date abstract record published 16/10/2013 |
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