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Pediatric Tube Weaning: A Meta-Analysis of Factors Contributing to Success

Haley J Killian1,2, Dana M Bakula3,4,5, Anna Wallisch6

  • 1Department of Psychology, University of Missouri-Kansas City, 5030 Cherry St, Kansas City, MO, USA. hjkillian@cmh.edu.

Journal of Clinical Psychology in Medical Settings
|March 1, 2023
PubMed

Insights

Most children requiring tube feeding can be successfully weaned with current interventions, with 67-69% achieving full oral intake. Further research is needed to optimize tube weaning strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Psychology

Background:

  • Severe feeding issues affect 3-10% of children, often necessitating enteral/tube nutrition for growth.
  • Tube feeding is frequently a temporary measure, highlighting the need for effective tube weaning interventions.

Approach:

  • A systematic review and meta-analysis synthesized data from 42 studies (cohort and single-subject designs).
  • Evaluated moderators of treatment success: setting, behavioral approaches, hunger provocation, and multidisciplinary care.

Key Points:

  • Following interventions, children consumed significantly more kilocalories orally.
  • An overall success rate of 67-69% was observed for complete tube weaning.

Conclusions:

  • Current tube weaning interventions demonstrate general effectiveness.
  • Significant variability exists within treatment approaches.
  • Prospective randomized clinical trials are required to identify key effective components of weaning interventions.

Keywords:
Meta-AnalysisPercent WeanedWeaning from G and/or J tubes

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