Medically assisted nutrition for adult palliative care patients.
BACKGROUND
Many 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. This is an updated version of the original Cochrane review published in Issue 4, 2008.


OBJECTIVE
To determine the effect of medically assisted nutrition on the quality and length of life of palliative care patients.


METHODS
We identified studies from searching Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, 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 26 March 2014.


METHODS
All relevant randomised controlled trials (RCTs) or prospective controlled trials (if no RCTs were found).


METHODS
We found no RCTs or prospectively controlled trials that met the inclusion criteria.


RESULTS
The original review identified four prospective non-controlled trials and the updated search in 2014 identified one more (plus an updated version of a Cochrane review on enteral feeding in motor neuron disease). There were five prospective non-controlled trials (including one qualitative study) that studied medically assisted nutrition in palliative care participants, and one Cochrane systematic review (on motor neuron disease that found no RCTs), but no RCTs or prospective controlled studies.


CONCLUSIONS
Since the last version of this review, we found no new studies. There are insufficient good-quality trials to make any recommendations for practice with regards to the use of medically assisted nutrition in palliative care patients.
Palliative Care, St Vincent's Private Hospital Brisbane, Mater Health Services, and Mater Research Institute - The University of Queensland, 411 Main Street, Kangaroo Point, Brisbane, Queensland, Australia, 4169.
Phillip
P
Good
Russell
R
Richard
William
W
Syrmis
Sue
S
Jenkins-Marsh
Jane
J
Stephens
D000328:Adult; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008136:Longevity; D010166:Palliative Care / Q000379:methods*; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000379:methods; D011788:Quality of Life