{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:03:33Z","timestamp":1784351013975,"version":"3.55.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The consideration of artificial nutrition and hydration (ANH) is recommended for individuals with reduced nutritional intake. However, placing long-term nonoral feeding tubes is not appropriate in those with advanced dementia or if the individual is likely to die imminently\u2014\u201cwithin hours or days\u201d (GMC, 2010;58). In some instances, the provision of ANH in the weeks leading up to death may be considered a \u201cNon-Beneficial Treatment.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the extent to which \u201cnon-beneficial\u201d nasogastric tube (NGT) feeding occurs at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>An audit of outcomes for individuals with a Malnutrition Universal Screening Tool (MUST) score of 2 who may be considered for artificial nutrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All admissions to an acute hospital trust who met the following criteria: \u226565 years old and MUST score (Malnutrition Universal Screening Tool) of \u22652 over a six-month period (September '21\u2013February '22). 1765 individuals met the inclusion criteria. For analysis, individuals were grouped by the presence of an NGT flag and admission survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      84 (4.8%) had NGT procedure flags. Of these 84, 28 (33%) died during admission. A further 12 died within six months. In total 40 (47.6%) of 84 NGT-flagged individuals were deceased within six months. Chi-square analysis demonstrated a significant relationship between death during admission and NGT Flag (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 36.888, df = 1,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = &lt; 0.001). Individuals with NGT flags who passed away were significantly older than peers who survived the admission (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      = 2.576, df = 82,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>NGT insertions in this cohort have a high likelihood of being considered \u201cnon-beneficial.\u201d Frailty associated with increasing age may be a factor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251364719","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T10:46:07Z","timestamp":1765277167000},"page":"1309-1316","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Does Non-Beneficial Nasogastric Tube Feeding Occur During End-of-Life Care? An Audit of Outcomes for Those with a Malnutrition Universal Screening Tool Score of 2"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1674-4691","authenticated-orcid":false,"given":"Ross Andrew James","family":"Webster","sequence":"first","affiliation":[{"name":"University of Chichesterm, Chichester, United Kingdom."},{"name":"East Sussex Hospitals Trust, Saint Leonards-on-Sea, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moitree","family":"Banerjee","sequence":"additional","affiliation":[{"name":"University of Chichesterm, Chichester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"King","sequence":"additional","affiliation":[{"name":"University of Chichesterm, Chichester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosana","family":"Pacella","sequence":"additional","affiliation":[{"name":"University of Greenwich, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonina","family":"Pereira","sequence":"additional","affiliation":[{"name":"University of Chichesterm, Chichester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6650675"},{"key":"e_1_3_3_3_2","unstructured":"NICE. 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