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Definitions and clinical guidance on the enteral dependence component of the avoidant/restrictive food intake disorder diagnostic criteria in children

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Dovey, Terence Michael, Wilken, Markus, Martin, Clarissa Isabel and Meyer, Caroline (2018) Definitions and clinical guidance on the enteral dependence component of the avoidant/restrictive food intake disorder diagnostic criteria in children. Journal of Parenteral and Enteral Nutrition, 42 (3). pp. 499-507. doi:10.1177/0148607117718479 ISSN 0148-6071 .

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Official URL: https://doi.org/10.1177/0148607117718479

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Abstract

The aim of the current paper is to offer definitive guidance on weaning children who are reliant on nasogastric/gastrostomy feeding tubes. To date, no internationally recognised definitions or principles for interventions exist and clinics have been reliant on creating their own unique intervention criteria. To achieve the aim, two goals are set out within the current paper. The first goal was to definitively define the process of tube weaning. In order to achieve this, both tube dependency and oral eating also required definitions. It is necessary for these two additional definitions to fully understand the process of tube weaning and the transition that the child is making within these clinical interventions. The second goal of this paper was to propose a set of minimum measurement criteria within a tube weaning protocol so that different clinical practices and perspectives may be measured accurately. This would then allow outcomes from different clinical services to be compared for efficacy. The culmination of this paper is a set of five core principles that should govern clinics that adhere to the auspices of evidence-based practice. These principles, if adopted, will provide the basis of a set of internationally recognised criteria within this field of paediatric gastroenterology.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Eating disorders in children -- Treatment -- Standards
Journal or Publication Title: Journal of Parenteral and Enteral Nutrition
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0148-6071
Official Date: March 2018
Dates:
DateEvent
March 2018Published
20 July 2017Available
9 June 2017Accepted
Volume: 42
Number: 3
Page Range: pp. 499-507
DOI: 10.1177/0148607117718479
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): "This is the peer reviewed version of the following article: Dovey, T. M., Wilken, M. , Martin, C. I. and Meyer, C. (2018), Definitions and Clinical Guidance on the Enteral Dependence Component of the Avoidant/Restrictive Food Intake Disorder Diagnostic Criteria in Children. Journal of Parenteral and Enteral Nutrition, 42: 499-507. which has been published in final form at https://doi.org/10.1177/0148607117718479. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 12 June 2017
Date of first compliant Open Access: 23 November 2017

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