2022
DOI: 10.1136/bmjspcare-2021-003492
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Inoperable malignant bowel obstruction: palliative interventions outcomes – mixed-methods systematic review

Abstract: BackgroundParenteral nutrition (PN) and palliative venting gastrostomies (PVG) are two interventions used clinically to manage inoperable malignant bowel obstruction (MBO); however, little is known about their role in clinical and quality-of-life outcomes to inform clinical decision making.AimTo examine the impact of PN and PVG on clinical and quality-of-life outcomes in inoperable MBO.DesignA mixed-methods systematic review and narrative synthesis.Data sourcesThe following databases were searched (from incept… Show more

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Cited by 7 publications
(1 citation statement)
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“…Routine care measures in Domain 4 should be considered for studies testing interventions to improve communication, understanding and achieving patient goals of treatment, and for informing the standard of usual care in clinical practice and research where it aims to support honest common ground in clinical decision-making. Although prognosis was not a final outcome, a realistic understanding of likely outcomes is clearly relevant: a mixed-methods review of parenteral nutrition and venting gastrostomy in inoperable malignant bowel obstruction found that patients’ choice was strongly based on a belief that these would prolong survival–a belief fostered by the clinicians involved in their care, despite a lack of evidence to support this [ 42 ].…”
Section: Discussionmentioning
confidence: 99%
“…Routine care measures in Domain 4 should be considered for studies testing interventions to improve communication, understanding and achieving patient goals of treatment, and for informing the standard of usual care in clinical practice and research where it aims to support honest common ground in clinical decision-making. Although prognosis was not a final outcome, a realistic understanding of likely outcomes is clearly relevant: a mixed-methods review of parenteral nutrition and venting gastrostomy in inoperable malignant bowel obstruction found that patients’ choice was strongly based on a belief that these would prolong survival–a belief fostered by the clinicians involved in their care, despite a lack of evidence to support this [ 42 ].…”
Section: Discussionmentioning
confidence: 99%