Urinary Catheters as Replacement Feeding Tubes: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

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Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC1113-000

Question

  1. What is the comparative clinical effectiveness of urinary catheters versus conventional gastrostomy or jejunostomy replacement feeding tubes in adult inpatients in acute care?
  2. What is the cost-effectiveness of urinary catheters for adult inpatients in acute care requiring replacement gastrostomy or jejunostomy feeding tubes?
  3. What are the evidence-based guidelines regarding replacement of gastrostomy or jejunostomy feeding tubes in adult inpatients in acute care?

Key Message

One evidence-based guideline was identified that provides recommendations regarding the use of urinary catheters as replacement gastrostomy tubes. Based on low quality evidence, the guideline includes a cautious recommendation for the use of Foley catheters for temporary replacement of inadvertently displaced gastrostomy tubes for patients with well-established ostomy tracts. No guidelines regarding the use of urinary catheters as replacement jejunostomy tubes, or evidence on the comparative clinical effectiveness or cost-effectiveness of urinary catheters as replacement tubes for gastrostomy or jejunostomy was identified.