Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
Copyright 2000 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2000
To the Editor: The article by Dr Finucane and
colleagues1 may also have implications for
adults with developmental disabilities. These patients, who often lack the
capacity to make medical decisions for themselves, also age with multiple
chronic medical problems. For some, a point is reached in a phase of general
decline in which a feeding tube is considered. This article provides data
to support the concept that feeding tube insertion may, in certain circumstances,
be a medically futile intervention. In New York State, this may prove to be
an especially important concept, since various statutes and regulations forbid
surrogate decision makers from making decisions about withholding or withdrawing
"life-sustaining treatments." This article implies that tube feeding should
not be included in these statutes.
Timell AM. Tube Feeding in Patients With Advanced Dementia. JAMA. 2000;283(12):1563-1564. doi:10.1001/jama.283.12.1563