Advanced Dementia – PEG Feeding Evidence — SCE Neurology MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — PEG feeding does not improve survival, reduce aspiration pneumonia risk, or improve quality of life in advanced dementia
Multiple systematic reviews and guidelines (including NICE NG97 and the Cochrane review) have demonstrated that PEG tube feeding in advanced dementia does not prolong survival, does not reduce the risk of aspiration pneumonia (aspiration of oral secretions still occurs), does not improve nutritional status meaningfully, and may cause discomfort and complications (tube displacement, infection, restraint). Careful hand-feeding and comfort-focused oral care are recommended. A: Evidence does not support improved outcomes. C: It is not mandatory and may be harmful. D: It does not cure aspiration. E: Decision-making should be individualised.
Reference: NICE NG97 Dementia (2018); Sampson et al. Cochrane Review