Evolving Trends of Gastrostomy Insertion Within a Pediatric Population

Journal of Pediatric Gastroenterology and Nutrition
Emma J GlassonJenny Downs

Abstract

Gastrostomy insertion in pediatrics is usually used in children with complex needs and severe disability. The accessibility and acceptance of the procedure is increasing but population-based occurrence data are lacking and there is limited understanding of its use in clinical subgroups. This birth cohort study investigated the trends in first gastrostomy insertion among a pediatric population born between 1983 and 2009 in Western Australia using linked administrative and health data collected over a 32-year period (1983-2014). Indications were identified using diagnosis codes from linked hospitalization data and grouped according to a refined classification system. Age and birth cohort patterns of first gastrostomy use, over calendar year and age respectively, were described. Of the 690,688 children born between 1983 and 2009, 466 underwent a gastrostomy insertion. Overall, the prevalence was approximately 7 cases per 10,000 births. New gastrostomy insertions were increasingly performed in children during the preschool years over calendar years and in successive birth cohorts. Children with a neurological disorder constituted the largest group receiving gastrostomy (n = 372; 79.8) including 325 (87.4%) with comorbid intellectua...Continue Reading

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Citations

Apr 23, 2020·Journal of Intellectual Disability Research : JIDR·K WongJ Downs
Aug 19, 2020·Journal of Pediatric Gastroenterology and Nutrition·Daphney KernizanMelissa Weidner
Apr 10, 2020·Archives of Disease in Childhood·Emma J GlassonJenny Downs
Dec 17, 2018·European Journal of Pediatrics·Kingsley WongJenny Downs
Aug 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Nina ChuaEdward M Giles
Dec 12, 2020·Journal of Pediatric Gastroenterology and Nutrition·Caroline PardyIain Yardley
Aug 20, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Mohammed JunaidHelen Leonard
Sep 16, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Berat Dilek DemirelGonul Caltepe
Dec 15, 2021·Acta Paediatrica·Rachael MarpoleAndrew Wilson

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