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Townsend, J. L.; Craig, G. M.; Lawson, M.; Reilly, S.; Spitz, L. (2008)
Publisher: BMJ Publishing Group
Languages: English
Types: Article
Subjects: RD, RA

Classified by OpenAIRE into

mesheuropmc: health care economics and organizations
Introduction: Malnutrition and growth deficiency are common in neurologically impaired children. Gastrostomy placement has been shown to result in significant catch-up growth, improved health of the child and reduction in family stress; its cost-effectiveness has not been investigated.\ud \ud Aims: Costs related to gastrostomy placement are estimated here from a prospective controlled study of children referred to a tertiary paediatric centre in the UK.\ud \ud Methods: Costs of inpatient stay, medication, tests, general practitioner consultations, community healthcare, equipment, and parents’ indirect costs were estimated at baseline and follow-up. Costs of the different types of gastrostomy surgery are given.\ud \ud Results: Results for both time periods were available for 54 of the 76 children recruited to the study. Five-day food diaries were kept at baseline and follow-up. Costs of food increased slightly but not significantly post surgery from £33 to £40 (€44 to €54, US$65 to US$78) per week. Variation in cost between cases was considerable but the mean net cost difference of £20.80 (CI −£43.79 to £85.35) (€28 (CI €−59 to €115), US$41 (CI US$−86 to US$167)) per week per child including for food and surgery, was also not significant. Community service costs were significantly lower post surgery. Few parents reported personal costs at either time point, although many had reduced or stopped paid work to care for the child.\ud \ud Conclusion: As gastrostomy placement for these children resulted in significant clinical benefit at no significant extra cost, it is concluded that the procedure is cost-effective.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Arch Dis Child. 2008 Oct;93(10):873-7. doi: 10.1136/adc.2007.133454.
    • Epub 2008 May 2. anti-gastro esophageal reflux procedures in neurologically impaired children: what is the real-life outcome? Journal of Paediatric Surgery 1996;31:1:375-80
    • 2 Liptak G et al. Health Status of Children with moderate to severe cerebral palsy, Developmental Medicine and Child Neurology 2001; 43: 364-370
    • 3 Craig GM, Carr LJ, Cass H, Hastings RP, Lawson M, Reilly S, Ryan M, Townsend J, Spitz L. Medical, surgical, and health outcomes of gastrostomy feeding, Developmental Medicine and Child Neurology 2006;4:48:353-360
    • 4 Heine RG, Reddihough DS, Catto-Smith AG. Gastro-oesophageal reflux and feeding problems after gastrostomy in children with severe neurological impairment. Dev Med Child Neurol. 1995; 37(4):320-9.
    • 5 Netten A et al Unit costs of health and social care, PSSRU, University of Kent, Canterbury, 2002
    • 6 British National Formulary, British Medical Association and Royal Pharmaceutical Society GB, July 2002. (bnf.com 2002)
    • 7 Khattak IU, Kimber C, Kiely EM, Spitz L. Percutaneous Endoscopic Gastrostomy in Paediatric Practice: Complications and Outcomes Journal of Paediatric Surgery 1998; 33:67-72)
    • 8 Hull R, Prouse P, Sherratt P, Townsend J, Frank A. Capital costs of supporting young disabled people at home Health Trends 1994;26:80-85
    • 9 Townsend J, Heng L, Thomas T, et al, Costs of incontinence to families with severely handicapped children Community Medicine 1981;3:119-122
    • 10 Cook S, Hooper V, Nasser R, Larsen D. Effects of gastrostomy on growth of children with neurodevelopmental disabilities, Can J Diet Pract Res 2005;66(1):19-24
    • 11 Tawfik R, Dickson A, Clarke M, Thomas AG. Caregivers' perceptions following gastrostomy in severely disabled children with feeding problems Dev Med Child Neurol. 1997 39(11):746-51.
    • 12 Sullivan PB, Juszczak E, Bachlet AM, Lambert B, Vernon-Roberts A et al, Gastrostomy tube feeding in children with cerebral palsy: a prospective longitudinal study. Dev Med Child Neurol. 2005;47:2:77-85
    • 13 Sullivan PB, Juszczak E, Bachlet AM, Thomas AC, Lambert B, Vernon-Roberts A, Grant HW, Elfumi M, Alder N, Jenkinson C Impact of gastrostomy tube feeding on the quality of life of carers of children with cerebral palsy. Dev Med Child Neurol. 2000;42:10:674-680
    • 14 Avitsland TL, Kristensen C, Emblem R, Veenstra M, Mala T, Bjornland K. Percutaneous endoscopic gastrostomy in children: a safe technique with major symptom relief and high parental satisfaction. J Pediatr Gastroenterol Nutr 2006;43:5:624-628
    • 15 Sartori S, Trevisani L, Tassinari D, Gilli G, Nielson I, Maestri A, Abbasciano V. Cost analysis of long term feeding by percutaneous endoscopic gastrostomy in cancer patients in an Italian health district. Support Cancer Care;1996:4:1:21-26 (1996)
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