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Gastrostomy use in motor neurone disease (MND): a review, meta-analysis and survey of current practice.
- Source :
-
Amyotrophic lateral sclerosis & frontotemporal degeneration [Amyotroph Lateral Scler Frontotemporal Degener] 2013 Mar; Vol. 14 (2), pp. 96-104. Date of Electronic Publication: 2012 Sep 17. - Publication Year :
- 2013
-
Abstract
- Abstract Gastrostomy feeding is commonly used to support MND patients with dysphagia. In this paper we review three main methods of gastrostomy insertion (PEG, RIG, PIG); conduct a meta-analysis of mortality data following gastrostomy; and present a survey of current practice. A review of the literature revealed a lack of high quality evidence to indicate the optimal method and timing for gastrostomy insertion in patients with MND. A survey of 20 MND clinics demonstrated a clinic-based variability of gastrostomy practices due to factors such as clinician preference, availability of method, and patient respiratory function. The meta-analysis demonstrated that the estimate of the absolute difference in mortality rates was 2.1% higher for PEG (- 6.3%, + 11.2%), suggesting that RIG and PIG methods may be safer than PEG. These results and observations highlight the need for more research to evaluate and compare the safety of the differerent gastrostomy insertion methods in MND care.
- Subjects :
- Causality
Comorbidity
Humans
Prevalence
Risk Factors
Treatment Outcome
Deglutition Disorders epidemiology
Deglutition Disorders surgery
Enteral Nutrition statistics & numerical data
Gastrostomy statistics & numerical data
Motor Neuron Disease epidemiology
Motor Neuron Disease surgery
Practice Patterns, Physicians' statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2167-9223
- Volume :
- 14
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Amyotrophic lateral sclerosis & frontotemporal degeneration
- Publication Type :
- Academic Journal
- Accession number :
- 22985431
- Full Text :
- https://doi.org/10.3109/17482968.2012.723722