Epidemiology of gastrostomy insertion for children and adolescents with intellectual disability

Kingsley Wong, Helen Leonard, Glenn Pearson, Emma J. Glasson, David Forbes, Madhur Ravikumara, Peter Jacoby, Jenny Bourke, Preeyaporn Srasuebkul, Julian Trollor, Andrew Wilson, Lakshmi Nagarajan, Jenny Downs

Research output: Contribution to journalArticle

Abstract

The largest group of recipients of pediatric gastrostomy have neurological impairment with intellectual disability (ID). This study investigated trends in first gastrostomy insertion according to markers of disadvantage and ID etiology. Linked administrative and health data collected over a 32-year study period (1983–2014) for children with ID born between 1983 and 2009 in Western Australia were examined. The annual incidence rate change over calendar year was calculated for all children and according to socioeconomic status, geographical remoteness, and Aboriginality. The most likely causes of ID were identified using available diagnosis codes in the linked data set. Of 11,729 children with ID, 325 (2.8%) received a first gastrostomy within the study period. The incidence rate was highest in the 0–2 age group and there was an increasing incidence trend with calendar time for each age group under 6 years of age. This rate change was greatest in children from the lowest socioeconomic status quintile, who lived in regional/remote areas or who were Aboriginal. The two largest identified groups of ID were genetically caused syndromes (15.1%) and neonatal encephalopathy (14.8%). Conclusion: Gastrostomy is increasingly used in multiple neurological conditions associated with ID, with no apparent accessibility barriers in terms of socioeconomic status, remoteness, or Aboriginality.

Original languageEnglish
Pages (from-to)351-361
Number of pages11
JournalEuropean Journal of Pediatrics
Volume178
Issue number3
Early online date15 Dec 2018
DOIs
Publication statusPublished - Mar 2019

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Gastrostomy
Intellectual Disability
Epidemiology
Social Class
Disabled Children
Incidence
Age Groups
Western Australia
Brain Diseases
Pediatrics
Health

Cite this

Wong, Kingsley ; Leonard, Helen ; Pearson, Glenn ; Glasson, Emma J. ; Forbes, David ; Ravikumara, Madhur ; Jacoby, Peter ; Bourke, Jenny ; Srasuebkul, Preeyaporn ; Trollor, Julian ; Wilson, Andrew ; Nagarajan, Lakshmi ; Downs, Jenny. / Epidemiology of gastrostomy insertion for children and adolescents with intellectual disability. In: European Journal of Pediatrics. 2019 ; Vol. 178, No. 3. pp. 351-361.
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abstract = "The largest group of recipients of pediatric gastrostomy have neurological impairment with intellectual disability (ID). This study investigated trends in first gastrostomy insertion according to markers of disadvantage and ID etiology. Linked administrative and health data collected over a 32-year study period (1983–2014) for children with ID born between 1983 and 2009 in Western Australia were examined. The annual incidence rate change over calendar year was calculated for all children and according to socioeconomic status, geographical remoteness, and Aboriginality. The most likely causes of ID were identified using available diagnosis codes in the linked data set. Of 11,729 children with ID, 325 (2.8{\%}) received a first gastrostomy within the study period. The incidence rate was highest in the 0–2 age group and there was an increasing incidence trend with calendar time for each age group under 6 years of age. This rate change was greatest in children from the lowest socioeconomic status quintile, who lived in regional/remote areas or who were Aboriginal. The two largest identified groups of ID were genetically caused syndromes (15.1{\%}) and neonatal encephalopathy (14.8{\%}). Conclusion: Gastrostomy is increasingly used in multiple neurological conditions associated with ID, with no apparent accessibility barriers in terms of socioeconomic status, remoteness, or Aboriginality.",
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Wong, K, Leonard, H, Pearson, G, Glasson, EJ, Forbes, D, Ravikumara, M, Jacoby, P, Bourke, J, Srasuebkul, P, Trollor, J, Wilson, A, Nagarajan, L & Downs, J 2019, 'Epidemiology of gastrostomy insertion for children and adolescents with intellectual disability' European Journal of Pediatrics, vol. 178, no. 3, pp. 351-361. https://doi.org/10.1007/s00431-018-3304-x

Epidemiology of gastrostomy insertion for children and adolescents with intellectual disability. / Wong, Kingsley; Leonard, Helen; Pearson, Glenn; Glasson, Emma J.; Forbes, David; Ravikumara, Madhur; Jacoby, Peter; Bourke, Jenny; Srasuebkul, Preeyaporn; Trollor, Julian; Wilson, Andrew; Nagarajan, Lakshmi; Downs, Jenny.

In: European Journal of Pediatrics, Vol. 178, No. 3, 03.2019, p. 351-361.

Research output: Contribution to journalArticle

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