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 language | English |
|---|---|
| Pages (from-to) | 351-361 |
| Number of pages | 11 |
| Journal | European Journal of Pediatrics |
| Volume | 178 |
| Issue number | 3 |
| Early online date | 15 Dec 2018 |
| DOIs | |
| Publication status | Published - Mar 2019 |
Fingerprint
Cite this
}
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 journal › Article
TY - JOUR
T1 - Epidemiology of gastrostomy insertion for children and adolescents with intellectual disability
AU - Wong, Kingsley
AU - Leonard, Helen
AU - Pearson, Glenn
AU - Glasson, Emma J.
AU - Forbes, David
AU - Ravikumara, Madhur
AU - Jacoby, Peter
AU - Bourke, Jenny
AU - Srasuebkul, Preeyaporn
AU - Trollor, Julian
AU - Wilson, Andrew
AU - Nagarajan, Lakshmi
AU - Downs, Jenny
PY - 2019/3
Y1 - 2019/3
N2 - 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.
AB - 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.
KW - Accessibility
KW - Epidemiology
KW - Gastrostomy
KW - Incidence
KW - Intellectual disability
UR - http://www.scopus.com/inward/record.url?scp=85058553997&partnerID=8YFLogxK
U2 - 10.1007/s00431-018-3304-x
DO - 10.1007/s00431-018-3304-x
M3 - Article
VL - 178
SP - 351
EP - 361
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
SN - 0340-6199
IS - 3
ER -