publication . Article . 2008

Cost-effectiveness of gastrostomy placement for children with neurodevelopmental disability

Townsend, J. L.; Craig, G. M.; Lawson, M.; Reilly, S.; Spitz, L.;
  • Published: 02 May 2008 Journal: Archives of Disease in Childhood, volume 93, pages 873-877 (issn: 0003-9888, eissn: 1468-2044, Copyright policy)
  • Publisher: BMJ
  • Country: United Kingdom
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 ...
Medical Subject Headings: health care economics and organizations
free text keywords: Pediatrics, Perinatology, and Child Health, Community health care, Community service, Medicine, business.industry, business, El Niño, Malnutrition, medicine.disease, Gastrostomy, medicine.medical_treatment, Public health, medicine.medical_specialty, Indirect costs, Pediatrics, Family stress, RA, RD
Related Organizations
16 references, page 1 of 2

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. ( 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 [OpenAIRE]

16 references, page 1 of 2
Powered by OpenAIRE Research Graph
Any information missing or wrong?Report an Issue