2023-09-28 14:46:10 +00:00
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abstract: 'Purpose: One of the most common procedures in the pediatric population
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is the placement of a gastrostomy tube. There are significant medical,
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emotional, and social implications for both patients and caregivers. We
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hypothesized that socioeconomic status had a significant impact on
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gastrostomy complications.
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Methods: A retrospective chart review was performed. Patient and census
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data including median household income, unemployment rate, health
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insurance status, poverty level, and caregiver education level were
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merged. Statistical tests were conducted against a 2-sided alternative
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hypothesis with a 0.05 significance level. Outcomes examined were minor
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and major complications in association with socioeconomic variables.
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Results: Patients with mechanical complications were younger, weighed
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less, and had a 72\% greater chance of having commercial insurance.
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Patients with Medicare/self-pay were three times more likely to have a
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minor complication. The average unemployment rate was 23\% greater in
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familieswith amajor complication. Individuals with a minor complication
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came from community tracts with a lower percentage of families below the
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poverty level.
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Conclusion: An association between socioeconomic factors and gastrostomy
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complications was identified. Insurance status and employment status
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were more significant predictors than poverty level. Further work with
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variables for targeted interventions to provide specific family support
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will allow these children and families to thrive. (c) 2020 Elsevier Inc.
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All rights reserved.'
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affiliation: 'Mowrer, AR (Corresponding Author), Univ Illinois, Coll Med, Dept Surg,
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624 NE Glen Oak Ave, Peoria, IL 61603 USA.
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Mowrer, Alyssa R.; Esparaz, Joseph R.; Pearl, Richard H.; Aprahamian, Charles J.;
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Jeziorczak, Paul M., Univ Illinois, Coll Med, Dept Surg, 624 NE Glen Oak Ave, Peoria,
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IL 61603 USA.
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Nierstedt, Ryan T.; Chakraborty, Shawn R.; Pearl, Richard H.; Aprahamian, Charles
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J.; Jeziorczak, Paul M., Childrens Hosp Illinois, OSF St Francis Med Ctr, Peoria,
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IL USA.
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Zumpf, Katelyn B., Jump Trading Simulat \& Educ Ctr, Peoria, IL USA.'
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author: Mowrer, Alyssa R. and Esparaz, Joseph R. and Nierstedt, Ryan T. and Zumpf,
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Katelyn B. and Chakraborty, Shawn R. and Pearl, Richard H. and Aprahamian, Charles
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J. and Jeziorczak, Paul M.
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author-email: Mowrer.alyssa@gmail.com
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author_list:
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- family: Mowrer
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given: Alyssa R.
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- family: Esparaz
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given: Joseph R.
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- family: Nierstedt
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given: Ryan T.
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- family: Zumpf
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given: Katelyn B.
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- family: Chakraborty
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given: Shawn R.
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- family: Pearl
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given: Richard H.
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- family: Aprahamian
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given: Charles J.
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- family: Jeziorczak
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given: Paul M.
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da: '2023-09-28'
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doi: 10.1016/j.jpedsurg.2020.01.017
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eissn: 1531-5037
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files: []
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issn: 0022-3468
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journal: JOURNAL OF PEDIATRIC SURGERY
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keywords: Gastrostomy tube complications; Socioeconomic status
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keywords-plus: DISPARITIES; HEALTH
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language: English
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month: MAY
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note: '51st Annual Meeting of the Canadian-Association-of-Pediatric-Surgeons
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(CAPS), Quebec, CANADA, SEP 19-21, 2019'
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number: '5'
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number-of-cited-references: '8'
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pages: 855-860
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papis_id: c8a1f676f1bc9b8b94b37e4e96baa27a
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ref: Mowrer2020failurethrive
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times-cited: '4'
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title: 'Failure to thrive: The socioeconomics of pediatric gastrostomy complications'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000536487400016
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '55'
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web-of-science-categories: Pediatrics; Surgery
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year: '2020'
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