abstract: 'Purpose: One of the most common procedures in the pediatric population

  is the placement of a gastrostomy tube. There are significant medical,

  emotional, and social implications for both patients and caregivers. We

  hypothesized that socioeconomic status had a significant impact on

  gastrostomy complications.

  Methods: A retrospective chart review was performed. Patient and census

  data including median household income, unemployment rate, health

  insurance status, poverty level, and caregiver education level were

  merged. Statistical tests were conducted against a 2-sided alternative

  hypothesis with a 0.05 significance level. Outcomes examined were minor

  and major complications in association with socioeconomic variables.

  Results: Patients with mechanical complications were younger, weighed

  less, and had a 72\% greater chance of having commercial insurance.

  Patients with Medicare/self-pay were three times more likely to have a

  minor complication. The average unemployment rate was 23\% greater in

  familieswith amajor complication. Individuals with a minor complication

  came from community tracts with a lower percentage of families below the

  poverty level.

  Conclusion: An association between socioeconomic factors and gastrostomy

  complications was identified. Insurance status and employment status

  were more significant predictors than poverty level. Further work with

  variables for targeted interventions to provide specific family support

  will allow these children and families to thrive. (c) 2020 Elsevier Inc.

  All rights reserved.'
affiliation: 'Mowrer, AR (Corresponding Author), Univ Illinois, Coll Med, Dept Surg,
  624 NE Glen Oak Ave, Peoria, IL 61603 USA.

  Mowrer, Alyssa R.; Esparaz, Joseph R.; Pearl, Richard H.; Aprahamian, Charles J.;
  Jeziorczak, Paul M., Univ Illinois, Coll Med, Dept Surg, 624 NE Glen Oak Ave, Peoria,
  IL 61603 USA.

  Nierstedt, Ryan T.; Chakraborty, Shawn R.; Pearl, Richard H.; Aprahamian, Charles
  J.; Jeziorczak, Paul M., Childrens Hosp Illinois, OSF St Francis Med Ctr, Peoria,
  IL USA.

  Zumpf, Katelyn B., Jump Trading Simulat \& Educ Ctr, Peoria, IL USA.'
author: Mowrer, Alyssa R. and Esparaz, Joseph R. and Nierstedt, Ryan T. and Zumpf,
  Katelyn B. and Chakraborty, Shawn R. and Pearl, Richard H. and Aprahamian, Charles
  J. and Jeziorczak, Paul M.
author-email: Mowrer.alyssa@gmail.com
author_list:
- family: Mowrer
  given: Alyssa R.
- family: Esparaz
  given: Joseph R.
- family: Nierstedt
  given: Ryan T.
- family: Zumpf
  given: Katelyn B.
- family: Chakraborty
  given: Shawn R.
- family: Pearl
  given: Richard H.
- family: Aprahamian
  given: Charles J.
- family: Jeziorczak
  given: Paul M.
da: '2023-09-28'
doi: 10.1016/j.jpedsurg.2020.01.017
eissn: 1531-5037
files: []
issn: 0022-3468
journal: JOURNAL OF PEDIATRIC SURGERY
keywords: Gastrostomy tube complications; Socioeconomic status
keywords-plus: DISPARITIES; HEALTH
language: English
month: MAY
note: '51st Annual Meeting of the Canadian-Association-of-Pediatric-Surgeons

  (CAPS), Quebec, CANADA, SEP 19-21, 2019'
number: '5'
number-of-cited-references: '8'
pages: 855-860
papis_id: c8a1f676f1bc9b8b94b37e4e96baa27a
ref: Mowrer2020failurethrive
times-cited: '4'
title: 'Failure to thrive: The socioeconomics of pediatric gastrostomy complications'
type: Article; Proceedings Paper
unique-id: WOS:000536487400016
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '55'
web-of-science-categories: Pediatrics; Surgery
year: '2020'