Gastric Jujenal Feeding Tube Versus Gastroduodenal Feeding Tube
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Cost evaluation of two types of gastrojejunal feeding tubes used in pediatric patients
Pediatric Radiology volume 51,pages 2492–2497 (2021)Cite this article
Abstract
Background
Gastrojejunal tubes are important feeding devices for children with gastro-esophageal reflux, allowing medication and feeding into the small bowel, and allowing gastric venting to prevent reflux. As with many medical devices, there are multiple manufacturers and designs, including balloon-retained tubes and disc-retained tubes.
Objective
This study evaluated the cost difference between these two types of gastrojejunal tube.
Materials and methods
We conducted a 3.5-year retrospective cost evaluation for all pediatric patients undergoing an insertion or change of gastrojejunal tube using a bottom-up micro-costing analysis. We calculated days between encounters and a subsequent cost per day for each patient.
Results
A total of 187 children and adolescents were included, with an average age of 9.2 years. They underwent a total of 1,240 encounters, an average of 6.6 encounters per patient during the study period. A total of 82% of these encounters were related to balloon-retained tubes and 18% to disc-retained tubes. The most common reason for an encounter was a routine change (57%), with mechanical complications accounting for 31%. Disc-retained tubes had a longer period between encounters (117.5 days) than balloon-retained tubes (95 days; P=0.038). However, disc-retained tubes cost 6.9 British pound sterling (GBP) per day, which was significantly higher than balloon-retained tubes at 5.2 GBP per day (P<0.0001).
Conclusion
Despite being more expensive to purchase, balloon-retained tubes were noted to be the least costly device in a cost-per-day analysis.
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Rose, E.L., Patel, P.A. Cost evaluation of two types of gastrojejunal feeding tubes used in pediatric patients. Pediatr Radiol 51, 2492–2497 (2021). https://doi.org/10.1007/s00247-021-05171-z
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DOI : https://doi.org/10.1007/s00247-021-05171-z
Keywords
- Children
- Cost evaluation
- Gastrojejunal tube
- Interventional radiology
- Small bowel
- Stomach
Source: https://link.springer.com/article/10.1007/s00247-021-05171-z
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