Patient Outcomes Related to Percutaneous Endoscopic Gastrostomy Placement
Abstract
Although many aspects of percutaneous endoscopic gastrostomy (PEG) have been addressed in the literature, attention to psychologic and social outcomes of PEG has been limited. Our goal was to assess a range of physical, psychologic, and social outcomes related to PEG feeding. This study is a follow-up survey of patients undergoing PEG and/or their surrogates. Data were collected by semistructured interviews in two tertiary hospitals in Alberta, Canada. Measurements consisted of PEG status at 1-year follow-up, quality of life, impact on caregivers, and opinions about long-term support via PEG. We included 71 patients in the study. Of all 39% of patients died, 32% had the PEG still in place, and for 28% the PEG was removed at the end of the 1-year follow-up. The prognosis of the attending physician at the initial visit and the underlying disease were significantly related to the outcome (p < 0.05). After 1 year, 85% of all patients whose PEGs were still in place, were not working or studying or managing their own household in any capacity, 67% were not managing personal care, and 19% were feeling very ill. Fifty-two percent of the caregivers spent 15 hours or more per week visiting and caring for the patient. At the 1-year follow-up, all ten surviving patients who could be interviewed agreed they would have a PEG again. Seventy percent of the caregivers said that they would want the same decision to be made. Although a majority of patients and caregivers did not regret the deci…
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The effect of enteral nutrition on functionality, mortality, and quality of life remains unclear.
“Nevertheless, the effect on functionality, mortality, and quality of life remains unclear (144-155).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [152]
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- Authors
- Verhoef, M. J., & Van Rosendaal, G. M. A.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Verhoef, Marja J.
- Venue
- Journal of Clinical Gastroenterology
- Published
- 2001-01
- Volume
- 32
- Issue
- 1
- Pages
- 49-53
- ISSN
- 0192-0790 (ISSN-L)
- OpenAlex
- W2079878747
- Cited by
- 78
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- percutaneous endoscopic gastrostomy, long-term enteral nutrition, quality of life, caregiver burden, social outcomes, patient outcomes, surrogate decision-making, prognosis
- MeSH terms
- Adolescent, Adult, Aged, Enteral Nutrition, Female, Follow-Up Studies, Gastroscopy, Gastrostomy, Humans, Male, Middle Aged, Prognosis, Quality of Life, Skin, Survival Rate, Treatment Outcome, Caregivers
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