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Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance

AIM: We aimed to evaluate patients’ survival and complications after percutaneous endoscopic gastrostomy (PEG) tube placement, the quality of information given to the decision-makers (relatives) before the procedure and their overall acceptance of the intervention. METHODS: We interviewed the relati...

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Autores principales: Stathopoulos, Petros, Karamanolis, George, Papanikolaou, Ioannis S., Polymeros, Dimitrios, Papadopoulos, Angelos A., Triantafyllou, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959458/
https://www.ncbi.nlm.nih.gov/pubmed/24714245
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author Stathopoulos, Petros
Karamanolis, George
Papanikolaou, Ioannis S.
Polymeros, Dimitrios
Papadopoulos, Angelos A.
Triantafyllou, Konstantinos
author_facet Stathopoulos, Petros
Karamanolis, George
Papanikolaou, Ioannis S.
Polymeros, Dimitrios
Papadopoulos, Angelos A.
Triantafyllou, Konstantinos
author_sort Stathopoulos, Petros
collection PubMed
description AIM: We aimed to evaluate patients’ survival and complications after percutaneous endoscopic gastrostomy (PEG) tube placement, the quality of information given to the decision-makers (relatives) before the procedure and their overall acceptance of the intervention. METHODS: We interviewed the relatives of 35 patients who underwent PEG tube placement in our facility from January 2008 to December 2009, using a structured questionnaire. RESULTS: Thirty-day survival rate was 83%. The cumulative median survival was 35 (95% CI: 27.7-42.3) days and it was not related to patient’s underlying condition. No patient died due to procedure related complication. Apart from topical skin reactions (26%), major complications, such as pneumonia, diarrhea, vomiting and tube misplacement were not common (3-11%). Although 83% of the decision-makers considered that they had provided an informed decision after being given comprehensive information about the procedure, 71% said that they had not adequately been informed about alternative methods. One third of the relatives considered that the intervention met their expectations and 67% of them would recommend PEG to other patients suffering from dysphagia. However, only 26% of decision-makers would consent again for PEG tube placement for their patient, while 69% did not answer this question. CONCLUSION: Patients’ outcomes after PEG tube placement are favorable. However, several decision-makers are not satisfied with the quality of information given before informed consent while the acceptance of the intervention is not very high.
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spelling pubmed-39594582014-04-07 Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance Stathopoulos, Petros Karamanolis, George Papanikolaou, Ioannis S. Polymeros, Dimitrios Papadopoulos, Angelos A. Triantafyllou, Konstantinos Ann Gastroenterol Original Article AIM: We aimed to evaluate patients’ survival and complications after percutaneous endoscopic gastrostomy (PEG) tube placement, the quality of information given to the decision-makers (relatives) before the procedure and their overall acceptance of the intervention. METHODS: We interviewed the relatives of 35 patients who underwent PEG tube placement in our facility from January 2008 to December 2009, using a structured questionnaire. RESULTS: Thirty-day survival rate was 83%. The cumulative median survival was 35 (95% CI: 27.7-42.3) days and it was not related to patient’s underlying condition. No patient died due to procedure related complication. Apart from topical skin reactions (26%), major complications, such as pneumonia, diarrhea, vomiting and tube misplacement were not common (3-11%). Although 83% of the decision-makers considered that they had provided an informed decision after being given comprehensive information about the procedure, 71% said that they had not adequately been informed about alternative methods. One third of the relatives considered that the intervention met their expectations and 67% of them would recommend PEG to other patients suffering from dysphagia. However, only 26% of decision-makers would consent again for PEG tube placement for their patient, while 69% did not answer this question. CONCLUSION: Patients’ outcomes after PEG tube placement are favorable. However, several decision-makers are not satisfied with the quality of information given before informed consent while the acceptance of the intervention is not very high. Hellenic Society of Gastroenterology 2011 /pmc/articles/PMC3959458/ /pubmed/24714245 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Stathopoulos, Petros
Karamanolis, George
Papanikolaou, Ioannis S.
Polymeros, Dimitrios
Papadopoulos, Angelos A.
Triantafyllou, Konstantinos
Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title_full Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title_fullStr Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title_full_unstemmed Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title_short Percutaneous endoscopic gastrostomy: Patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
title_sort percutaneous endoscopic gastrostomy: patients’ outcomes, adequacy and quality of information given to decision-makers and procedure acceptance
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959458/
https://www.ncbi.nlm.nih.gov/pubmed/24714245
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