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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2011
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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. |
format | Online Article Text |
id | pubmed-3959458 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
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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