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Gastrostomy and congenital anomalies: a European population-based study

Ester Garne Orcid Logo, Joachim Tan, Maria Loane, Silvia Baldacci Orcid Logo, Elisa Ballardini, Joanne Brigden, Clara Cavero-Carbonell, Laura García-Villodre, Mika Gissler, Joanne Given, Anna Heino, Sue Jordan, Elizabeth Limb, Amanda Julie Neville, Anke Rissmann Orcid Logo, Michele Santoro, Ieuan Scanlon, Stine Kjaer Urhoj Orcid Logo, Diana G Wellesley, Joan Morris Orcid Logo

BMJ Paediatrics Open, Volume: 6, Issue: 1, Start page: e001526

Swansea University Authors: Sue Jordan, Ieuan Scanlon

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DOI (Published version): 10.1136/bmjpo-2022-001526

Abstract

Objective To report and compare the proportion of children with and without congenital anomalies undergoing gastrostomy for tube feeding in their first 5 years.Methods A European, population-based data-linkage cohort study (EUROlinkCAT). Children up to 5 years of age registered in nine EUROCAT regis...

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Published in: BMJ Paediatrics Open
ISSN: 2399-9772
Published: BMJ 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60337
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Children up to 5 years of age registered in nine EUROCAT registries (national and regional) in six countries and children without congenital anomalies (reference children) living in the same geographical areas were included. Data on hospitalisation and surgical procedures for all children were obtained by electronic linkage to hospital databases.Results The study included 91 504 EUROCAT children and 1 960 272 reference children. Overall, 1200 (1.3%, 95% CI 1.2% to 1.6%) EUROCAT children and 374 (0.016%, 95% CI 0.009% to 0.026%) reference children had a surgical code for gastrostomy within the first 5 years of life. There were geographical variations across Europe with higher rates in Northern Europe compared with Southern Europe. Around one in four children with Cornelia de Lange syndrome and Wolf-Hirschhorn syndrome had a gastrostomy. Among children with structural anomalies, those with oesophageal atresia had the highest proportion of gastrostomy (15.9%).Conclusions This study including almost 2 million reference children in Europe found that only 0.016% of these children had a surgery code for gastrostomy before age 5 years. The children with congenital anomalies were on average 80 times more likely to need a gastrostomy before age 5 years than children without congenital anomalies. 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spelling 2025-05-16T10:37:01.6272929 v2 60337 2022-06-29 Gastrostomy and congenital anomalies: a European population-based study 24ce9db29b4bde1af4e83b388aae0ea1 Sue Jordan Sue Jordan true false 9fcb224c6bd804a4d41a2a8570a71185 Ieuan Scanlon Ieuan Scanlon true false 2022-06-29 Objective To report and compare the proportion of children with and without congenital anomalies undergoing gastrostomy for tube feeding in their first 5 years.Methods A European, population-based data-linkage cohort study (EUROlinkCAT). Children up to 5 years of age registered in nine EUROCAT registries (national and regional) in six countries and children without congenital anomalies (reference children) living in the same geographical areas were included. Data on hospitalisation and surgical procedures for all children were obtained by electronic linkage to hospital databases.Results The study included 91 504 EUROCAT children and 1 960 272 reference children. Overall, 1200 (1.3%, 95% CI 1.2% to 1.6%) EUROCAT children and 374 (0.016%, 95% CI 0.009% to 0.026%) reference children had a surgical code for gastrostomy within the first 5 years of life. There were geographical variations across Europe with higher rates in Northern Europe compared with Southern Europe. Around one in four children with Cornelia de Lange syndrome and Wolf-Hirschhorn syndrome had a gastrostomy. Among children with structural anomalies, those with oesophageal atresia had the highest proportion of gastrostomy (15.9%).Conclusions This study including almost 2 million reference children in Europe found that only 0.016% of these children had a surgery code for gastrostomy before age 5 years. The children with congenital anomalies were on average 80 times more likely to need a gastrostomy before age 5 years than children without congenital anomalies. More than two-thirds of gastrostomy procedures performed within the first 5 years of life were in children with congenital anomalies. Journal Article BMJ Paediatrics Open 6 1 e001526 BMJ 2399-9772 24 6 2022 2022-06-24 10.1136/bmjpo-2022-001526 COLLEGE NANME COLLEGE CODE Swansea University Another institution paid the OA fee This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement no. 733001. 2025-05-16T10:37:01.6272929 2022-06-29T16:44:35.2967506 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Ester Garne 0000-0003-0430-2594 1 Joachim Tan 2 Maria Loane 3 Silvia Baldacci 0000-0002-7626-1202 4 Elisa Ballardini 5 Joanne Brigden 6 Clara Cavero-Carbonell 7 Laura García-Villodre 8 Mika Gissler 9 Joanne Given 10 Anna Heino 11 Sue Jordan 12 Elizabeth Limb 13 Amanda Julie Neville 14 Anke Rissmann 0000-0002-9437-2790 15 Michele Santoro 16 Ieuan Scanlon 17 Stine Kjaer Urhoj 0000-0002-2069-9723 18 Diana G Wellesley 19 Joan Morris 0000-0002-7164-612x 20 60337__29407__c7b573838cab4cecabeba253df5b93d1.pdf 60337.pdf 2024-01-08T14:43:18.0157961 Output 336273 application/pdf Version of Record true © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. true eng https://creativecommons.org/licenses/by/4.0/
title Gastrostomy and congenital anomalies: a European population-based study
spellingShingle Gastrostomy and congenital anomalies: a European population-based study
Sue Jordan
Ieuan Scanlon
title_short Gastrostomy and congenital anomalies: a European population-based study
title_full Gastrostomy and congenital anomalies: a European population-based study
title_fullStr Gastrostomy and congenital anomalies: a European population-based study
title_full_unstemmed Gastrostomy and congenital anomalies: a European population-based study
title_sort Gastrostomy and congenital anomalies: a European population-based study
author_id_str_mv 24ce9db29b4bde1af4e83b388aae0ea1
9fcb224c6bd804a4d41a2a8570a71185
author_id_fullname_str_mv 24ce9db29b4bde1af4e83b388aae0ea1_***_Sue Jordan
9fcb224c6bd804a4d41a2a8570a71185_***_Ieuan Scanlon
author Sue Jordan
Ieuan Scanlon
author2 Ester Garne
Joachim Tan
Maria Loane
Silvia Baldacci
Elisa Ballardini
Joanne Brigden
Clara Cavero-Carbonell
Laura García-Villodre
Mika Gissler
Joanne Given
Anna Heino
Sue Jordan
Elizabeth Limb
Amanda Julie Neville
Anke Rissmann
Michele Santoro
Ieuan Scanlon
Stine Kjaer Urhoj
Diana G Wellesley
Joan Morris
format Journal article
container_title BMJ Paediatrics Open
container_volume 6
container_issue 1
container_start_page e001526
publishDate 2022
institution Swansea University
issn 2399-9772
doi_str_mv 10.1136/bmjpo-2022-001526
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description Objective To report and compare the proportion of children with and without congenital anomalies undergoing gastrostomy for tube feeding in their first 5 years.Methods A European, population-based data-linkage cohort study (EUROlinkCAT). Children up to 5 years of age registered in nine EUROCAT registries (national and regional) in six countries and children without congenital anomalies (reference children) living in the same geographical areas were included. Data on hospitalisation and surgical procedures for all children were obtained by electronic linkage to hospital databases.Results The study included 91 504 EUROCAT children and 1 960 272 reference children. Overall, 1200 (1.3%, 95% CI 1.2% to 1.6%) EUROCAT children and 374 (0.016%, 95% CI 0.009% to 0.026%) reference children had a surgical code for gastrostomy within the first 5 years of life. There were geographical variations across Europe with higher rates in Northern Europe compared with Southern Europe. Around one in four children with Cornelia de Lange syndrome and Wolf-Hirschhorn syndrome had a gastrostomy. Among children with structural anomalies, those with oesophageal atresia had the highest proportion of gastrostomy (15.9%).Conclusions This study including almost 2 million reference children in Europe found that only 0.016% of these children had a surgery code for gastrostomy before age 5 years. The children with congenital anomalies were on average 80 times more likely to need a gastrostomy before age 5 years than children without congenital anomalies. More than two-thirds of gastrostomy procedures performed within the first 5 years of life were in children with congenital anomalies.
published_date 2022-06-24T05:04:28Z
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