Concomitant Fundoplication with Gastrostomy: A Two-State Comparison Showing Continued Use of Reflux Medications

David Fox, Elizabeth J. Campagna, S. Maria Finnell, David A. Partrick, Allison Kempe

Research output: Contribution to journalArticle

Abstract

OBJECTIVES:: We sought to determine if practice differences for fundoplication exist between two geographically distinct states, and to determine the reflux medication use pattern associated with concomitant fundoplication. METHODS:: A retrospective observational cohort study of children in Colorado (CO) and North Carolina (NC) insured by Medicaid from 2006–2008. Children who received a surgical gastrostomy during the study period were included, and our primary outcome measure was the performance of a concomitant gastric fundoplication. Thirty-day prescription fills for reflux medications were examined pre and post gastrostomy procedure. RESULTS:: We examined 969 surgical gastrostomy admission in both states over the three year study period (CO, n?=?341 and NC, n?=?628). Patients in each state had similar age (Median age, 6 months, p?=?0.97). Use of pH probe (CO: 15%, NC: 11%) and diagnosis of reflux (CO: 84%, NC: 72%) differed in each state. Concomitant fundoplication was performed in 60% of patients in CO and 43% in North Carolina (p?

Original languageEnglish (US)
JournalJournal of Pediatric Gastroenterology and Nutrition
DOIs
StateAccepted/In press - Apr 8 2016

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Fundoplication
Gastrostomy
Medicaid
Observational Studies
Prescriptions
Stomach
Cohort Studies
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Gastroenterology
  • Pediatrics, Perinatology, and Child Health

Cite this

Concomitant Fundoplication with Gastrostomy : A Two-State Comparison Showing Continued Use of Reflux Medications. / Fox, David; Campagna, Elizabeth J.; Finnell, S. Maria; Partrick, David A.; Kempe, Allison.

In: Journal of Pediatric Gastroenterology and Nutrition, 08.04.2016.

Research output: Contribution to journalArticle

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title = "Concomitant Fundoplication with Gastrostomy: A Two-State Comparison Showing Continued Use of Reflux Medications",
abstract = "OBJECTIVES:: We sought to determine if practice differences for fundoplication exist between two geographically distinct states, and to determine the reflux medication use pattern associated with concomitant fundoplication. METHODS:: A retrospective observational cohort study of children in Colorado (CO) and North Carolina (NC) insured by Medicaid from 2006–2008. Children who received a surgical gastrostomy during the study period were included, and our primary outcome measure was the performance of a concomitant gastric fundoplication. Thirty-day prescription fills for reflux medications were examined pre and post gastrostomy procedure. RESULTS:: We examined 969 surgical gastrostomy admission in both states over the three year study period (CO, n?=?341 and NC, n?=?628). Patients in each state had similar age (Median age, 6 months, p?=?0.97). Use of pH probe (CO: 15{\%}, NC: 11{\%}) and diagnosis of reflux (CO: 84{\%}, NC: 72{\%}) differed in each state. Concomitant fundoplication was performed in 60{\%} of patients in CO and 43{\%} in North Carolina (p?",
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AU - Kempe, Allison

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N2 - OBJECTIVES:: We sought to determine if practice differences for fundoplication exist between two geographically distinct states, and to determine the reflux medication use pattern associated with concomitant fundoplication. METHODS:: A retrospective observational cohort study of children in Colorado (CO) and North Carolina (NC) insured by Medicaid from 2006–2008. Children who received a surgical gastrostomy during the study period were included, and our primary outcome measure was the performance of a concomitant gastric fundoplication. Thirty-day prescription fills for reflux medications were examined pre and post gastrostomy procedure. RESULTS:: We examined 969 surgical gastrostomy admission in both states over the three year study period (CO, n?=?341 and NC, n?=?628). Patients in each state had similar age (Median age, 6 months, p?=?0.97). Use of pH probe (CO: 15%, NC: 11%) and diagnosis of reflux (CO: 84%, NC: 72%) differed in each state. Concomitant fundoplication was performed in 60% of patients in CO and 43% in North Carolina (p?

AB - OBJECTIVES:: We sought to determine if practice differences for fundoplication exist between two geographically distinct states, and to determine the reflux medication use pattern associated with concomitant fundoplication. METHODS:: A retrospective observational cohort study of children in Colorado (CO) and North Carolina (NC) insured by Medicaid from 2006–2008. Children who received a surgical gastrostomy during the study period were included, and our primary outcome measure was the performance of a concomitant gastric fundoplication. Thirty-day prescription fills for reflux medications were examined pre and post gastrostomy procedure. RESULTS:: We examined 969 surgical gastrostomy admission in both states over the three year study period (CO, n?=?341 and NC, n?=?628). Patients in each state had similar age (Median age, 6 months, p?=?0.97). Use of pH probe (CO: 15%, NC: 11%) and diagnosis of reflux (CO: 84%, NC: 72%) differed in each state. Concomitant fundoplication was performed in 60% of patients in CO and 43% in North Carolina (p?

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