Outcome of gastrostomy in parkinsonism: A retrospective study

Marois, Clémence; Amador, Maria del Mar; Payán, C.; Lacomblez, Lucette; Bonnet, Anne‐Marie; Degos, Bertrand; Corvol, Jean‐Christophe; Vidailhet, Marie; Forestier, Nadine Le; Mesnage, Valérie; Grabli, David

doi:10.1016/j.parkreldis.2017.06.012

Cited by 15 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These rates are consistent with published data, although the populations studied vary. 7,8,16 Median survival is also consistent with published data. 17 PEG insertion was relatively infrequent considering how many patients with PD are seen in our clinics.…”

Section: Discussionsupporting

confidence: 88%

“…The rate of aspiration pneumonia in our study is consistent with other recent studies, which estimate rates of 31% to 46%. 7,8 Aspiration pneumonia is often cited as a potential indication for PEG feeding, 14 so it is important that clinicians, patients, and staff are aware that aspiration pneumonia remains a significant problem after PEG and is a leading cause of death. The reason aspiration pneumonia still occurs is likely attributed to the aspiration of saliva, food taken orally (as not all PEG-fed patients take their entire diet by tube), and aspiration of regurgitated PEG feed.…”

Section: Discussionmentioning

confidence: 99%

“…Two such studies estimated survival in parkinsonian conditions to be 186 days to 1.2 years, but the studies were small: the combined number of patients with PD in these 2 studies was no more than 18. 7,8 Worse outcomes in fully dependent patients were reported, and pneumonia was a common adverse event. Larger studies of PEG outcomes have included patients with PD, but outcomes specific to PD are not reported.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Mortality and Institutionalization After Percutaneous Endoscopic Gastrostomy in Parkinson's Disease and Related Conditions

Brown

Oswal

Samra

et al. 2020

Movement Disord Clin Pract

View full text Add to dashboard Cite

BackgroundBackground: Percutaneous endoscopic gastrostomy (PEG) can facilitate feeding and medication administration in dysphagic patients with Parkinson's disease and related disorders. Information on survival, institutionalization, and complications post PEG might inform feeding decisions. Method Method: A total of 93 patients with Parkinson's disease and related disorders were identified by review of PEG registers and by searching the administrative databases in 2 large UK university hospitals (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017); 83 case notes were available for retrospective review. Care processes and outcomes were assessed. ResultsResults: The following were the diagnoses: 58 (70%) had Parkinson's disease, 10 (12%) had progressive supranuclear palsy, 5 (6%) had multiple system atrophy, 3 (4%) had dementia with Lewy bodies, and 7 (8%) had vascular parkinsonism. The median age was 78 years (interquartile range 72-82); 29 (35%) were women. Care processes included a future care plan in place prior to admission for 18 patients (22%), and PEG was placed during emergency admission in 68 patients (82%). The outcomes included median survival at 422 days; 30-day mortality rate was 6% (5 patients); and of 56 patients admitted from home, 18 (32%) were discharged to institutions (nursing or care homes). The most common complication was aspiration pneumonia for 18 (22%) of patients. Age, sex, diagnosis, admission type, comorbidities, and place of residence did not predict survival. Discharge to own home and follow-up by the home enteral feeding team were associated with longer survival. Conclusion Conclusion:We recommend markers of advanced disease should prompt advanced care planning. Discussions about PEG feeding should include information about post-PEG survival, complications, and risk of institutionalization. Further research is needed on quality-of-life post PEG and ways to reduce aspiration pneumonia. All PEG patients should have nutrition team follow-up.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Mortality and Institutionalization After Percutaneous Endoscopic Gastrostomy in Parkinson's Disease and Related Conditions

Brown

Oswal

Samra

et al. 2020

Movement Disord Clin Pract

View full text Add to dashboard Cite

show abstract

“…In contrast, in ALS, GT placement has been shown to prolong life, [8] , [9] guiding current practice. While there are no controlled trials, observational data in PD suggest no survival benefit [18] , [19] . As the vast majority of advanced PD patients develop dementia, they may be treated under this general guideline (i.e.…”

Section: Discussionmentioning

confidence: 99%

Trends and outcomes associated with gastrostomy tube placement in common neurodegenerative disorders

Kim

Jones

Shireman

et al. 2021

Clinical Parkinsonism & Related Disorders

View full text Add to dashboard Cite

show abstract

“…Furthermore, gastrostomy feeding does not prevent aspiration pneumonia in patients with PD and has been shown to have a median (95% confidence interval) survival post-procedure of 186 (62-309) days in such patients with level of dependency being significantly negatively associated with survival. 6 Hence, in advanced stages of PD, often with severe dementia or towards end of life, the multidisciplinary team is prompted to consider other options.…”

Section: Malnutritionmentioning

confidence: 99%

Risk feeding in the advanced stages of Parkinson's disease

Evans¹,

Soar²,

Lang³

et al. 2019

Prog Neurol Psychiatry

View full text Add to dashboard Cite

The motor and non‐motor symptoms of Parkinson's disease have been demonstrated to have a significantly detrimental impact on quality of life with an associated increase in care needs as the disease progresses, with dysphagia occurring in more than 80% of patients with the disease. Here, the authors describe the successful implementation of a novel care bundle called FORWARD (Feeding via the Oral Route With Acknowledged Risk of Deterioration) devised by a multiprofessional team to support patients who have an unsafe swallow.

show abstract

Outcome of gastrostomy in parkinsonism: A retrospective study

Cited by 15 publications

References 14 publications

Mortality and Institutionalization After Percutaneous Endoscopic Gastrostomy in Parkinson's Disease and Related Conditions

Mortality and Institutionalization After Percutaneous Endoscopic Gastrostomy in Parkinson's Disease and Related Conditions

Trends and outcomes associated with gastrostomy tube placement in common neurodegenerative disorders

Risk feeding in the advanced stages of Parkinson's disease

Contact Info

Product

Resources

About