Long-term prognosis after percutaneous endoscopic gastrostomy (PEG) in a Japanese community hospital—A retrospective cohort study

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  • 地域病院における経皮内視鏡的胃瘻造設術 (PEG) の長期生命予後—後ろ向きコホート研究
  • 地域病院における経皮内視鏡的胃瘻造設術(PEG)の長期生命予後 : 後ろ向きコホート研究
  • チイキ ビョウイン ニ オケル ケイヒ ナイシキョウテキ イロウゾウセツジュツ(PEG)ノ チョウキ セイメイ ヨゴ : ウシロ ムキ コホート ケンキュウ

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Abstract

Abstract<br>Introduction : The aim of this historical cohort study was to report the long-term survival rates of patients who received percutaneous endoscopic gastrostomy (PEG) at an intermediate-sized local hospital in Japan.<br>Subject/Method : Patients who underwent PEG between January 1, 2004 and September 1, 2006 at Aomori Kyoritsu Hospital were followed up until September 1, 2009 through a review of their medical records and telephone interviews.<br> The cumulative survival rate with a 95% confidence interval was estimated by the Kaplan-Meier method.<br>Results : A total of 332 subjects whose ages were 77.5±9.5 years (mean±SD ; median, 78 years) at the start of observation. The proportion of patients whose follow-up was possible was 92.8% (308/332).<br> The cumulative survival rates were as follows : 90.3% for 30 days ; 61.8% for 1 year ; 47.9% for 2 years ; 37.6% for 3 years ; and 21.5% for 5 years.<br>Conclusion : In Japan, the long-term survival rate of PEG recipients at a local intermediate-size hospital was almost the same as the rates obtained in tertiary-care hospitals ; however, the reasons for performing PEG may have been different from those in the latter hospitals.

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