ArticleClinical medicine (London, England)2011
Helping the general physician to improve outcomes after PEG insertion: how we changed our practice.
Article in Clinical medicine (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances.The Cochrane database of systematic reviews · 2015Pooled it
- Physician opinions on decision making for percutaneous endoscopic gastrostomy (PEG) feeding tube placement.Surgical endoscopy · 2019Article
- Difficulties with percutaneous endoscopic gastrostomy (PEG): a practical guide for the endoscopist.Irish journal of medical science · 2013Review
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During their careers, most general physicians are involved in the decision-making process for patients that potentially require percutaneous endoscopic gastrostomy (PEG) insertion. However, poor patient selection and less than favourable outcomes are frequently observed in this group. With the aim of identifying and addressing the underlying issues, the PEG service at University Hospital Llandough was radically changed over an eight-year period. The development of a nurse-led pre-assessment service and design of a specific referral form was successful in reducing the number of PEG referrals and consequently the 30-day mortality rate. Furthermore, the educational and training needs of general physicians of all grades regarding the issues surrounding PEG placement were identified and addressed at formal teaching sessions. A combination of these factors has positively impacted on our service, with more appropriate patient selection and a reduced 30-day mortality rate.
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