Evidence map›Paper›PMID 29131450›Full record

ArticleHead & neck2018

Potential for health care cost savings with preoperative gastrostomy tube placement in the head and neck cancer population.

Ashley C Mays, Harrison G Bartels, Paul R Wistermayer, Matt L Rohlfing, Christopher M Gentile, Ralph D'Agostino, Joshua D Waltonen

Open access · greenAbstract readComparative Study
In one paragraph

Article in Head & neck, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Swallowing Outcomes in Elderly Patients following Microvascular Reconstruction of the Head and Neck.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ashley C MaysDepartment of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas.ORCID http://orcid.org/0000-0002-2475-8479
Harrison G BartelsWake Forest University School of Medicine, Winston Salem, North Carolina.
Paul R WistermayerWake Forest University School of Medicine, Winston Salem, North Carolina.
Matt L RohlfingWake Forest University School of Medicine, Winston Salem, North Carolina.
Christopher M GentileWake Forest University School of Medicine, Winston Salem, North Carolina.
Ralph D'AgostinoWake Forest University Biostatistical Sciences, Winston Salem, North Carolina.
Joshua D WaltonenWake Forest University Otolaryngology, Winston Salem, North Carolina.
Wake Forest University · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

backgroundThe purpose of this study was to examine the cost differences between preoperative and postoperative placement of gastrostomy tubes (G-tubes) in patients with head and neck cancer.

methodsWe conducted a retrospective chart review of patients with aerodigestive tract cancers from 2010 to 2015. Data included inpatient and postdischarge costs, demographics, tumor characteristics, surgical treatment, length of stay (LOS), time spent in the intensive care unit (ICU), and readmissions.

resultsFive hundred ninety patients were included in this study. There was a $7624 inpatient cost savings (P = .002) for those G-tubes placed preoperatively ($26 060) versus postoperatively ($33 754). Postdischarge costs did not differ significantly between groups (P = .60). There was a $9248 total costs savings (P = .009) for those patients with G-tubes placed preoperatively ($39 751) versus postoperatively ($48 999), despite patients with preoperative G-tubes having lower body mass index (BMI; P = .009), higher Association of Anesthesiologist (ASA) class (P = .02), more preoperative radiation (P < .001), and more free tissue transfer reconstruction (P = .007).

conclusionThere is potential for savings by placing G-tubes preoperatively, possibly driven by decreased LOS, despite data suggesting that patients with G-tubes placed preoperatively are higher risk.

Indexed as

Cost SavingsHealth Care CostsAgedCohort StudiesCost-Benefit AnalysisEnteral NutritionGastrostomyHead and Neck NeoplasmsHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative CarePreoperative CareRetrospective Studiescosts of caredysphagiahead and neck cancerhead and neck oncologysurgical outcomes

Identifiers

PMID29131450
PMCPMC8080270
OpenAlexW2769533893

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.