Evidence map›Paper›PMID 39360516›Full record

ArticleThe Laryngoscope2025

Cost Analysis of Avoiding Gastrostomy Tube in Robin Sequence Neonates that Undergo Mandibular Distraction.

Ryan H Belcher, Kalpana Patel, Steven Goudy, Alexander Gelbard, L Dupree Hatch, Emily A Morris, Michael Golinko, James D Phillips, Andrew Scott

Abstract read
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In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Ryan H BelcherVanderbilt Division of Pediatric Otolaryngology - Head and Neck Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, U.S.A.ORCID 0000-0002-9490-3694
Kalpana PatelSurgical Outcomes for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, U.S.A.
Steven GoudyDepartment of Pediatric Otolaryngology, Emory University, Atlanta, Georgia, U.S.A.ORCID 0000-0002-8255-3965
Alexander GelbardVanderbilt Department of Otolaryngology - Head and Neck Surgery, Nashville, Tennessee, U.S.A.ORCID 0000-0003-0078-1305
L Dupree HatchDepartemnt of Pediatrics, Division of Neonatology, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
Emily A MorrisDepartemnt of Pediatrics, Division of Neonatology, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
Michael GolinkoVanderbilt Cleft and Craniofacial Team, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, U.S.A.
James D PhillipsVanderbilt Division of Pediatric Otolaryngology - Head and Neck Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, U.S.A.
Andrew ScottDr. Elie E. Rebeiz Department of Otolaryngology - Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, U.S.A.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives/hypothesisTo evaluate costs associated with perioperative gastrostomy tube (G-tube) placement for neonates with Robin sequence (PRS) that undergo mandibular distraction osteogenesis (MDO).

methodsRetrospective chart review was performed to examine the medical records of neonates with RS who received treatment at our institution between 2012 and 2021. Patients under 6 months of age that underwent MDO for RS were included. Billing records of hospital costs over a 2-year period were analyzed.

resultsThe study included 26 total patients with 11 in the MDO-only group, 9 in G-tube after MDO group, and 6 in G-tube before MDO group. There was a significant difference (p < 0.001) in total hospital costs between groups with MDO-only group averaging $119,532 (SD

conclusionsMDO performed without perioperative G-tube placement may reduce charges by >$100,000. The associated improvement of dysphagia after MDO surgery and potential for avoiding a G-tube has tremendous downstream cost and social benefits for families. LEVEL OF EVIDENCE: NA Laryngoscope, 135:1192-1198, 2025.

Indexed as

GastrostomyHospital CostsMandibleOsteogenesis, DistractionPierre Robin SyndromeCosts and Cost AnalysisFemaleHumansInfantInfant, NewbornMaleRetrospective Studiescost analysiscraniofacialdysphagiamandibular distraction osteogenesisPierre Robin sequence

Identifiers

PMID39360516
PMCPMC11830964

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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.