Evidence map›Paper›PMID 40637904›Full record

ArticleSurgery today2025

Trends, demographic patterns, and regional disparities in gastrostomy: a nationwide population-based cohort study in Japan from 2014 to 2022.

Masamitsu Kido, Katsutoshi Shoda, Ken Inoue, Ryotaro Ishii, Reiko Kato, Daisuke Ichikawa

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

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5 · Who and what money

Authors and funding

6 authors.

Masamitsu KidoDepartment of Orthopedic Surgery, Inage Hospital, 6-21-3 Konakadai, Inage-Ku, Chiba, 2630043, Japan.
Katsutoshi ShodaFirst Department of Surgery, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan. kshoda@yamanashi.ac.jp.
Ken InoueDepartment of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ryotaro IshiiDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Reiko KatoDepartment of Pediatric Surgery, Surgical Medicine, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Daisuke IchikawaFirst Department of Surgery, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study explored the trends, demographic patterns, and regional disparities in gastrostomy procedures using Japanese nationwide receipt databases.

methodsAge- and sex-stratified data on gastrostomy procedures from 2014 to 2022 were analyzed using Jonckheere-Terpstra tests and Poisson regression models. The number of inpatient gastrostomies, surgeons, physicians in gastroenterology, and neurologists (with and without board certification) were assessed by prefecture. Disparities across 47 prefectures and urban-rural disparities were quantified using Gini coefficients and unpaired t-tests. Correlations were assessed using Pearson's correlation method.

resultsThe average annual number of gastrostomies was 55,577 (rate: 44.0 per 100,000), with a slight male predominance (male-to-female ratio, 1:0.9). A minor peak occurred in the 0-4 year-old age group (9.6 procedures), followed by a sharp increase after 40 years old, peaking at ≥ 90 years (374.8 procedures). The age-adjusted rates declined overall (risk ratio: 0.957-0.959, P < 0.0001), particularly among the elderly. The Gini coefficient showed low inequality for gastrostomies. The number of gastrostomies was significantly higher in rural than in urban regions. Moderate correlations were found between the number of gastrostomies and the number of surgeons and physicians in gastroenterology without board certification.

conclusionThis study highlights demographic and regional disparities in gastrostomy practices in Japan.

Indexed as

GastrostomyHealthcare DisparitiesAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesDemographyFemaleHumansInfantInfant, NewbornJapanMaleDatabaseEpidemiologyGastrostomyInequality

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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.