National trends in gastrostomy in older adults between 2014 and 2019 in Japan
National trends in gastrostomy in older adults between 2014 and 2019 in Japan
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DOI：
10.1111/ggi.14433
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发表时间：
2022-07-05
影响因子：
3.3
通讯作者：
Yamanaka，Takashi
中科院分区：
文献类型：
--
作者：
Hattori，Yukari;Hamada，Shota;Yamanaka，Takashi
目的以前的研究已经显示了2016年前胃造口术数量的时间趋势，但最近的趋势还有待分析。本研究旨在评估近年来日本老年人胃造口术(主要是经皮内窥镜胃造口术)的时间趋势。方法利用2014-2019年全国汇总开放数据(NDB Open Data)，提取胃造口次数和胃造口术前吞咽功能评估的数据。从2014年到2016年，老年人的胃造口术总数呈下降趋势，但此后几乎保持稳定(2014年为57 103,2016年为47 228,2019年为47 944)。从2014年到2019年，每100 000人的年龄组分层胃造口数减少了−33.9%(≥90 年龄组)至−6.1%(65-69 年龄组)。吞咽功能评估的实施率相对较低，但略有上升(2015年为21.4%，2019年为23.7%)。结论尽管人口老龄化，但2016年后胃造口术总数基本保持稳定。我们认为，在虚弱或残疾的老年人中避免胃造口术可能是减少的原因，特别是对于80岁以上的 年龄。我们的发现将重新引起人们对胃造口术适当决策的关注。Geriatr Gerontol Int 2022；22：648-652。
AimPrevious studies have shown temporal trends in the number of gastrostomies until 2016, but the recent trend is yet to be analyzed. This study aimed to evaluate temporal trends in gastrostomy (mostly percutaneous endoscopic gastrostomy) in older adults in Japan in more recent years.MethodsWe extracted data on the numbers of gastrostomies and swallowing function assessment prior to gastrostomy, using the national aggregated open data (NDB Open Data) from 2014 to 2019.ResultsAdults in their 80s accounted for the largest portion of gastrostomy during the study period. A decreasing trend in the total number of gastrostomy was observed in older adults from 2014 to 2016, but became almost stable thereafter (57 103 in 2014, 47 228 in 2016, and 47 944 in 2019). The age group‐stratified numbers of gastrostomy per 100 000 individuals decreased by −33.9% (≥90 years group) to −6.1% (65–69 years group) from 2014 to 2019. The implementation rate of the swallowing function assessment remained relatively low, despite a slight increase (21.4% in 2015 to 23.7% in 2019).ConclusionWe showed that the total number of gastrostomies remained almost stable after 2016 despite population aging. We considered that the avoidance of gastrostomy in frail or disabled older adults might explain the decrease, particularly for those aged over 80 years. Our findings would regain attention to appropriate decision‐making for gastrostomy.Geriatr Gerontol Int 2022; 22: 648–652.