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Changes in Medical Charges Following Intensive Multidisciplinary Intervention for Pediatric Gastrostomy Tube

Robert Dempster1, Parker Huston2, Anthony Castillo3

  • 1From the Comprehensive Pediatric Feeding and Swallowing Program, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH.

Journal of Pediatric Gastroenterology and Nutrition
|January 31, 2023
PubMed

Insights

Intensive multidisciplinary intervention (IMI) significantly reduced healthcare costs for children with feeding disorders. Patients receiving IMI saw a 71% decrease in charges, while controls saw a 22% increase.

Area of Science:

  • Pediatrics
  • Health Economics
  • Gastroenterology

Background:

  • Pediatric feeding disorders are complex and require intensive, evidence-based treatment.
  • Intensive multidisciplinary intervention (IMI) is the leading approach for these disorders.
  • Gastrostomy tube dependence is a significant indicator of feeding disorder severity and associated healthcare costs.

Purpose of the Study:

  • To explore the impact of IMI on healthcare charges for pediatric patients dependent on gastrostomy tubes.
  • To compare healthcare charges between patients undergoing IMI and a waitlist control group.
  • To assess the short-term cost-effectiveness of IMI.

Main Methods:

  • A comparative study involving 9 families in the IMI group and 6 families in the waitlist control group.
  • Assessment of medical charges for both groups over multiple years.
  • Analysis of raw charges and year-over-year changes in medical expenditures.

Main Results:

  • The IMI group experienced an average decrease of 71% in healthcare charges in the year post-intervention.
  • The control group, awaiting IMI, showed an average increase of 22% in healthcare charges during the same period.
  • IMI demonstrated a significant reduction in healthcare utilization and associated costs.

Conclusions:

  • IMI offers substantial cost-savings in the year following treatment for pediatric feeding disorders.
  • These findings support previous research on the long-term economic benefits of IMI.
  • IMI represents a cost-effective strategy for managing pediatric feeding disorders and reducing healthcare burden.
Abstract

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