Grant
MD, Rudberg MA, Brody JA.
Gastrostomy placement and mortality among hospitalized Medicare beneficiaries.
JAMA 1998;279(24):1973-6.
The retrospective cohort study aimed to describe the population of hospitalized
Medicare beneficiaries having gastrostomies placed and their associated
mortality rates.
The study concluded that gastrostomies are more frequently placed in
blacks and older individuals. Mortality rates after placements are substantial
and, compared to whites, blacks had slightly lower 30-day mortality rates
but higher 1- and 3-year mortality rates.
The authors comment that the difference in rates between black and white
patients is difficult to explain. “The difference could also be
related to attitudes toward life-sustaining therapies, with black patients
possibly more inclined to desire enteral feeding.”