Zhang XY, Wang LP, Zhang J, Shen Y, Fan DS. Factors affecting acceptance of percutaneous endoscopic gastrostomy in patients with amyotrophic lateral sclerosis.
Shijie Huaren Xiaohua Zazhi 2011;
19:749-753. [DOI:
10.11569/wcjd.v19.i7.749]
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Abstract
AIM: To investigate the conditions of use of percutaneous endoscopic gastrostomy (PEG) in Chinese patients with amyotrophic lateral sclerosis (ALS) and to analyze factors affecting acceptance of PEG in ALS patients.
METHODS: A total of 472 Chinese patients with ALS diagnosed from January 2005 to December 2007 were investigated using a specially designed questionnaire which contained 16 items pertaining to information about use of PEG. The investigation was performed via face to face/telephone/internet. The acquired data were analyzed and compared.
RESULTS: The overall percentage of ALS patients using PEG was 4.45% (21/472). This percentage year by year was 1.85% (1/54) in 2005, 1.66% (2/120) in 2006, and 6.04% (18/298) in 2007. Primary factor that made patients to receive PEG was doctors' advices (19/21, 90.5%), and other important causes were dysphagia (15/21, 71.4%) and propagating materials (10/21, 47.6%). The key ingredients preventing patients from using PEG were absence of doctors' advices (228/451, 50.6%), incomprehension to PEG (178/451, 39.5%), dread of risk and pain from PEG operation (178/451, 39.5%), and thought of incommodiousness post PEG (177/451, 39.2%).
CONCLUSION: The percentage of use of PEG in Chinese patients with ALS is low. The predominant factors affecting use of PEG in Chinese patients with ALS is doctors'advices.
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