Table 1.
Estimated National and Regional Rates of Gastrostomy and Gastrostomy/Fundoplication1
| 2000 | 2003 | 2006 | 2009 | 2012 | P for trend | |
|---|---|---|---|---|---|---|
| VLBW births | 49561 (45253–53868) |
48736 (45777–51695) |
54279 (51055–57503) |
52623 (49686–55561) |
47918 (45358–50479) |
– |
| Gastrostomy procedures | 570 (449–692) |
712 (598–826) |
824 (689–959) |
855 (724–987) |
1098 (927–1270) |
– |
| Rate of procedure(s) per 1000 VLBW live births (95% confidence intervals) | ||||||
| Gastrostomy (all) | 11.5 (10–13) |
14.6 (13–16) |
15.2 (14–17) |
16.3 (15–18) |
22.9 (20–25) |
<0.001 |
| Gastrostomy only | 6.7 (5–8) |
7.6 (7–8) |
9.3 (8–10) |
9.6 (8–11) |
14.4 (13–16) |
<0.001 |
| Gastrostomy with fundoplication | 4.8 (4–6) |
7.1 (6–8) |
5.9 (5–7) |
6.7 (6–8) |
8.5 (7–10) |
<0.001 |
| Rates of gastrostomy (95% CI) by census region | ||||||
| Northeast | 7.9 (6–10) |
7.7 (5.6–9.3) |
9.3 (7–11) |
11.8 (9–14) |
16 (11–20) |
<0.001 |
| Midwest | 12.5 (8–15) |
15.4 (13–17.6) |
16.6 (12–20) |
19.2 (15–22) |
24.1 (19–28) |
<0.001 |
| South | 10.6 (8–13) |
15.7 (13–18) |
15 (12–17) |
14.1 (11–17) |
25.5 (21–29) |
<0.001 |
| West | 15.4 (11–19) |
18.1 (14–22) |
19.3 (15–23) |
21.5 (17–25) |
22.3 (17––7) |
<0.001 |
1
For all the rates in the table, the numerator is the number procedures (either nationally or in the respective regions) and the denominator is the number of very low birth weight (VLBW) infants (either nationally or in the respective regions).