{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:52:36Z","timestamp":1786978356372,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:00:00Z","timestamp":1591660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Percutaneous endoscopic gastrostomy (PEG) can facilitate feeding and medication administration in dysphagic patients with Parkinson's disease and related disorders. Information on survival, institutionalization, and complications post PEG might inform feeding decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 93 patients with Parkinson's disease and related disorders were identified by review of PEG registers and by searching the administrative databases in 2 large UK university hospitals (2005\u20132017); 83 case notes were available for retrospective review. Care processes and outcomes were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The following were the diagnoses: 58 (70%) had Parkinson's disease, 10 (12%) had progressive supranuclear palsy, 5 (6%) had multiple system atrophy, 3 (4%) had dementia with Lewy bodies, and 7 (8%) had vascular parkinsonism. The median age was 78\u2009years (interquartile range 72\u201382); 29 (35%) were women. Care processes included a future care plan in place prior to admission for 18 patients (22%), and PEG was placed during emergency admission in 68 patients (82%). The outcomes included median survival at 422\u2009days; 30\u2010day mortality rate was 6% (5 patients); and of 56 patients admitted from home, 18 (32%) were discharged to institutions (nursing or care homes). The most common complication was aspiration pneumonia for 18 (22%) of patients. Age, sex, diagnosis, admission type, comorbidities, and place of residence did not predict survival. Discharge to own home and follow\u2010up by the home enteral feeding team were associated with longer survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We recommend markers of advanced disease should prompt advanced care planning. Discussions about PEG feeding should include information about post\u2010PEG survival, complications, and risk of institutionalization. Further research is needed on quality\u2010of\u2010life post PEG and ways to reduce aspiration pneumonia. All PEG patients should have nutrition team follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.12971","type":"journal-article","created":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T10:39:49Z","timestamp":1589107189000},"page":"509-515","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Mortality and Institutionalization After Percutaneous Endoscopic Gastrostomy in Parkinson's Disease and Related Conditions"],"prefix":"10.1002","volume":"7","author":[{"given":"Lisa","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Neurology, Royal Derby Hospital, University Hospitals of Derby and Burton  Derby DE22 3NE United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Oswal","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrit\u2010Deep","family":"Samra","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Burch","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Colby","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lindahl","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospitals of Coventry and Warwickshire  Coventry CV2 2DX United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Skelly","sequence":"additional","affiliation":[{"name":"Department of Medicine for the Elderly, Royal Derby Hospital, University Hospitals of Derby and Burton  Derby DE22 3NE United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-015-9671-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2016-314956"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.09.005"},{"key":"e_1_2_8_5_1","first-page":"S170","article-title":"Systematic review of the evidence for percutaneous gastrostomy tube feeding or nasogastric tube feeding in patients with dysphagia due to idiopathic Parkinson's disease","volume":"26","author":"Lonnen JSM","year":"2011","journal-title":"Mov Disord"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2012.01.054"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.11.1351"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2016.106"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2017.06.012"},{"key":"e_1_2_8_10_1","unstructured":"BoweringK.Analysis Of Routine Hospital Administrative Data (Including Hospital Episode Statistics) to Assess Variation in Process and Outcomes in Gastroenterology[thesis].https:\/\/livrepository.liverpool.ac.uk\/15135\/1\/BoweringKat_Jan2014_15135.pdf."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2007.00827.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00075197-200201000-00007"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.013"},{"key":"e_1_2_8_14_1","volume-title":"Clinically\u2010Assisted Nutrition and Hydration (CANH) and Adults Who Lack the Capacity to Consent. Guidance for Decision\u2010Making in England and Wales","author":"British Medical Association\/Royal College of Physicians","year":"2018"},{"key":"e_1_2_8_15_1","unstructured":"National Confidential Enquiry into Patient Outcomes and Death. Scoping our practice. The 2004 report of the National Confidential Enquiry into Patient Outcomes and Death.https:\/\/www.ncepod.org.uk\/2004report\/Full_Report_2004.pdf. Accessed October 19 2019."},{"key":"e_1_2_8_16_1","unstructured":"National Institute of Health and Care Excellence. Parkinson's disease in adults. NICE Guideline NG71.https:\/\/www.nice.org.uk\/guidance\/ng71. 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