{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:47:36Z","timestamp":1773330456693,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T00:00:00Z","timestamp":1656979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K18868"],"award-info":[{"award-number":["20K18868"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Previous studies have shown temporal trends in the number of gastrostomies until 2016, but the recent trend is yet to be analyzed. This study aimed to evaluate temporal trends in gastrostomy (mostly percutaneous endoscopic gastrostomy) in older adults in Japan in more recent years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We extracted data on the numbers of gastrostomies and swallowing function assessment prior to gastrostomy, using the national aggregated open data (NDB Open Data) from 2014 to 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adults in their 80s accounted for the largest portion of gastrostomy during the study period. A decreasing trend in the total number of gastrostomy was observed in older adults from 2014 to 2016, but became almost stable thereafter (57\u2009103 in 2014, 47\u2009228 in 2016, and 47\u2009944 in 2019). The age group\u2010stratified numbers of gastrostomy per 100\u2009000 individuals decreased by \u221233.9% (\u226590\u2009years group) to \u22126.1% (65\u201369\u2009years group) from 2014 to 2019. The implementation rate of the swallowing function assessment remained relatively low, despite a slight increase (21.4% in 2015 to 23.7% in 2019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We showed that the total number of gastrostomies remained almost stable after 2016 despite population aging. We considered that the avoidance of gastrostomy in frail or disabled older adults might explain the decrease, particularly for those aged over 80\u2009years. Our findings would regain attention to appropriate decision\u2010making for gastrostomy. <jats:bold>Geriatr Gerontol Int 2022; 22: 648\u2013652<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14433","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:24:51Z","timestamp":1657067091000},"page":"648-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["National trends in gastrostomy in older adults between 2014 and 2019 in Japan"],"prefix":"10.1111","volume":"22","author":[{"given":"Yukari","family":"Hattori","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4939-1834","authenticated-orcid":false,"given":"Shota","family":"Hamada","sequence":"additional","affiliation":[{"name":"Research Department Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare  Tokyo Japan"},{"name":"Department of Home Care Medicine Graduate School of Medicine, The University of Tokyo  Tokyo Japan"},{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1277-7293","authenticated-orcid":false,"given":"Tatsuro","family":"Ishizaki","sequence":"additional","affiliation":[{"name":"Human Care Research Team Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Sakata","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7079-0640","authenticated-orcid":false,"given":"Masao","family":"Iwagami","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanako","family":"Tamiya","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Akishita","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Yamanaka","sequence":"additional","affiliation":[{"name":"Department of Home Care Medicine Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi085"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01719.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i40.5084"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007209.pub2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-02003-x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.14.1365"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-014-0011-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15125"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15386"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030502"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.9374"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-020-06396-y"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003910"},{"key":"e_1_2_9_15_1","first-page":"4","article-title":"Health care resource use among older patients using insurance claim data","volume":"53","author":"Ishizaki T","year":"2016","journal-title":"Jpn J Geriatr"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13441"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.37737\/ace.1.2_28"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.37737\/ace.2.1_13"},{"key":"e_1_2_9_19_1","unstructured":"Statistics Bureau the Ministry of Internal Affairs and Communications.Population as of October 1 of each year. 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