{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T16:40:29Z","timestamp":1769877629992,"version":"3.49.0"},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,5,25]],"date-time":"2016-05-25T00:00:00Z","timestamp":1464134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The cost of hospital care for adults with gastroparesis (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>) is increasing. Our objective was to evaluate the cost of hospital care for children with <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the Pediatric Health Information System, we selected hospitalizations with a diagnosis of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109 536.3), dyspepsia and other specified disorders of function of stomach (<jats:styled-content style=\"fixed-case\">DYS<\/jats:styled-content>, 536.8) and unspecified functional disorder of stomach (<jats:styled-content style=\"fixed-case\">UFD<\/jats:styled-content>, 536.9) from 2004 to 2013. We recorded dates of hospitalization, demographics, costs, and length of stay (<jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>From 2004 to 2013, 4015 patients were admitted for <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> (54.2% female, median age 8 years). Total cost of hospitalization for <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> increased 5.8 fold from $6 185 390 to $35 654 075 (<jats:italic>p<\/jats:italic> = 0.0001). Cost per hospitalization did not change. Cost of initial hospitalization was highest in patients 0\u20135 years and lowest in patients 16\u201321 years (<jats:italic>p<\/jats:italic> &lt; 0.0001). Number of hospitalizations each year for <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> increased from 252 to 1310 (<jats:italic>p<\/jats:italic> &lt; 0.0001) and unique patients hospitalized increased from 174 to 723 (<jats:italic>p<\/jats:italic> &lt; 0.0001). Number of hospitalizations and unique patients for <jats:styled-content style=\"fixed-case\">DYS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">UFD<\/jats:styled-content> also increased (<jats:italic>p<\/jats:italic> &lt; 0.0001). LOS for <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> did not change with time. Females and younger <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> patients had more repeat hospitalizations (<jats:italic>p<\/jats:italic> &lt; 0.0001, <jats:italic>p<\/jats:italic> &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Inferences<\/jats:title><jats:p>The financial burden of hospitalization for pediatric <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> has increased dramatically from 2004 to 2013, driven by a rise in number of hospitalizations and unique patients hospitalized each year. Cost and <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> per hospitalization remain stable. Unlike in adults, hospitalizations for <jats:styled-content style=\"fixed-case\">DYS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">UFD<\/jats:styled-content> have also increased, suggesting that the increase in hospitalizations for <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> is not secondary to changing diagnostic practices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.12869","type":"journal-article","created":{"date-parts":[[2016,5,26]],"date-time":"2016-05-26T06:16:09Z","timestamp":1464243369000},"page":"1698-1704","source":"Crossref","is-referenced-by-count":40,"title":["The rising cost of hospital care for children with gastroparesis: 2004\u20132013"],"prefix":"10.1111","volume":"28","author":[{"given":"P. L.","family":"Lu","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition Department of Pediatrics Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Moore\u2010Clingenpeel","sequence":"additional","affiliation":[{"name":"Biostatistics Core Nationwide Children's Hospital Research Institute Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Yacob","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition Department of Pediatrics Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Di Lorenzo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition Department of Pediatrics Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. M.","family":"Mousa","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition Department of Pediatrics University of California, San Diego Rady Children's Hospital San Diego CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000216"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e318248ed3f"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31824cf06e"},{"key":"e_1_2_11_5_1","first-page":"204","article-title":"Gastroparesis in children","volume":"26","author":"Saliakellis E","year":"2013","journal-title":"Ann Gastroenterol"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2008.12.047"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm.2012.18.1.34"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01658.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2012.02002.x"},{"key":"e_1_2_11_10_1","unstructured":"Consumer Price Index.US Bureau of labor statistics. 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