TABLE 3

Comparative Effectiveness of GJ Tube Placement Versus Fundoplication

Rate of outcome per Child-YearUnmatchedMatched
GJ Tube, n = 163Fundo, n = 1178PGJ Tube, n = 114Fundo, n = 114P
RRH composite2.97 (2.47–3.58)2.68 (2.41–2.98).2922.07 (1.62–2.64)1.67 (1.28–2.18).188
Esophagitis0.00 (0.00–0.07)0.01 (0.00–0.05).3240.01 (0.00–0.06)0.01 (0.00–0.06).999
GERD2.56 (2.09–3.13)2.36 (2.11–2.65).4521.68 (1.26–2.24)1.41 (1.03–1.92).317
Aspiration pneumonia0.19 (0.09–0.40)0.40 (0.31–0.52).0600.13 (0.07–0.24)0.11 (0.06–0.21).743
Pneumonia0.45 (0.26–0.79)0.61 (0.47–0.78).3400.26 (0.17–0.41)0.21 (0.13–0.34).508
Mechanical ventilation0.76 (0.47–1.21)0.73 (0.57–0.92).8810.38 (0.24–0.60)0.43 (0.27–0.68).696
Asthma exacerbation0.61 (0.34–1.10)0.61 (0.44–0.84).9820.33 (0.19–0.58)0.16 (0.08–0.30).083
Failure to thrive1.06 (0.71–1.57)0.82 (0.66–1.01).2250.53 (0.33–0.85)0.26 (0.15–0.45).017
Death (odds)0.06 (0.03–0.11)0.03 (0.02–0.05).0770.07 (0.04–0.13)0.04 (0.01–0.09).246
Repeat first interventiona1.20 (0.91–1.59)0.03 (0.02–0.04)<.0010.97 (0.63–1.51)0.02 (0.01–0.07)<.001
Second intervention (odds)a0.07 (0.03–0.14)0.01 (0.00–0.02)<.0010.10 (0.05–0.17)0.03 (0.01–0.08).040
  • Fundo, fundoplication.

  • a First intervention is the initial intervention which defined treatment groups, and second intervention is crossover to the alternate treatment of persisting GER symptoms.