Journal article
The current landscape and opportunities in gastrostomy care quality improvement in low- and middle-income countries: a scoping review
International health
09 May 2026
PMID: 42104811
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This scoping review examined gastrostomy tube use and care practices in low- and middle-income countries (LMICs) to identify complications, barriers and strategies to improve patient outcomes. Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews framework, six electronic databases were searched for studies published between 2000 and 2024. Of 1805 identified articles, 18 met the inclusion criteria and were classified into two themes: gastrostomy tube indications, techniques and outcomes; and care quality assessments and interventions. Patient outcome studies reported that adult complication rates ranged from 10% to 25%, with overall mortality from 0% to 48%, while paediatric complication rates ranged from 10% to 55%. Care quality studies identified gaps in nursing practices, protocol adherence and caregiver training. Interventions proposed included multidisciplinary care models and structured training programs for providers and caregivers. These findings highlight opportunities to improve gastrostomy outcomes in LMICs through establishing culturally sensitive and well-trained multidisciplinary care teams, implementing standardized protocols and caregiver engagement.
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Details
- Title
- The current landscape and opportunities in gastrostomy care quality improvement in low- and middle-income countries: a scoping review
- Creators
- Leyda S. Marrero Morales - College Station Medical CenterMustafa Ibrahim Al-Qaraghli - University of California, DavisKyle Polen - University of PennsylvaniaMsiba Selekwa - Muhimbili University of Health and Allied SciencesTiffany Yeh - University of PennsylvaniaKenechukwu Charles-Obi - Drexel University, College of MedicineSang'udi Sang'udi - College Station Medical CenterDavid Muhunzi - Muhimbili University of Health and Allied SciencesElaine Liang - Kaiser PermanenteNashivai Elias Kivuyo - Muhimbili University of Health and Allied SciencesBeatrice P. Mushi - Muhimbili University of Health and Allied SciencesIvy W. Maina - University of PennsylvaniaElia John Mmbaga - Muhimbili University of Health and Allied SciencesKatherine Van Loon - University of California, San FranciscoMary Jue Xu - University of California, San FranciscoCameron Eric Gaskill - University of California, DavisPendo M. Ibrahim - Muhimbili University of Health and Allied Sciences
- Publication Details
- International health
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001759546700001
- Other Identifier
- 991022189174004721
UN Sustainable Development Goals (SDGs)
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Source: SDGs in the Output
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health