Title: MANY PEDIATRIC PATIENTS WITH GASTROPARESIS DO NOT RECEIVE
DIETARY EDUCATION
Version: 3 Date: 27 Nov 2022
Reviewer's report:
Thank you for requesting a review for this manuscript. Apologies for delays on my part.
Overall, I found this an easy to read and understand manuscript. Well presented, and thoughtfully
laid out.
Lines 215-219, 293 - 301 I have a comment about the outcome measures, though I suspect the
retrospective methods restricted your options. BMI is one of your main outcome measures, but
very few of your patients had weight loss or failure to thrive. It would have been more helpful to
see how the dietary advice impacted the 2 pain reported symptoms of pain followed by nausea
and vomiting. Was this data not available in the records?
Lines 235 - 237 You have not been able to demonstrate that choice of foods and food types
improved symptoms. Avoiding medication is definitely a positive step, and autonomy should
be strongly encouraged. But a little more evidence to inform their choices is required.
Lines 194-198 You were able to compare the BMI between those who had dietary education
and those who did not. Could you also compare the BMI of those given medication first versus
dietary advice first? Or even better, the reported symptoms between these groups?
Lines 288-292 I agree with this discussion point. It is likely that the patients on tube feeding
have advanced to that level of intervention because dietary alteration, education and simple
medications failed. Reviewing and documenting that patient journey would make another
interesting read!
I like this article and realise that my comments reflect that you have got me thinking. Please
consider these comments, but I would be quite content to see it in print without edits.
Title: MANY PEDIATRIC PATIENTS WITH GASTROPARESIS DO NOT RECEIVE
DIETARY EDUCATION
Version: 3 Date: 27 Nov 2022
Reviewer's report:
Thank you for requesting a review for this manuscript. Apologies for delays on my part.
Overall, I found this an easy to read and understand manuscript. Well presented, and thoughtfully
laid out.
Lines 215-219, 293 - 301 I have a comment about the outcome measures, though I suspect the
retrospective methods restricted your options. BMI is one of your main outcome measures, but
very few of your patients had weight loss or failure to thrive. It would have been more helpful to
see how the dietary advice impacted the 2 pain reported symptoms of pain followed by nausea
and vomiting. Was this data not available in the records?
Lines 235 - 237 You have not been able to demonstrate that choice of foods and food types
improved symptoms. Avoiding medication is definitely a positive step, and autonomy should
be strongly encouraged. But a little more evidence to inform their choices is required.
Lines 194-198 You were able to compare the BMI between those who had dietary education
and those who did not. Could you also compare the BMI of those given medication first versus
dietary advice first? Or even better, the reported symptoms between these groups?
Lines 288-292 I agree with this discussion point. It is likely that the patients on tube feeding
have advanced to that level of intervention because dietary alteration, education and simple
medications failed. Reviewing and documenting that patient journey would make another
interesting read!
I like this article and realise that my comments reflect that you have got me thinking. Please
consider these comments, but I would be quite content to see it in print without edits.
Please review this paper.
user
Title: MANY PEDIATRIC PATIENTS WITH GASTROPARESIS DO NOT RECEIVE
DIETARY EDUCATION
Version: 3 Date: 27 Nov 2022
Reviewer's report:
Thank you for requesting a review for this manuscript. Apologies for delays on my part.
Overall, I found this an easy to read and understand manuscript. Well presented, and thoughtfully
laid out.
Lines 215-219, 293 - 301 I have a comment about the outcome measures, though I suspect the
retrospective methods restricted your options. BMI is one of your main outcome measures, but
very few of your patients had weight loss or failure to thrive. It would have been more helpful to
see how the dietary advice impacted the 2 pain reported symptoms of pain followed by nausea
and vomiting. Was this data not available in the records?
Lines 235 - 237 You have not been able to demonstrate that choice of foods and food types
improved symptoms. Avoiding medication is definitely a positive step, and autonomy should
be strongly encouraged. But a little more evidence to inform their choices is required.
Lines 194-198 You were able to compare the BMI between those who had dietary education
and those who did not. Could you also compare the BMI of those given medication first versus
dietary advice first? Or even better, the reported symptoms between these groups?
Lines 288-292 I agree with this discussion point. It is likely that the patients on tube feeding
have advanced to that level of intervention because dietary alteration, education and simple
medications failed. Reviewing and documenting that patient journey would make another
interesting read!
I like this article and realise that my comments reflect that you have got me thinking. Please
consider these comments, but I would be quite content to see it in print without edits.
assistant