Navigation Links
Bariatric Surgery Centers Don't Deliver Better Outcomes
Date:4/21/2009

Study finds these units of excellence no better, more costly, than other hospitals

TUESDAY, April 21 (HealthDay News) -- Having bariatric surgery at hospitals designated as centers of excellence doesn't reduce a patient's risk of complications or death, a U.S. study finds.

Bariatric surgery restricts the amount of food a person can consume or digest.

To be designated centers of excellence by the American College of Surgeons or the American Society for Metabolic and Bariatric Surgery, bariatric surgery centers must meet certain guidelines, including: performing at least 125 operations per year; employing a bariatric surgery coordinator and personnel to do long-term follow-up on patients; and entering patient outcomes into proprietary databases, which requires trained staff and a subscription to a database.

Medicaid and Medicare patients are required to undergo bariatric surgery at designated centers of excellence, the researchers noted.

"These criteria make intuitive sense but lack an evidence base for their application," wrote study author Dr. Edward H. Livingston, of the University of Texas Southwestern School of Medicine and Department of Veterans Affairs, Dallas.

He analyzed data on 19,363 U.S. patients who had bariatric surgery in 2005, including 5,420 (28 percent) who had their surgery at centers of excellence. Overall, 6.4 percent of the patients developed complications, and 0.1 percent died in the hospital.

At centers of excellence, 6.3 percent of patients developed complications and 0.17 percent died, compared with a 6.4 percent complication rate and a 0.09 percent death rate at other hospitals, the study found.

The average length of stay was 2.6 days at both centers of excellence and other hospitals, but average costs per patient were higher at centers of excellence -- $11,527 vs. $10,984.

The study was published in the April issue of the Archives of Surgery.

"It has been shown that the minimal annual procedure volume required to be designated as a center of excellence [125 cases per year] does not necessarily result in better outcomes, and that the minimum volume requirement is not evidence-based. Most importantly, this volume criterion significantly restricts access for bariatric surgery care," Livingston said.

"Designation as a bariatric surgery center of excellence does not ensure better outcomes. Neither does high annual procedure volume. Extra expenses associated with center of excellence designation may not be warranted," he concluded.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more about bariatric surgery.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, April 20, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Dallas-Fort Worth Bariatric Surgeon Earns Top Honors from Two National Medical Organizations
2. Chicago-area ASBS Bariatric Surgery Center of Excellence Provides Personalized Care Like No Other Weight-Loss Surgery Program
3. Study shows potential for resolving type 2 diabetes with bariatric surgery
4. BLIS™ Announces Alliance with Surgical Review Corporation to Offer Surgical Complication Insurance Coverage for Bariatric Surgery Center of Excellence Designees
5. Dallas – Fort Worth Bariatric Surgeon Dr. David Kim One of Few in America Selected to Perform New Weight Loss Surgery Procedure
6. Choosing a Highly-Trained Bariatric Surgeon Crucial as Surgical Weight Loss Procedures Rise and Less-Qualified Doctors Flood the Market
7. Board-Certified Bariatric Surgeon, Trace Curry, MD Places First Next-Generation Ethicon Endo-Surgery REALIZE™ Adjustable Gastric Band-C in Ohio
8. Board-Certified Bariatric Surgeon, Trace Curry, MD Places First Next-Generation Ethicon Endo-Surgery REALIZE™ Adjustable Gastric Band-C in Ohio
9. St. Louis Bariatric Surgeon Amps Up the Fight against Morbid Obesity with New Website
10. Bariatric Surgery Before Pregnancy Benefits Moms, Babies
11. Physical activity after bariatric surgery improves weight loss, quality of life
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Bariatric Surgery Centers Don't Deliver Better Outcomes
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th ... Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, ... The fun run is geared towards children of all ages; it is a non-competitive, ...
(Date:10/13/2017)... ... 13, 2017 , ... Coveros, a leader in agile coaching ... contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile ... of Agile methodologies in a consistent and high value manner across CMS programs. ...
(Date:10/12/2017)... Del. (PRWEB) , ... October 12, 2017 , ... ... and advisory services for healthcare compliance program management, will showcase a range of ... National Association for Assisted Living (NCAL) Convention and Expo to be held October ...
(Date:10/12/2017)... ... 12, 2017 , ... The company has developed a suite ... regulatory authorities worldwide. From Children’s to Adults 50+, every formula has been developed ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)...  AllianceRx Walgreens Prime, the combined central specialty pharmacy ... benefit manager Prime Therapeutics LLC (Prime), today officially began ... unveiling of new signage at its headquarters in ... a few other company-owned facilities across the country. This ... of whom will begin to see the AllianceRx Walgreens ...
(Date:10/2/2017)... COPENHAGEN, Denmark , Oct. 2, 2017 The ... tool in the struggle to reverse the tide of prescription ... plan for regulating their medicine intake and stepping down their ... is set to launch in December 2017; the first 100,000 ... access. Learn more at http://www.rebound-solution.com/ ...
(Date:9/28/2017)... , Sept. 28, 2017 Cohen Veterans ... advance the use of wearable and home sensors for ... disorders. Early Signal Foundation, a nonprofit organization focused on ... will provide an affordable analytical system to record and ... ...
Breaking Medicine Technology: