Navigation Links
Complications and Costs for Obesity Surgery Declining

ROCKVILLE, Md., April 29 /PRNewswire-USNewswire/ -- A new study by HHS' Agency for Healthcare Research and Quality found that the average rate of post-surgical and other complications in patients who have obesity surgery, also known as bariatric surgery, declined 21 percent between 2002 and 2006. They also found that payments to hospitals dropped by as much as 13 percent for bariatric surgery patients during that time period, in part because fewer complications meant fewer readmissions.

The study, "Recent Improvements in Bariatric Surgery Outcomes," to be published in the May 2009 Medical Care, found that the complication rate among patients initially hospitalized for bariatric surgery dropped from approximately 24 percent to roughly 15 percent. Much of this was driven by a reduction in the post-surgical infection rate, which plummeted 58 percent. Abdominal hernias, staple leakage, respiratory failure and pneumonia fell by between 50 percent and 29 percent.

Rates for other complications, such as ulcers, dumping (involuntary vomiting or defecation), hemorrhage, wound reopening, deep-vein thrombosis and pulmonary embolism, heart attacks and strokes remained relatively unchanged. With the exception of the 19 percent rate for dumping, which is especially a risk in gastric bypass surgery, rates ranged from 2.4 percent to 0.1 percent.

In addition, hospital payments for bariatric surgery patients, as a whole, fell from $29,563 to $27,905 and dropped from $41,807 to $38,175 for patients who experienced complications. Hospital payments for the most expensive patients -- those who had to be readmitted because of complications -- fell from $80,001 to $69,960.

"People considering an elective procedure need unbiased, science-based evidence of its benefits and risks," said AHRQ Director Carolyn M. Clancy, M.D. "All surgeries involve risks, but as newer technologies emerge and surgeons and hospitals gain experience, as this study shows, risks can decrease."

AHRQ researchers led by Senior Economist William E. Encinosa, Ph.D., compared complication rates among more than 9,500 patients under age 65 who underwent obesity surgery at 652 hospitals between 2001 and 2002 and between 2005 and 2006. They found that the complication rate fell in spite of an increase in the percentage of older and sicker patients having the operations. The proportion of patients over age 50 operated on by bariatric surgeons increased from 28 percent to 44 percent during the period, and the average number of underlying illnesses in patients operated on by bariatric surgeons, such as diabetes, high blood pressure or sleep apnea, more than doubled.

The 6-month post-surgical death rate for patients operated on between 2005 and 2006 was 0.5 percent, statistically about the same as that of patients who had bariatric surgery between 2001 and 2002. Hospital readmissions because of complications fell 31 percent, from roughly 10 percent to 7 percent, while complication-caused same-day hospital outpatient clinic visits declined from approximately 15 percent to 13 percent.

According to Dr. Encinosa, the improvements are largely due to a combination of three factors -- increased use of laparoscopy, a technology that allows physicians to operate through small incisions; increased use of banding procedures without gastric bypass, such as vertical-banded gastroplasty and lap band; and increased surgeon experience arising from the growth in the number of bariatric surgeries performed by hospitals. For example, laparoscopy reduced the odds of having a complication by 30 percent and drove down hospital payments by 12 percent, while banding reduced hospital payments by 20 percent.

SOURCE Agency for Healthcare Research & Quality
Copyright©2009 PR Newswire.
All rights reserved

Related medicine technology :

1. Synvista Therapeutics Alagebrium Shows Potential for use in Treating Diabetes-Related Gastrointestinal Complications
2. Drug Combo Could Lower Diabetes Complications and Costs
3. The Largest Ever Study of Diabetes Shows Intensive Glucose Control Reduces Serious Complications
4. Oncology Drugs Development Update - Worldwide Markets and Forecasts of Approved EGFr/HEr2 Inhibitors, Treatment Costs, Pathway Analysis, Current and Expanded Clinical Indications, and Novel Agents in Development
5. Study Shows That Low-Molecular Weight Heparin (LMWH) was Associated with Reduced Hospital Costs of Venous Thromboembolism (VTE) Treatment Compared with Unfractionated Heparin (UFH)
6. Study Says Allergy Shots Help Children, Reduce Health Care Costs
7. DaVita Strives to Improve Quality of Life and Reduce Overall Costs of Kidney Care Through Community-Based Education
8. Genaera Corporation Presents Interim Phase 1 Data for Obesity Compound Trodusquemine (MSI-1436) at IBC Conference
9. Sarasotas Roskamp Institute Releases Study Defining a Mechanism for Development of Obesity and the Metabolic Syndrome, Forerunners of Type 2 Diabetes
10. Nastech Pharmaceutical Company Announces Initiation of Phase 2 Clinical Trial for PYY3-36 Nasal Spray to Treat Obesity
11. Genaera Corporation Presents Preclinical Trodusquemine (MSI-1436) Data at the North American Association for the Study of Obesity Annual Meeting
Post Your Comments:
(Date:6/23/2016)... , June 23, 2016 Any dentist who has ... of the current process. Many of them do not even ... technical difficulties and high laboratory costs involved. And those who ... it at such a high cost that the majority of ... Dr. Parsa Zadeh , founder of Dental Evolutions ...
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
(Date:6/23/2016)... June 23, 2016 , , ... July 7, 2016 , , , , LOCATION: , , ... , , , EXPERT PANELISTS:  , , , Frost & ... Analyst, Christi Bird; Senior Industry Analyst, Divyaa Ravishankar and Unmesh Lal, ... The global pharmaceutical industry is witnessing an exceptional era. Several new ...
Breaking Medicine Technology:
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their media ... Pro X," said Christina Austin - CEO of Pixel Film Studios. , ProSlice ... X users can now reveal the media of their split screens with growing ...
(Date:6/26/2016)... ... ... Quality metrics are proliferating in cancer care, and are derived from many ... the beholder, according to experts who offered insights and commentary in the current issue ... the full issue, click here . , For the American Society of Clinical ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... First ... United States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell ... facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... are unfamiliar with. The article goes on to state that individuals are now more ... these less common operations such as calf and cheek reduction. The Los Angeles area ...
Breaking Medicine News(10 mins):