Skip to main content

Advertisement

SpringerLink
Log in

The SAGES Bariatric Surgery Outcome Initiative

  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

The recent initiative for identifying centers of excellence in bariatric surgery calls for documentation of surgical outcomes. The SAGES Outcomes Initiative is a national database introduced in 1999 as a method for surgeons to accumulate and compare their data with summary national data. A bariatric-specific dataset was established later in 2001. The aim of this study was to compare the outcomes of bariatric surgery from the Society of American Gastrointestinal Endoscopic Surgeons’ (SAGES) bariatric database with data derived from a national administrative database of academic centers.

Methods

Between 2001 and 2004, 24 surgeons with 1,954 patients participated in the SAGES Bariatric Outcome Initiative, and 97 institutions with 42,847 patients participated in the University HealthSystem Consortium (UHC) database. Only 7 of the 24 surgeons participating in the SAGES Bariatric Outcome Initiative submitted more than 50 cases. The main outcome measures included demographics, comorbidities, type of bariatric procedure, operative time, length of hospital stay, short- and long-term complications, mortality, and weight loss.

Results

Both datasets were comparable for gender. Roux-en-Y gastric bypass had been performed for 88% of the patients in the SAGES database and 96% of the patients in the UHC database. Associated comorbidities were similar between the two groups except for a higher rate of hyperlipidemia for the patients in the SAGES database. The SAGES database contains more bariatric-specific information such as body mass index, operative time, blood loss, bariatric-specific complications, long-term complications, and weight loss data than the UHC database. According to the available data, no statistically significant differences exist between the two datasets in terms of perioperative complications and mortality.

Conclusions

The SAGES Bariatric Outcome Initiative provides valuable bariatric-specific data not currently available in an administrative database that may be useful for benchmarking purposes. However, this database is currently underutilized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Appendix 1
Appendix 2
Appendix 3
Appendix 4

Similar content being viewed by others

References

  1. Astor BC, Kaczmarek RG, Hefflin B, Daley WR (2000) Mortality after aortic valve replacement: results from a nationally representative database. Ann Thorac Surg 70: 1939–1945

    Article  PubMed  CAS  Google Scholar 

  2. Ferguson TB, Dziuban SW, Edwards FH, Eiken MC, Shroyer AL, Pairolero PC, Anderson RP, Grover FL (2000) The STS National Database: Current changes and challenges for the new millennium. Ann Thorac Surg 69: 680–691

    PubMed  Google Scholar 

  3. Flum DR, Dellinger EP (2004) Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg 199: 543–551

    Article  PubMed  Google Scholar 

  4. Ghali WA, Rothwell DM, Quan H, Brant R, Tu JV (2000) A Canadian comparison of data sources for coronary artery bypass surgery outcome “report cards.” Am Heart J 140: 402–408

    Article  PubMed  CAS  Google Scholar 

  5. Khaitan L, Apelgren K, Hunter J, Traverso LW (2003) A report on the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) outcomes initiative: what have we learned and what is its potential? Surg Endosc 17: 365–370

    PubMed  CAS  Google Scholar 

  6. Kohn LT, Corrigan JM, Donaldson MS (2000) To err is human: building a safer health system. National Academy Press, Washington, DC

    Google Scholar 

  7. Livingston EH, Huerta S, Arthur D, Lee S, Shields S, Heber D (2002) Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg 236: 576–582

    Article  PubMed  Google Scholar 

  8. Nguyen NT, Root J, Zainabadi K, Sabio A, Chalifoux S, Stevens CM, Mavandadi S, Longoria M, Wilson SE (2005) Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery. Arch Surg [In Press].

  9. Nguyen NT, Paya M, Stevens CM, Mavandadi S, Zainabadi K, Wilson SE (2004) The relationship between hospital volume and outcome in bariatric surgery at academic medical centers. Ann Surg 240: 586–593

    PubMed  Google Scholar 

  10. Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT (2003) Complications of laparoscopic gastric bypass: a review of 3464 cases. Arch Surg 138: 957–961

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University of California, Irvine Medical Center, 101 The City Drive, Building 55, Room 106, Orange, CA, 92868, USA

    N. T. Nguyen

  2. Stanford University, Stanford, California, USA

    J. M. Morton

  3. Sacramento Bariatric Medical Associates, Sacramento, California, USA

    B. M. Wolfe

  4. University of Virginia, Charlottesville, Virginia, USA

    B. Schirmer

  5. University of California, Davis Medical Center, Sacramento, California, USA

    M. Ali

  6. Virginia Mason Medical Center, Seattle, Washington, USA

    L. W. Traverso

Authors
  1. N. T. Nguyen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. M. Morton
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. M. Wolfe
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Schirmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Ali
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. L. W. Traverso
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. T. Nguyen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nguyen, N.T., Morton, J.M., Wolfe, B.M. et al. The SAGES Bariatric Surgery Outcome Initiative. Surg Endosc 19, 1429–1438 (2005). https://doi.org/10.1007/s00464-005-0301-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-005-0301-8

Keywords

Search

Navigation