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Minimally Invasive Bariatric Surgery pp 121–126Cite as

12 Bariatric Surgery: Patient Safety and Quality Improvement

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Abstract

There is increasing emphasis on quality, value, and transparency in healthcare. Quality improvement initiatives and attention to process improvement within bariatric programs are critical to performing bariatric surgery in the modern environment. Increased attention to quality measures, outcome reporting, and risk adjustment is expected in the field of bariatric surgery in the coming years. Understanding the key concepts and trends regarding patient safety and participating in accreditation and quality improvement programs are important for the continued success of any bariatric surgery program.

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References

  1. Metabolic and bariatric surgery accreditation and quality improvement program. mbsaqiporg. Available at: http://www.mbsaqip.org/. Accessed March 4, 2014.

  2. Hollenbeak CS, Rogers AM, Barrus B, Wadiwala I, Cooney RN. Surgical volume impacts bariatric surgery mortality: a case for centers of excellence. Surgery. 2008;144(5):736–43. doi:10.1016/j.surg.2008.05.013.

    Article  PubMed  Google Scholar 

  3. Nguyen NT, Hohmann S, Slone J, Varela E, Smith BR, Hoyt D. Improved bariatric surgery outcomes for Medicare beneficiaries after implementation of the medicare national coverage determination. Arch Surg. 2010;145(1):72–8. doi:10.1001/archsurg.2009.228.

    Article  PubMed  Google Scholar 

  4. Nguyen NT, Nguyen B, Nguyen VQ, Ziogas A, Hohmann S, Stamos MJ. Outcomes of bariatric surgery performed at accredited vs nonaccredited centers. J Am Coll Surg. 2012;215(4):467–74. doi:10.1016/j.jamcollsurg.2012.05.032.

    Article  PubMed  Google Scholar 

  5. Kwon S, Wang B, Wong E, Alfonso-Cristancho R, Sullivan SD, Flum DR. The impact of accreditation on safety and cost of bariatric surgery. Surg Obes Relat Dis. 2013;9(5):617–22. doi:10.1016/j.soard.2012.11.002.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Encinosa WE, Bernard DM, Du D, Steiner CA. Recent improvements in bariatric surgery outcomes. Med Care. 2009;47(5):531–5. doi:10.1097/MLR.0b013e31819434c6.

    Article  PubMed  Google Scholar 

  7. Flum DR, Kwon S, MacLeod K, et al. The use, safety and cost of bariatric surgery before and after Medicare’s national coverage decision. Ann Surg. 2011;254(6):860–5. doi:10.1097/SLA.0b013e31822f2101.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Birkmeyer NJO, Dimick JB, Share D, et al. Hospital complication rates with bariatric surgery in Michigan. JAMA. 2010;304(4):435–42. doi:10.1001/jama.2010.1034.

    Article  CAS  PubMed  Google Scholar 

  9. Dimick JB, Nicholas LH, Ryan AM, Thumma JR, Birkmeyer JD. Bariatric surgery complications before vs after implementation of a national policy restricting coverage to centers of excellence. JAMA. 2013;309(8):792–9. doi:10.1001/jama.2013.755.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Jafari MD, Jafari F, Young MT, Smith BR, Phalen MJ, Nguyen NT. Volume and outcome relationship in bariatric surgery in the laparoscopic era. Surg Endosc. 2013;27(12):4539–46. doi:10.1007/s00464-013-3112-3.

    Article  PubMed  Google Scholar 

  11. Morton JM, Garg T, Nguyen NT. Does Hospital Accreditation Matter for Bariatric Surgery? Ann Surg. 2014;260(3):504–9.

    Article  PubMed  Google Scholar 

  12. Hubbard VS, Hall WH. Gastrointestinal surgery for severe obesity. Obes Surg. 1991;1(3):257–65.

    Article  PubMed  Google Scholar 

  13. Zevin B, Aggarwal R, Grantcharov TP. Volume-outcome association in bariatric surgery: a systematic review. Ann Surg. 2012;256(1):60–71. doi:10.1097/SLA.0b013e3182554c62.

    Article  PubMed  Google Scholar 

  14. Gould JC, Kent KC, Wan Y, Rajamanickam V, Leverson G, Campos GM. Perioperative safety and volume: outcomes relationships in bariatric surgery: a study of 32,000 patients. J Am Coll Surg. 2011;213(6):771–7. doi:10.1016/j.jamcollsurg.2011.09.006.

    Article  PubMed  Google Scholar 

  15. Nguyen NT, Nguyen B, Shih A, Smith B, Hohmann S. Use of laparoscopy in general surgical operations at academic centers. Surg Obes Relat Dis. 2013;9(1):15–20. doi:10.1016/j.soard.2012.07.002.

    Article  PubMed  Google Scholar 

  16. Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234(3):279–89. Discussion 289–91.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Paxton JH, Matthews JB. The cost effectiveness of laparoscopic versus open gastric bypass surgery. Obes Surg. 2005;15(1):24–34. doi:10.1381/0960892052993477.

    Article  PubMed  Google Scholar 

  18. Banka G, Woodard G, Hernandez-Boussard T, Morton JM. Laparoscopic vs open gastric bypass surgery: differences in patient demographics, safety, and outcomes. Arch Surg. 2012;147(6):550–6. doi:10.1001/archsurg.2012.195.

    Article  PubMed  Google Scholar 

  19. Lujan JA, Frutos MD, Hernandez Q, et al. Laparoscopic versus open gastric bypass in the treatment of morbid obesity. Ann Surg. 2004;239(4):433–7. doi:10.1097/01.sla.0000120071.75691.1f.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Azagury DE, Abu Dayyeh BK, Greenwalt IT, Thompson CC. Marginal ulceration after Roux-en-Y gastric bypass surgery: characteristics, risk factors, treatment, and outcomes. Endoscopy. 2011;43(11):950–4. doi:10.1055/s-0030-1256951.

    Article  CAS  PubMed  Google Scholar 

  21. Moon RC, Teixeira AF, Goldbach M, Jawad MA. Management and treatment outcomes of marginal ulcers after Roux-en-Y gastric bypass at a single high volume bariatric center. Surg Obes Relat Dis. 2014;10:229–34. doi:10.1016/j.soard.2013.10.002.

    Article  PubMed  Google Scholar 

  22. Garrido Jr AB, Rossi M, Lima Jr SE, Brenner AS, Gomes Jr CAR. Early marginal ulcer following Roux-en-Y gastric bypass under proton pump inhibitor treatment: prospective multicentric study. Arq Gastroenterol. 2010;47(2):130–4.

    Article  Google Scholar 

  23. Steinemann DC, Bueter M, Schiesser M, Amygdalos I, Clavien P-A, Nocito A. Management of anastomotic ulcers after roux-en-Y gastric bypass: results of an international survey. Obes Surg. 2013. doi:10.1007/s11695-013-1152-3.

    Google Scholar 

  24. Warschkow R, Tarantino I, Ukegjini K, et al. Concomitant cholecystectomy during laparoscopic Roux-en-Y gastric bypass in obese patients is not justified: a meta-analysis. Obes Surg. 2013;23(3):397–407. doi:10.1007/s11695-012-0852-4.

    Article  PubMed  Google Scholar 

  25. Sugerman HJ, Brewer WH, Shiffman ML, et al. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg. 1995;169(1):91–6. Discussion 96–7.

    Article  CAS  PubMed  Google Scholar 

  26. Stokes CS, Gluud LL, Casper M, Lammert F. Ursodeoxycholic acid and diets higher in Fat prevent gallbladder stones during weight loss: a meta-analysis of randomized controlled trials. Clin Gastroenterol Hepatol. 2013. doi:10.1016/j.cgh.2013.11.031.

    PubMed  Google Scholar 

  27. Merkow RP, Hall BL, Cohen ME, et al. Validity and feasibility of the American college of surgeons colectomy composite outcome quality measure. Ann Surg. 2013;257(3):483–9. doi:10.1097/SLA.0b013e318273bf17.

    Article  PubMed  Google Scholar 

  28. Dimick JB, Osborne NH, Hall BL, Ko CY, Birkmeyer JD. Risk adjustment for comparing hospital quality with surgery: How many variables Are needed? J Am Coll Surg. 2010;210(4):503–8. doi:10.1016/j.jamcollsurg.2010.01.018.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Dimick JB, Staiger DO, Hall BL, Ko CY, Birkmeyer JD. Composite measures for profiling hospitals on surgical morbidity. Ann Surg. 2013;257(1):67–72. doi:10.1097/SLA.0b013e31827b6be6.

    Article  PubMed  Google Scholar 

  30. Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10. doi:10.1001/jamasurg.2013.4109.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Balsiger BM, Kennedy FP, Abu-Lebdeh HS, et al. Prospective evaluation of Roux-en-Y gastric bypass as primary operation for medically complicated obesity. Mayo Clin Proc. 2000;75(7):673–80. doi:10.4065/75.7.673.

    Article  CAS  PubMed  Google Scholar 

  32. Morton JM, Sell T, Garg T, Rivas H. Utilizing national clinical data to drive quality improvement. Atlanta: Obesity Week; 2013.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Section of Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680 MC-5655, Stanford, CA, 94035, USA

    John M. Morton M.D., M.P.H. & Dan E. Azagury M.D.

Authors
  1. John M. Morton M.D., M.P.H.
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  2. Dan E. Azagury M.D.
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Corresponding author

Correspondence to John M. Morton M.D., M.P.H. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Stacy A. Brethauer

  2. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Philip R. Schauer

  3. Department of Surgery, Health Sciences Center, University of Virginia Health System, Charlottesville, Virginia, USA

    Bruce D. Schirmer

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Morton, J.M., Azagury, D.E. (2015). 12 Bariatric Surgery: Patient Safety and Quality Improvement. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1636-8

  • Online ISBN: 978-1-4939-1637-5

  • eBook Packages: MedicineMedicine (R0)

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