Relationship between surgeon volume and adverse outcomes after RYGB in Longitudinal Assessment of Bariatric Surgery (LABS) study

Mark D. Smith, Emma Patterson, Abdus S. Wahed, Steven H. Belle, Marc Bessler, Anita P. Courcoulas, David Flum, Valerie Halpin, James E. Mitchell, Alfons Pomp, Walter J. Pories, Bruce Wolfe

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background: Bariatric surgery is technically demanding surgery performed on high-risk patients. Previous studies using administrative databases have shown a relationship between surgeon volume and patient outcome after Roux-en-Y gastric bypass (RYGB). We examined the relationship between surgeons' annual RYGB volumes and 30-day patient outcomes at 10 centers within the United States. Methods: The Longitudinal Assessment of Bariatric Surgery (LABS)-1 is a prospective study examining the 30-day adverse outcomes after bariatric surgery. The outcomes after RYGB were adjusted by procedure type (open versus laparoscopic), functional status, body mass index, history of deep vein thrombosis, pulmonary embolism, and obstructive sleep apnea. The data were examined to determine the nature and strength of the association between surgeon volume and patients' short-term (30-day) adverse outcomes after RYGB. Results: The analysis included 3410 initial RYGB operations performed by 31 surgeons, 15 of whom averaged

Original languageEnglish (US)
Pages (from-to)118-125
Number of pages8
JournalSurgery for Obesity and Related Diseases
Volume6
Issue number2
DOIs
StatePublished - Mar 4 2010

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Bariatric Surgery
Gastric Bypass
Obstructive Sleep Apnea
Pulmonary Embolism
Venous Thrombosis
Body Mass Index
Surgeons
Databases
Prospective Studies

Keywords

  • Complications
  • LABS
  • Longitudinal Assessment of Bariatric Surgery
  • Roux-en-Y gastric bypass
  • RYGB
  • Volume-outcome

ASJC Scopus subject areas

  • Surgery

Cite this

Relationship between surgeon volume and adverse outcomes after RYGB in Longitudinal Assessment of Bariatric Surgery (LABS) study. / Smith, Mark D.; Patterson, Emma; Wahed, Abdus S.; Belle, Steven H.; Bessler, Marc; Courcoulas, Anita P.; Flum, David; Halpin, Valerie; Mitchell, James E.; Pomp, Alfons; Pories, Walter J.; Wolfe, Bruce.

In: Surgery for Obesity and Related Diseases, Vol. 6, No. 2, 04.03.2010, p. 118-125.

Research output: Contribution to journalArticle

Smith, MD, Patterson, E, Wahed, AS, Belle, SH, Bessler, M, Courcoulas, AP, Flum, D, Halpin, V, Mitchell, JE, Pomp, A, Pories, WJ & Wolfe, B 2010, 'Relationship between surgeon volume and adverse outcomes after RYGB in Longitudinal Assessment of Bariatric Surgery (LABS) study', Surgery for Obesity and Related Diseases, vol. 6, no. 2, pp. 118-125. https://doi.org/10.1016/j.soard.2009.09.009
Smith, Mark D. ; Patterson, Emma ; Wahed, Abdus S. ; Belle, Steven H. ; Bessler, Marc ; Courcoulas, Anita P. ; Flum, David ; Halpin, Valerie ; Mitchell, James E. ; Pomp, Alfons ; Pories, Walter J. ; Wolfe, Bruce. / Relationship between surgeon volume and adverse outcomes after RYGB in Longitudinal Assessment of Bariatric Surgery (LABS) study. In: Surgery for Obesity and Related Diseases. 2010 ; Vol. 6, No. 2. pp. 118-125.
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