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 language | English (US) |
|---|---|
| Pages (from-to) | 118-125 |
| Number of pages | 8 |
| Journal | Surgery for Obesity and Related Diseases |
| Volume | 6 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 4 2010 |
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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 journal › Article
}
TY - JOUR
T1 - Relationship between surgeon volume and adverse outcomes after RYGB in Longitudinal Assessment of Bariatric Surgery (LABS) study
AU - Smith, Mark D.
AU - Patterson, Emma
AU - Wahed, Abdus S.
AU - Belle, Steven H.
AU - Bessler, Marc
AU - Courcoulas, Anita P.
AU - Flum, David
AU - Halpin, Valerie
AU - Mitchell, James E.
AU - Pomp, Alfons
AU - Pories, Walter J.
AU - Wolfe, Bruce
PY - 2010/3/4
Y1 - 2010/3/4
N2 - 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
AB - 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
KW - Complications
KW - LABS
KW - Longitudinal Assessment of Bariatric Surgery
KW - Roux-en-Y gastric bypass
KW - RYGB
KW - Volume-outcome
UR - http://www.scopus.com/inward/record.url?scp=77950022538&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77950022538&partnerID=8YFLogxK
U2 - 10.1016/j.soard.2009.09.009
DO - 10.1016/j.soard.2009.09.009
M3 - Article
C2 - 19969507
AN - SCOPUS:77950022538
VL - 6
SP - 118
EP - 125
JO - Surgery for Obesity and Related Diseases
JF - Surgery for Obesity and Related Diseases
SN - 1550-7289
IS - 2
ER -