![]() To be designated centers of excellence by the American College of Surgeons or the American Society for Metabolic and Bariatric Surgery, bariatric surgery centers must meet certain guidelines, including: performing at least 125 operations per year employing a bariatric surgery coordinator and personnel to do long-term follow-up on patients and entering patient outcomes into proprietary databases, which requires trained staff and a subscription to a database. study finds.īariatric surgery restricts the amount of food a person can consume or digest. TUESDAY, April 21 (HealthDay News) - Having bariatric surgery at hospitals designated as centers of excellence doesn't reduce a patient's risk of complications or death, a U.S. Study finds these units of excellence no better, more costly, than other hospitals Extra expenses associated with center of excellence designation may not be warranted. Neither does high annual procedure volume. Risk adjustment was effectively achieved by using the Agency for Healthcare Research and Quality–supplied variables all-payer severity-adjusted diagnostic related group expected charges and deaths.Ĭonclusions Designation as a bariatric surgery center of excellence does not ensure better outcomes. Similarly, many variables that were statistically significantly different between centers and noncenters proved to be clinically unimportant by effect size analysis. Volume-outcome modeling attempting to identify the optimal number for a minimum volume threshold for bariatric operations revealed that annual procedure volume has a weak effect on outcomes. Despite this, outcomes were equivalent at centers of excellence and hospitals without this designation. Results Centers of excellence performed substantially more operations than nondesignated centers. In addition to conventional null-hypothesis statistical testing to assess differences, effect sizes were calculated to estimate the clinical significance for observed differences. Objective To compare outcomes of patients undergoing bariatric procedures in hospitals designated as centers of excellence compared with nondesignated hospitals.ĭesign The 2005 National Inpatient Survey was used to compare outcomes at designated vs nondesignated hospitals. My life has changed dramatically and positively already!īariatric Surgery Outcomes at Designated Centers of Excellence vs Nondesignated Programs Rutledge, the MGB, the Staff of CLOS and all of you! and then when the others were eating my favorites, I didn't care then either.amazing.Īs Thanksgiving comes to the US in just two more days I can't help but be so very grateful for Dr. I sat there with the plate of chips and salsa in front of me and did not even care.that's a very big wow for me. AND since i love mexican food this was a very big test for my head too. Sucked on the broth and made it through without anyone commenting. I ordered a tortilla soup so it looked like i was going to eat alot (not my usual amount and surprisingly they didn't say anything). I was concerned because no one but my boss knows I had this and the guys I work with are such nosey old biddies it's pathetic. Our small office (20 people) went out to lunch for thanksgiving. and last night was the first night I used my CPAP since before my surgery and i felt worse with it than the nights without it.Īnd today was a test of other sorts too. Stayed up much later than my usual bedtime. Went back to work yesterday and have had more energy than ever before (I know I wrote that before but I can't say it enough).Įvery night since I've been home i've walked my dog without trouble breathing and for the last two nights I've worked out on the elliptical (granted it's only 15 minutes at a time but it's a start) and started reps and sets with very light weights (3 pounds).
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