A Longitudinal Analysis of Short-Term Costs and Outcomes in a Regionalized Center of Excellence Bariatric Care System

Obesity Surgery
Aristithes G DoumourasDennis Hong

Abstract

Evaluating how morbidity and costs evolve for new bariatric centers is vital to understanding the expected length of time required to reach optimal outcomes and cost efficiencies. Accordingly, the objective of this study was to evaluate how morbidity and costs changed longitudinally during the first 5 years of a regionalized center of excellence system. This was a longitudinal analysis of the first 5 years of a bariatric center of excellence system. The main outcomes of interest were all-cause morbidity and cost for the index admission. Predictors of interest included patient demographics, comorbidities, annual hospital and surgeon volume, fellowship teaching center status, and year of procedure. Hierarchical regression models were used to determine predictors of morbidity and costs. Procedures done in 2012 (OR 0.65, 95%CI 0.52-0.79; p < 0.001), 2013 (OR 0.63, 95%CI 0.51-0.78; p < 0.001), and 2014 (OR 0.53, 95%CI 0.43-0.65; p < 0.001) all conferred a significantly lower odds of morbidity when compared to the initial 2009/2010 years. Surgeon volume was associated with a decreased odds of morbidity as for each increase in 25 bariatric cases per year the odds of all-cause morbidity was 0.94 lower (95%CI 0.88-1.00; p = 0.04). There...Continue Reading

References

May 2, 2006·Journal of the American College of Surgeons·Wendy E Weller, Edward L Hannan
Dec 17, 2008·Surgery·Christopher S HollenbeakRobert N Cooney
Jul 29, 2010·JAMA : the Journal of the American Medical Association·Nancy J O BirkmeyerUNKNOWN Michigan Bariatric Surgery Collaborative
May 4, 2011·Journal of General Internal Medicine·Raj PadwalMarcello Tonelli
May 16, 2012·Annals of Surgery·Boris ZevinTeodor P Grantcharov
Sep 20, 2012·JAMA : the Journal of the American Medical Association·Martin NeoviusLena Carlsson
Aug 15, 2013·Surgical Endoscopy·Mehraneh D JafariNinh T Nguyen
Oct 18, 2013·JAMA Surgery·Justin B DimickJohn D Birkmeyer
Jun 11, 2014·JAMA : the Journal of the American Medical Association·Lars SjöströmLena M S Carlsson
Oct 2, 2014·JAMA Surgery·Anita P CourcoulasDavid E Arterburn
Jan 7, 2015·JAMA : the Journal of the American Medical Association·David E ArterburnMatthew L Maciejewski
May 24, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Dana A TelemAurora D Pryor
May 7, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aristithes G DoumourasDennis Hong
Jun 29, 2016·Surgical Endoscopy·Lisa N F AirdMehran Anvari
Oct 13, 2016·CMAJ Open·Fady SalehDennis Hong
Feb 24, 2017·Annals of Surgery·Aristithes G DoumourasDennis Hong

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Citations

Mar 10, 2021·Updates in Surgery·Carlos ZerrweckUNKNOWN CMCOEM

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