Bariatric peri-operative outcomes are affected by annual procedure-specific surgeon volume.

Surgical Endoscopy
Maria S AltieriKonstantinos Spaniolas

Abstract

There is limited data examining specific annual surgeon procedural volumes associated with improvement of postoperative outcomes following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). Effect of surgeon volume on procedural outcomes. Using the SPARCS Administrative database, patients undergoing laparoscopic RYGB or SG between 2010-2014 were analyzed. Multivariable generalized linear mixed regression models were first used to analyze the influences of 3 yearly mean volumes (combined, RYGB and SG mean volumes) on each of three surgical outcomes: 30-day readmission, peri-operative complications, and extended length of stay (LOS), while accounting for patient specific variables. A total of 46,511 laparoscopic bariatric procedures were included in the study. Risk for any complication and 30-day readmissions following RYGB decreased with increasing RYGB volume up to a specific volume and stayed similar afterward (OR 0.97, 95% CI 0.96-0.98 while volume < 247.9 cases/year and OR 0.99, 95% CI 0.98-0.99 while volume < 354.1 cases/year, respectively) while risk for extended LOS decreased with increasing combined bariatric mean volume up to a specific volume and stayed similar afterward (OR 0.9, 95% CI 0.85-0.95 while volume...Continue Reading

References

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Citations

Jan 7, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C ChristophersenJ Rosenberg
Apr 10, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C ChristophersenJ Rosenberg

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