Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery

JAMA Surgery
Andrew M IbrahimJustin B Dimick

Abstract

Following the US Food and Drug Administration approval for laparoscopic gastric band surgery in 2001, as many as 96 000 devices have been placed annually. The reported rates of reoperation range from 4% to 60% in short-term studies; however, to our knowledge, few long-term population-level data on outcomes or expenditures are known. To describe the rate of device-related reoperations occurring after laparoscopic gastric band surgery as well as the associated payments in a longitudinal national cohort. This retrospective review of 25 042 Medicare beneficiaries who underwent gastric band placement between 2006 and 2013 identifies gastric band-related reoperations, including device removal, device replacement, or revision to a different bariatric procedure (eg, a gastric bypass or sleeve gastrectomy). The rates of reoperation were risk adjusted using a multivariable logistic regression model that included patient age, sex, race/ethnicity, Elixhauser comorbidities, and the year that the operation was performed. Rate of device-related reoperation nationally and across individual hospital referral regions. Thirty-day total episode Medicare payments to hospitals for the index operation and any subsequent reoperations. Of the 25 042 pa...Continue Reading

Citations

Jan 6, 2018·Journal of Occupational and Environmental Medicine·Charles M YarboroughJulie Ording
Jul 13, 2019·Obesity Surgery·Mohit BhandariUNKNOWN and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:
Dec 5, 2019·Annals of Surgery·Natalie Liu, Luke M Funk
Aug 25, 2019·Journal of Clinical Medicine·Gladys LangiAdam Kretowski
Nov 18, 2020·World Journal of Hepatology·Ioannis A ZiogasGeorgios Tsoulfas
Mar 7, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Edward PhillipsJanet DeMarchi
Mar 22, 2021·The Surgical Clinics of North America·Katelin MirkinAnn M Rogers
Apr 13, 2021·Obesity Science & Practice·Keith WirthDaniel B Leslie
Aug 21, 2021·American Journal of Surgery·Ali B Abbasi, Adam S Cifu
Nov 16, 2021·Frontiers in Physiology·Yanmin Wang, Ghassan S Kassab

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