Literature DB >> 17015199

The ASBS Bariatric Surgery Centers of Excellence program: a blueprint for quality improvement.

Gary M Pratt1, Byron McLees, Walter J Pories.   

Abstract

BACKGROUND: Variations in the techniques of bariatric surgery, coupled with the lack of a common database, has led to variable and, sometimes negative, outcomes from bariatric surgery. Thus, in November 2003, the American Society for Bariatric Surgery established Surgical Review Corporation (SRC) as an independent nonprofit entity for quality control of bariatric surgery and as a resource for data collection and analysis.
METHODS: In November 2003, the leadership of the American Society for Bariatric Surgery founded SRC as an independent nonprofit entity for quality control of bariatric surgery and as resource for research. A national set of standards for the Bariatric Surgery Centers of Excellence program was developed using a meta-analysis of the relevant published English language data, a consensus conference at Georgetown University, and participation by stakeholders from industry, third-party payors, and malpractice carriers. A software program was developed to provide uniformity in data collection and ease of analysis.
RESULTS: SRC developed standards that have been accepted by the bariatric surgical community and put in place. A system was developed for the designation of two levels for the centers, provisional and full. The growth of the Centers of Excellence program has been rapid. At present, 135 hospitals and 265 surgeons have achieved full approval. The centers for Medicare and Medicaid Services have recognized the program. On the basis of the reports of 55,567 patients from the first 176 applicants for full approval and confirmed by SRC during site inspections, the 90-day operative mortality rate was 0.35%.
CONCLUSIONS: The first phase of development has gone well. Future steps include the development of a network of bariatric physicians and the development of a consortium for research.

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Year:  2006        PMID: 17015199     DOI: 10.1016/j.soard.2006.07.004

Source DB:  PubMed          Journal:  Surg Obes Relat Dis        ISSN: 1550-7289            Impact factor:   4.734


  36 in total

1.  Volume and outcome relationship in bariatric surgery in the laparoscopic era.

Authors:  Mehraneh D Jafari; Fariba Jafari; Monica T Young; Brian R Smith; Michael J Phalen; Ninh T Nguyen
Journal:  Surg Endosc       Date:  2013-08-13       Impact factor: 4.584

2.  Variation in Outcomes at Bariatric Surgery Centers of Excellence.

Authors:  Andrew M Ibrahim; Amir A Ghaferi; Jyothi R Thumma; Justin B Dimick
Journal:  JAMA Surg       Date:  2017-07-01       Impact factor: 14.766

3.  Hospital volume and outcomes for laparoscopic gastric bypass and adjustable gastric banding in the modern era.

Authors:  Oliver A Varban; Bradley N Reames; Jonathan F Finks; Jyothi R Thumma; Justin B Dimick
Journal:  Surg Obes Relat Dis       Date:  2014-10-16       Impact factor: 4.734

4.  Bariatric surgery: low mortality at a high-volume center.

Authors:  Garth H Ballantyne; Scott Belsley; Daniel Stephens; John K Saunders; Amit Trivedi; Douglas R Ewing; Vincent Iannace; Daniel Davis; Rafael F Capella; Annette Wasielewski; S Moran; Hans J Schmidt
Journal:  Obes Surg       Date:  2008-04-03       Impact factor: 4.129

Review 5.  [Type II diabetes. Permanent remission by surgery of the foregut].

Authors:  W Pories
Journal:  Chirurg       Date:  2009-05       Impact factor: 0.955

Review 6.  Bariatric surgery: risks and rewards.

Authors:  Walter J Pories
Journal:  J Clin Endocrinol Metab       Date:  2008-11       Impact factor: 5.958

7.  Demographics and outcomes at American Society for Metabolic and Bariatric Surgery Centers of Excellence.

Authors:  Gary M Pratt; Chris A Learn; Gail D Hughes; Bobby L Clark; Mike Warthen; Walter Pories
Journal:  Surg Endosc       Date:  2009-01-30       Impact factor: 4.584

8.  The public health implications of the cost-effectiveness of bariatric surgery for diabetes.

Authors:  Neda Laiteerapong; Elbert S Huang
Journal:  Diabetes Care       Date:  2010-09       Impact factor: 19.112

9.  Bariatric surgery complications before vs after implementation of a national policy restricting coverage to centers of excellence.

Authors:  Justin B Dimick; Lauren H Nicholas; Andrew M Ryan; Jyothi R Thumma; John D Birkmeyer
Journal:  JAMA       Date:  2013-02-27       Impact factor: 56.272

10.  Three hundred laparoscopic Roux-en-Y gastric bypasses: managing the learning curve in higher risk patients.

Authors:  Dimitrios J Pournaras; Sadaf Jafferbhoy; Daniel R Titcomb; Samer Humadi; Janet R Edmond; David Mahon; Richard Welbourn
Journal:  Obes Surg       Date:  2009-07-23       Impact factor: 4.129

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