Literature DB >> 29938363

[Barriers to the German Society for General and Visceral Surgery (DGAV) accreditation "Center for bariatric and metabolic surgery"].

T Hasenberg1, S Weiner2, D Birk3, E Bonrath4.   

Abstract

INTRODUCTION: The certification and accreditation process of the German Society for General and Visceral Surgery (DGAV) aims to improve the quality of care and enhance transparency in accredited centers. To achieve these goals a high level of infrastructural and staffing requirements are set out by the DGAV. AIMS: The Surgical Working Group on Obesity Treatment and Metabolic Surgery (CAADIP) survey 2017 of the members of the German Bariatric Society aimed to identify the perceived and encountered barriers in the DGAV accreditation process.
METHODS: Between February and March 2017 an online poll was conducted of all members of the CAADIP on topics pertaining to the accreditation process.
RESULTS: A total of 214 (51%) CAADIP members participated in the poll, 47% reported that they worked at a non-certified center and 53% worked at a DGAV certified center. Of these, 68% reported employment in a unit with the lowest accreditation level, 21% in an intermediate level center, 11% reported employment in a unit with the highest accreditation level (Center of Excellence) and 86% of those currently working in non-accredited units stated that they aimed for future accreditation. Reasons stated for not having obtained accreditation were recent establishment of the new bariatric specialty (54%), lack of bariatric case numbers (71%), lack of human resources and infrastructure (28% and 13%, respectively). Of those surgeons in non-accredited centers 24% stated that the hospital management had no interest in a certification and 12% of the surgeons themselves felt that accreditation was unnecessary.
CONCLUSION: The majority of CAADIP members strived for DGAV certification. The main barriers encountered and perceived were the specific time (reference years) and caseload requirements.

Entities:  

Keywords:  Bariatric surgery; Germany; Minimum case volume; Reference years; Survey

Mesh:

Year:  2018        PMID: 29938363     DOI: 10.1007/s00104-018-0678-2

Source DB:  PubMed          Journal:  Chirurg        ISSN: 0009-4722            Impact factor:   0.955


  27 in total

1.  The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases.

Authors:  P Schauer; S Ikramuddin; G Hamad; W Gourash
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3.  The learning curve measured by operating times for laparoscopic and open gastric bypass: roles of surgeon's experience, institutional experience, body mass index and fellowship training.

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Journal:  Obes Surg       Date:  2005-02       Impact factor: 4.129

Review 4.  Minimum Volume Standards in Surgery - Are We There Yet?

Authors:  Hartwig Bauer; Kim C Honselmann
Journal:  Visc Med       Date:  2017-04-13

5.  Overcoming the learning curve of laparoscopic Roux-en-Y gastric bypass: a 12-year experience.

Authors:  Luciana El-Kadre; Augusto C Tinoco; Renam C Tinoco; Livia Aguiar; Tarciana Santos
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6.  [Quality indicators for metabolic and bariatric surgery in Germany : Evidence-based development of an indicator panel for the quality of results, indications and structure].

Authors:  F Seyfried; H-J Buhr; C Klinger; T P Huettel; B Herbig; S Weiner; C Jurowich; A Dietrich
Journal:  Chirurg       Date:  2018-01       Impact factor: 0.955

7.  Does Certification as Bariatric Surgery Center and Volume Influence the Outcome in RYGB-Data Analysis of German Bariatric Surgery Registry.

Authors:  Christine Stroh; F Köckerling; V Lange; S Wolff; C Knoll; C Bruns; Th Manger
Journal:  Obes Surg       Date:  2017-02       Impact factor: 4.129

8.  The Preceding Surgeon Factor in Bariatric Surgery: a Positive Influence on the Learning Curve of Subsequent Surgeons.

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Journal:  Obes Surg       Date:  2015-08       Impact factor: 4.129

9.  Impact of accreditation in bariatric surgery.

Authors:  Alana Gebhart; Monica Young; Michael Phelan; Ninh T Nguyen
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Review 10.  Volume-outcome association in bariatric surgery: a systematic review.

Authors:  Boris Zevin; Rajesh Aggarwal; Teodor P Grantcharov
Journal:  Ann Surg       Date:  2012-07       Impact factor: 12.969

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  1 in total

1.  Training in Bariatric Surgery: a National Survey of German Bariatric Surgeons.

Authors:  Esther Maria Bonrath; S Weiner; D Birk; T Hasenberg
Journal:  Obes Surg       Date:  2020-01       Impact factor: 4.129

  1 in total

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