Richard L Seip1, Kyle Robey1, Andrea Stone1, Geneth Chin1, Ilene Staff2, Tara McLaughlin3,4, Darren Tishler1, Pavlos Papasavas1. 1. Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA. 2. Hartford Hospital Research Program, Hartford, CT, 06102, USA. 3. Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA. Tara.Mclaughlin@hhchealth.org. 4. Department of Surgery, Hartford Healthcare Medical Group, 85 Seymour Street, Hartford, CT, 06106, USA. Tara.Mclaughlin@hhchealth.org.
Abstract
BACKGROUND: Patients undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have different healthcare needs after surgery. Our aim was to quantify non-routine healthcare utilization after RYGB vs. SG. METHODS: We compared non-routine (NR) visits made and associated services provided up to 2 years post-surgery for patients undergoing RYGB or SG at a Bariatric Surgery Comprehensive Center between March 2013 and April 2015. RESULTS: A total of 258 and 461 patients had primary RYGB and SG, respectively. Successful follow-up rates at one (76.2%) and 2 years post-surgery (52.6%) did not differ between groups. Rates for all NR visits, expressed as the number per 100 patients, were 68.6 in RYGB vs. 35.4 in SG patients (p < 0.0001). Emergency department visits with subsequent admission (EDA) or without subsequent admission (ED-only) and outpatient visits (OPV) were more frequent in RYGB vs. SG: EDA, 14.7 vs. 8.0 (p = 0.0076); ED-only, 17.8 vs. 7.6 (p = 0.0001); and OPV, 29.8 vs. 14.1 (p < 0.0001). RYGB required more services per 100 patients than SG, 120.9 vs. 75.3, respectively (p < 0.0001). Imaging was the resource most often used overall. Surgery type (RYGB) significantly predicted healthcare utilization even after controlling for gender, ethnicity, and other variables. Healthcare utilization peaked at 1 to 6 months post-surgery, driven by patients who underwent RYGB. CONCLUSIONS: RYGB required twice as many non-routine follow-up visits and 1.6 times greater use of healthcare services relative to SG. Computer-assisted tomography imaging and endoscopies showed the greatest differences. Peak healthcare utilization for RYGB occurred between 1 and 6 months following surgery.
BACKGROUND:Patients undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have different healthcare needs after surgery. Our aim was to quantify non-routine healthcare utilization after RYGB vs. SG. METHODS: We compared non-routine (NR) visits made and associated services provided up to 2 years post-surgery for patients undergoing RYGB or SG at a Bariatric Surgery Comprehensive Center between March 2013 and April 2015. RESULTS: A total of 258 and 461 patients had primary RYGB and SG, respectively. Successful follow-up rates at one (76.2%) and 2 years post-surgery (52.6%) did not differ between groups. Rates for all NR visits, expressed as the number per 100 patients, were 68.6 in RYGB vs. 35.4 in SG patients (p < 0.0001). Emergency department visits with subsequent admission (EDA) or without subsequent admission (ED-only) and outpatient visits (OPV) were more frequent in RYGB vs. SG: EDA, 14.7 vs. 8.0 (p = 0.0076); ED-only, 17.8 vs. 7.6 (p = 0.0001); and OPV, 29.8 vs. 14.1 (p < 0.0001). RYGB required more services per 100 patients than SG, 120.9 vs. 75.3, respectively (p < 0.0001). Imaging was the resource most often used overall. Surgery type (RYGB) significantly predicted healthcare utilization even after controlling for gender, ethnicity, and other variables. Healthcare utilization peaked at 1 to 6 months post-surgery, driven by patients who underwent RYGB. CONCLUSIONS: RYGB required twice as many non-routine follow-up visits and 1.6 times greater use of healthcare services relative to SG. Computer-assisted tomography imaging and endoscopies showed the greatest differences. Peak healthcare utilization for RYGB occurred between 1 and 6 months following surgery.
Authors: Maria C Mora-Pinzon; Dana Henkel; Richard E Miller; Patrick L Remington; Jon C Gould; Shanu N Kothari; Luke M Funk Journal: Surgery Date: 2017-07-26 Impact factor: 3.982
Authors: Trit Garg; Ulysses Rosas; Daniel Rogan; Harrison Hines; Homero Rivas; John M Morton; Dan Azagury Journal: J Gastrointest Surg Date: 2016-09-09 Impact factor: 3.452
Authors: Matthew M Hutter; Bruce D Schirmer; Daniel B Jones; Clifford Y Ko; Mark E Cohen; Ryan P Merkow; Ninh T Nguyen Journal: Ann Surg Date: 2011-09 Impact factor: 12.969
Authors: Arthur M Carlin; Telal M Zeni; Wayne J English; Abdelkader A Hawasli; Jeffrey A Genaw; Kevin R Krause; Jon L Schram; Kerry L Kole; Jonathan F Finks; John D Birkmeyer; David Share; Nancy J O Birkmeyer Journal: Ann Surg Date: 2013-05 Impact factor: 12.969
Authors: Arthur Bohdjalian; Felix B Langer; Soheila Shakeri-Leidenmühler; Lisa Gfrerer; Bernhard Ludvik; Johannes Zacherl; Gerhard Prager Journal: Obes Surg Date: 2010-01-22 Impact factor: 4.129
Authors: Hinali Zaveri; Ramsey M Dallal; Daniel Cottam; Amit Surve; Susan Kartiko; Fernando Bonnani; Austin Cottam; Samuel Cottam Journal: Obes Surg Date: 2016-10 Impact factor: 4.129
Authors: Kristina H Lewis; Stephanie Argetsinger; David E Arterburn; Jenna Clemenzi; Fang Zhang; Ronald Kamusiime; Adolfo Fernandez; Dennis Ross-Degnan; James F Wharam Journal: JAMA Netw Open Date: 2022-05-02