ArticleObesity surgery2012
High-volume bariatric surgery in a single center: safety, quality, cost-efficacy and teaching aspects in 2,000 consecutive cases.
Article in Obesity surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Learning Curves of Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Bariatric Surgery: a Systematic Review and Introduction of a Standardization.Obesity surgery · 2020Pooled it
- Analgesic treatment in laparoscopic gastric bypass surgery: a systematic review of randomized trials.Obesity surgery · 2014Pooled it
- Gastric bypass with long alimentary limb or long pancreato-biliary limb--long-term results on weight loss, resolution of co-morbidities and metabolic parameters.Obesity surgery · 2014Trial
- Early Physiologic Derangements for Detection of Major Complications After Bariatric Surgery: A Multicenter Cohort Study.Obesity surgery · 2026Article
- Perioperative optimization and profitability (POP) in a high-volume bariatric surgery center.Surgical endoscopy · 2023Article
- Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass.International journal of environmental research and public health · 2022Article
- A Hub and Spoke Learning Program in Bariatric Surgery in a Small Region of Italy.Frontiers in surgery · 2022Article
- Non-operative Management of Obstructing Clot at the Jejunojejunal Anastomosis Site After Laparoscopic Roux-en-Y Gastric Bypass: a Case Report.Obesity surgery · 2021Article
- Endoscopic management of early GI tract bleeding in a group of bariatric patients undergoing a fast track protocol.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- Value-Based Healthcare and Enhanced Recovery After Surgery Implementation in a High-Volume Bariatric Center in Italy.Obesity surgery · 2020Article
- Fast Track Program in Conversion Bariatric Surgery, as Safe as in Primary Bariatric Surgery?Obesity surgery · 2020Article
- Article
- Nationwide Macroeconomic Variables and the Growth Rate of Bariatric Surgeries in Brazil.Obesity surgery · 2018Article
- Sleeve gastrectomy leads to easy management of hormone replacement therapy and good weight loss in patients treated for craniopharyngioma.Updates in surgery · 2017Article
- Identification of technical errors and hazard zones in sleeve gastrectomy using OCHRA : "OCHRA for sleeve gastrectomy".Surgical endoscopy · 2017Observational
- Shorter than 24-h hospital stay for sleeve gastrectomy is safe and feasible.Surgical endoscopy · 2016Article
- Outcome of Laparoscopic Gastric Bypass (LRYGB) with a Program for Enhanced Recovery After Surgery (ERAS).Obesity surgery · 2016Article
- Results of Implementing an Enhanced Recovery After Bariatric Surgery (ERABS) Protocol.Obesity surgery · 2016Article
- Early Postoperative Progression to Solid Foods Is Safe After Roux-en-Y Gastric Bypass.Obesity surgery · 2016Article
- Cardiovascular, renal and overall health outcomes after bariatric surgery.Current cardiology reports · 2015Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity surgery is the most effective treatment for morbid obesity and the fastest growing area in surgery. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the gold standard procedure in many countries. Optimization of the treatment process is important in order to keep the morbidity rate down and cost of treatment as low as possible.
methodsIn September 2005, we established a bariatric surgery program. Until December 2010, 2,000 patients underwent LRYGB. Clinical pathways were established, with focus on safety, fast-track methodology and training of surgeons. Time recordings from all parts of the treatment, as well as clinical outcome, were prospectively registered.
resultsTime consumption for the total procedure in the operating theater was reduced from 102 to 54 min (P < 0.001). With only 11 min turnover between patients, the total time for one patient has been reduced to 65 min, enabling us to perform six operations in a single operating theater during ordinary daytime. Early complication rate was 2.8%, and mean hospital stay was 2.3 days. We were able to double the patients treated in 2010 compared to 2007 with only 10% increase in staff. Three surgeons were trained during the period into fully qualified senior bariatric surgeons.
conclusionsMultimodal evidence-based care within the fast-track methodology and routine time recordings was successful in order to increase the production volumes and reduce costs, without compromising the safety or quality for the patients. This kind of approach may be transferred to other types of standardized surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.