ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2015
Bariatric outcomes are significantly improved in hospitals with fellowship council-accredited bariatric fellowships.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Obstacles Faced by Young Bariatric Surgeons in Greece: A Call for Change.Obesity surgery · 2025Article
- Separating the components of an abdominal wall fellowship.Annals of the Royal College of Surgeons of England · 2024Article
- The Impact of Trainee Involvement on Outcomes in Metabolic and Bariatric Surgery.Obesity surgery · 2023Article
- The rising tide of revisional surgery: tracking changes in index cases among bariatric-accredited fellowships.Surgical endoscopy · 2023Review
- Operator-specific outcomes in endoscopic sleeve gastroplasty: a propensity-matched analysis of the US population using a multicenter database.Proceedings (Baylor University. Medical Center) · 2023Article
- Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model.Obesity surgery · 2020Article
- Training in Bariatric Surgery: a National Survey of German Bariatric Surgeons.Obesity surgery · 2020Article
- Surgical trainee impact on bariatric surgery safety.Surgical endoscopy · 2019Article
- Resident Training in Bariatric Surgery-A National Survey in the Netherlands.Obesity surgery · 2017Article
- The effect of health system factors on outcomes and costs after bariatric surgery in a universal healthcare system: a national cohort study of bariatric surgery in Canada.Surgical endoscopy · 2017Article
- Organization of future training in bariatric gastroenterology.World journal of gastroenterology · 2017Article
- Ten Year Trends in Minimally Invasive Surgery Fellowship.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing demand of bariatric surgery, there is a need to train more surgeons, while identifying institutional factors associated with improved outcomes. Little is known regarding the impact of a fellowship training program on institutional outcomes. This study examines the effect of bariatric fellowship program status on perioperative outcomes within New York state.
methodsUsing the New York statewide planning and research cooperative system, 47,342 adult patients in 91 hospitals were identified who underwent a laparoscopic bariatric surgery over a 6-year period. Hospitals with fellowships were identified from the Fellowship Council. Statistical comparison between patient demographics, payer source, comorbidities, bariatric procedure performed, and perioperative outcomes in hospitals with and without fellowship were performed.
resultsOn univariate analysis, fellowship accreditation status was found to be associated with increased rates of cardiac complications and shock and decreased rates of pneumonia. Overall complication rate was not significantly different in fellowship versus non-fellowship institutions. However, when controlled for patient demographic, payer source, comorbidity, and operative procedure, there were significantly improved bariatric outcomes among institutions with fellowship programs.
conclusionsThe presence of a fellowship program correlates with improved hospital outcomes, mitigating potential concerns about possible negative effects of trainees on hospitals and patients.
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