Evidence map›Paper›PMID 32909202›Full record

ArticleSurgical endoscopy2021

Comparing patterns of care and outcomes after operative management of complications after bariatric surgery at MBSAQIP accredited bariatric centers and non-bariatric facilities.

Timothy H Dawson, Neal Bhutiani, Matthew V Benns, Keith R Miller, Matthew C Bozeman, Farid J Kehdy, Amir T Motameni

Abstract read
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Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Timothy H Dawson *Division of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA.
Neal Bhutiani *Division of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA. Neal.bhutiani@louisville.edu.ORCID http://orcid.org/0000-0002-6288-2788
Matthew V BennsDivision of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA.
Keith R MillerDivision of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA.
Matthew C BozemanDivision of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA.
Farid J KehdyDivision of Trauma and Acute Care Surgery, University of Louisville Department of Surgery, 550 S. Jackson Street, 2nd Floor Ambulatory Care Building, Louisville, KY, 40202, USA.
Amir T MotameniDivision of Trauma and Acute Care Surgery, WakeMed Raleigh Department of Surgery, Raleigh, NC, USA.
University of Louisville · USWake Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany operations for complications after bariatric surgery are performed by surgeons without bariatric expertise at centers without teams who routinely care for bariatric patients. This study sought to evaluate whether bariatric expertise affects patterns of care and perioperative outcomes among patients undergoing operative intervention for complications after bariatric surgery.

methodsAdministrative claims data from the Kentucky Office of Health Policy were queried for inpatients undergoing operative intervention for complications related to bariatric surgery between 2015 and 2018. Patients were stratified with respect to whether or not they underwent surgery at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) accredited bariatric surgery center (BCE) or not (non-BCE). Groups were compared with respect to demographic, procedural, and outcome variables.

resultsBCE patients were more often Caucasian than non-BCE patients (p < 0.001) and have either private insurance or Medicare coverage (p = 0.02). Regarding operative approach, operations were more likely to be performed laparoscopically in BCE (88.5% BCE vs. 80.9% non-BCE, p = 0.007). Length of stay was significantly shorter for BCE patients (median 2 days BCE vs. 3 days non-BCE, p < 0.001), and BCE patients were more likely to be discharged home (85.4% BCE vs. 78.5% non-BCE, p = 0.02). Inpatient mortality and average total charges per patient did not differ significantly between the two groups

conclusionsSurgical management of complications after bariatric surgery at BCE is associated with greater utilization of minimally invasive techniques, shorter hospital stay, and increased likelihood of routine home discharge. These findings should prompt a review and standardization of care patterns for patients with complications after bariatric surgery aimed at optimizing outcomes and improving value.

Indexed as

Bariatric SurgeryObesity, MorbidAccreditationAgedHumansMedicarePostoperative ComplicationsQuality ImprovementRetrospective StudiesTreatment OutcomeUnited StatesBariatric surgeryComplicationsQuality

Identifiers

PMID32909202
OpenAlexW3084890306

What OpenQuestion holds

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Registered trials

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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.