Evidence map›Paper›PMID 37884733›Full record

ArticleSurgical endoscopy2023

Safety and feasibility of destination care for bariatric surgery: a single institution retrospective study.

Arielle Brackett, Elizabeth McCarthy, Wenyan Ji, Alexandra Hanlon, Robin Ellis, John Getchell, Caitlin Halbert

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2023. 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
1.0field-weighted citation impact, top 23% 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, 3 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 2 countries.

Arielle BrackettChristiana Care Health System, 4755 Ogletown Stanton Road, Newark, DE, 19718, USA.
Elizabeth McCarthyChristiana Care Health System, 4755 Ogletown Stanton Road, Newark, DE, 19718, USA.
Wenyan JiVirginia Polytechnic Institute and State University, Center for Biostatistics and Health Data Science, Four Riverside Circle, Roanoke, VA, 24016, USA.
Alexandra HanlonVirginia Polytechnic Institute and State University, Center for Biostatistics and Health Data Science, Four Riverside Circle, Roanoke, VA, 24016, USA.
Robin EllisChristiana Care Health System, 4755 Ogletown Stanton Road, Newark, DE, 19718, USA.
John GetchellChristiana Care Health System, 4755 Ogletown Stanton Road, Newark, DE, 19718, USA.
Caitlin HalbertChristiana Care Health System, 4755 Ogletown Stanton Road, Newark, DE, 19718, USA. Caitlin.a.halbert@christianacare.org.ORCID 0000-0003-1427-5390
Christiana Care Health System · USRivers State University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncreasing emphasis on value-based healthcare has prompted both employers and healthcare organizations to develop innovative strategies to supply high quality care to patients. One such strategy is through the bundled care payment model (BCPM). Through this model, our institution partnered with employers from across the country to provide quality care for their members. Patients traveling greater than 2 h driving time from the bariatric center were considered "destination" patients. To properly care for our destination patients, our institution created a "destination bariatric program." We sought to investigate comparative outcomes for the first 100 patients who completed the program. We hypothesized that there would be no difference in patient outcomes or complications between destination and local patient groups undergoing sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB). METHODS AND PROCEDURES: A retrospective cohort analysis of patients undergoing bariatric surgery at a MBSAQIP-accredited bariatric surgery center between May 2019 and October 2021 was conducted. Patients were divided into destination or local patient groups based on participation in the established destination surgery program. Patient demographics, perioperative clinical outcomes, and complications were compared and statistically analyzed using two-sample t-tests, Chi-square tests, Fisher's exact tests, and univariate logistic regressions.

resultsThis study identified 296 patients, which consisted of destination (n = 110) and local (n = 186) patient cohorts. Patients in the destination group had higher rates of diabetes mellitus (29.1% vs 24.2%, p = 0.029), but otherwise cohorts had similar basic demographics and comorbidities. Outcomes revealed no statistically significant associations between patient cohort (destination versus local) and ED admission (p = 0.305), hospital readmission (p = 0.893), surgical reintervention (p = 0.974), endoscopic-reintervention (p = 0.714), and patient complications in the postoperative period (30 days).

conclusionParticipation in destination care programs for bariatric surgery was found to be both safe and feasible. These destination programs represent an opportunity to provide a broader patient population access to complex surgical care.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidFeasibility StudiesGastrectomyHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeBariatric surgeryBundled care payment modelsDestination surgeryValue-based healthcare

Identifiers

PMID37884733
OpenAlexW4387966029

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.