Relationship between bariatric surgery outcomes and Medicare expenditures
Editor's Note Medicare payments for bariatric surgery are significantly lower at hospitals with low complication rates, and cost savings are most prominent in patients at highest risk for complications, this study finds. The analysis of 38,374 bariatric surgery patients found a strong correlation between complication rates and episode payments−hospitals in…
Pulmonary complications after outpatient surgery linked to BMI
Editor's Note Obese Class II and III were associated with an independent risk of pulmonary complications after outpatient surgery in this study. Of 444,532 patients included in this analysis, there were 996 all cause pulmonary complications. Binary logistic regression identified body mass index (BMI) as an independent predictor of a…
Surgical outcomes vary at bariatric centers of excellence
Editor's Note Center accreditation alone does not ensure high-quality care for bariatric surgical patients, this study finds. In this analysis of 145,527 patients across 165 bariatric centers of excellence, serious complication rates varied 17-fold at the national level and 2.1-fold at the state level. Complication rates varied at centers with…
Suicide attempts increase after bariatric surgery
Editor's Note Bariatric surgery patients were at a much higher risk of suicide after surgery than before, in this study. Of 8,815 patients included in the study, 111 had 158 self-harm emergencies during follow-up. Overall, self-harm significantly increased postoperatively (3.63/1,000 patient years) compared with preoperatively (2.33/1,000 patient years). Self-harm emergencies…
AAAHC issues guidelines for obese patients
Screening heavier patients for ambulatory surgery just became a little easier, thanks to a new brochure from the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement, Skokie, Illinois. Titled “Ambulatory surgery and obesity in adults: Preventing complications,” the two-page toolkit draws on some 40 research articles outlining…
Providing safe care for obese patients in the ASC
Patients are getting heavier, and outpatients are no exception. The Centers for Disease Control and Prevention (CDC) classifies nearly one-third of Americans as obese. Meanwhile, the number of procedures deemed suitable for ambulatory surgery centers (ASCs) is increasing. That is not a problem if patients are properly screened, experts agree,…
More complications in obese patients after elective breast surgery
Obese patients are nearly 12 times more likely to have postoperative complications after elective breast procedures than nonobese patients, finds a study published online ahead of print in Plastic and Reconstructive Surgery. Overall, 18.3% of obese patients suffered complications compared to 2.2% of nonobese patients in a review of insurance…
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