Comparing patterns of care and outcomes after operative management of complications after bariatric surgery at MBSAQIP a

  • PDF / 717,560 Bytes
  • 6 Pages / 595.276 x 790.866 pts Page_size
  • 43 Downloads / 198 Views

DOWNLOAD

REPORT


and Other Interventional Techniques

2020 SAGES ORAL

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. Dawson1 · Neal Bhutiani1   · Matthew V. Benns1 · Keith R. Miller1 · Matthew C. Bozeman1 · Farid J. Kehdy1 · Amir T. Motameni2 Received: 15 May 2020 / Accepted: 25 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Background  Many 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. Methods  Administrative 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. Results  BCE patients were more often Caucasian than non-BCE patients (p