Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

Read More

Editor's Note The safety of bariatric surgery has improved since 1993, and there has been a growth in the number of bariatric procedures performed, this study finds. However, utilization has only marginally increased. Of an estimated 1,903,273 patients who had bariatric surgery between 1993 and 2016, the mean age was…

Read More

Editor's Note Bariatric surgery provides more benefits for obese patients than weight loss; it also reverses subclinical heart dysfunction, finds this study presented December 5 at EuroEcho 2019, a scientific congress of the European Society of Cardiology in Vienna, Austria. The study included 38 obese patients who had bariatric surgery…

Read More

Obesity rates and, consequently, obstructive sleep apnea (OSA) are on the rise in the US, and an increasing number of obese patients are undergoing surgical procedures at ambulatory surgery centers (ASCs). Healthcare providers at such facilities are adding procedures and taking steps to ensure the safety of patients whose body…

Read More

Editor's Note Reoperations after bariatric surgery occurred mainly within the first 10 years, and revisional surgeries (ie, conversions, corrections, and reversals) were more common after banding and vertical banded gastroplasty than gastric bypass, this Swedish study finds. In this analysis of 2,010 patients with 26 years of follow-up, first-time revisional…

Read More

As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…

Read More

Editor's Note During a 5-year quality improvement project, an academic medical center’s bariatric surgery program lowered its rates of postoperative complications and readmissions, surgical site infections (SSIs) and urinary tract infections (UTIs), and bleeding despite doubling its surgical volume, finds this study presented July 23 at the American College of…

Read More

Editor's Note This retrospective study of patients undergoing bariatric surgery found that hospitals with the largest reductions in serious postoperative complications had the greatest decrease in Medicare payments. Researchers ranked 562 hospitals (37,329 patients) into quintiles. The top 20% of hospitals had a decrease in average serious complication rate of…

Read More

Editor's Note One-year mortality after contemporary laparoscopic bariatric surgery is low at <0.25%, which is much lower than previously reported, this study finds. Of 158,606 bariatric procedures analyzed between 2008 and 2012, the 30-day and 1-year mortality rates, respectively were: 0.13% and 0.23% for laparoscopic Roux-en-Y bypass (LRYGB) 0.06% and…

Read More

Editor's Note Changes in gene expression in intestinal tissue of patients after Roux-en-Y gastric bypass (RYGB) surgery explain and predict blood glucose improvement and body weight loss, finds this study presented March 18 at the Endocrine Society’s annual meeting in Chicago. The findings are based on the first 19 patients;…

Read More