Editor's Note A well-structured water distribution and documentation process helped bariatric surgery patients drink more water and improve postoperative outcomes, finds this study presented July 23 at the 2017 American College of Surgeons Quality and Safety Conference. The average baseline water intake for 12 patients was 381.5 mL during a…

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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…

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Editor's Note Bariatric surgery performed before hip or knee replacement can reduce in-hospital and 90-day postoperative complications, finds this study presented March 14 at the American Academy of Orthopedic Surgeons annual meeting in San Diego. Compared with morbidly obese patients who did not have bariatric surgery before joint replacement, those…

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Editor's Note The first national quality improvement (QI) program for bariatric surgery reduced readmissions by more than 30% for some hospitals, finds this study presented November 2 at ObesityWeek 2016, the annual conference of the American Society for Metabolic & Bariatric Surgery (ASMBS). The average hospital saw 30-day readmissions drop…

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Editor's Note In this study, bariatric surgery for obese adolescents was shown to be cost-effective if assessed over a time period of 5 years, but not in shorter time frames. The incremental cost-effectiveness ratio of bariatric surgery vs no surgery was $155,000 per quality-adjusted life year (QALY) when assessed over…

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Editor's Note Suboptimal postoperative outcomes are the primary driver of high overall costs of care after bariatric surgical procedures, this study finds. The study included morbidly obese patients who underwent laparoscopic vertical sleeve gastrectomy (74 patients) or laparoscopic Roux-en-Y gastric bypass (270 patients) at a single institution from 2010 to…

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Editor's Note Bariatric surgical patients in the Veterans Administration health care system lost substantially more weight than nonsurgical patients and sustained most of the weight loss in the long term, this study finds. Roux-en-Y gastric bypass (RYGB) induced significantly more weight loss than sleeve gastrectomy (SG) or adjustable gastric banding…

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Editor's Note In this study, the preponderance of medical evidence supports Center of Excellence accreditation for bariatric surgery centers. This meta-analysis analyzed 13 studies that included more than 1.5 million patients. Among the benefits of accreditation: 10 studies found a substantial benefit for risk-adjusted outcomes 6 studies reported a considerable…

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Editor's Note Patients who have bariatric surgery at nonaccredited bariatric surgical centers are 1.4 times likelier to have serious complications and more than twice as likely to die after the procedure compared to those who have surgery in accredited centers, this study finds. In this review of more than 1.5…

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Editor's Note This study finds that 10 years after Roux-en-Y gastric bypass (RYGB) surgery, patients were able to maintain more than 50% of what they lost in excess body mass index and more than 25% of their original total body weight loss. The study also found reductions in diabetes, heart…

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