Editor's Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Of 14,063 bariatric surgery patients in the Michigan Bariatric Surgery Collaborative who…

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Editor's Note The Food and Drug Administration (FDA) on August 10 issued a Safety Alert to update healthcare providers on five reports of unanticipated deaths that have occurred from 2016 to the present in patients with liquid-filled intragastric balloon systems used to treat obesity. Four reports involve the Orbera Intragastric…

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Editor's Note After cardiac surgery, obese patients required significantly more ICU resources and longer recovery times, resulting in more expensive, labor-intensive care, this study finds. Of 5,365 patients included in the analysis, 1,948 were classified as obese. Patients with greater obesity were: four times more likely to have longer time…

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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…

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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…

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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 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…

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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…

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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,…

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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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