The Relationship Between Hospital Volume and Outcome in Bariatric Surgery at Academic Medical Centers

摘要: In an effort to improve the quality of surgical care for bariatric patients, American Society Bariatric Surgery (ASBS) recently proposed categorization certain practices into “Centers Excellence” surgery. The Centers Excellence program was initiated educate public and third-party payers about surgery centers that provide a comprehensive, standardized, predictable structure along with long-term commitment treatment morbidly obese patients. Criteria becoming center excellence include threshold volume cases per year, operative outcomes, presence multidisciplinary management (Table 1). perform 125 year acceptable results, follow-up care, have mutidisciplinary approach patients would be categorized as “centers excellence.” This concept viewed skepticism by some ASBS members enhance regionalization practice reinforce referral established centers. Furthermore, validity hypothesis high in equates better outcomes improved questioned. TABLE 1. Proposed Becoming Center According Surgery The relationship between outcome has been several complex abdominal operations including esophagectomy pancreatectomy, but few studies examined volume–outcome undergoing surgery.1–5 surgery, particularly Roux-en-Y gastric bypass, is operation performed high-risk population many comorbid conditions. Optimal often depend on experienced team working context well-structured program. A dedicated includes well-trained surgeons, coordinators, anesthesiologists, nutritionists, mental health specialists. hospital facility capable handling appropriate consultative critical staff, nursing perioperative clinical pathways, organized support group, clinic system place objective this study determine who underwent using national administrative database academic medical teaching hospitals.