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New bariatrics study findings reported from New York Medical College, Medical College
November 26th, 2007
2007 NOV 26 -- "This study aimed to examine hospital volume in New York state as a predictor of complications over 13 years Data from the New York state Statewide Planning and Research Cooperative Systems database were analyzed by diagnosis-related group, patient demographics, and outcomes. The institution data were analyzed on the basis of volume and logistic regression using chi-square analysis for predicting morbidity and mortality From 1991 to 2003, 24,534 patients underwent bariatric surgery at 79 institutions," scientists writing in the journal Surgical Endoscopy and Other Interventional Techniques report. "Case volume increased 36-fold in high-volume centers (HVCs), whereas the overall number of institutions doubled. The average mortality rate was 1.1% in low-volume centers (LVCs), 0.4% in medium-volume centers (MVCs), and 0.2% in HVCs. Whereas 12.4% of the LVC patients had postoperative anastomotic complications (PACs), only 9.7% had PACs in MVCs and only 7.3% had PACs in HVCs (p < 0.05). Furthermore, only 0.7% of the patients required postoperative reintubation (PRI) after surgery at HVCs, as compared with 1.5% at MVCs and 1.8% at LVCs (p < 0.05)," wrote M. Parker and colleagues, New York Medical College, Medical College. The researchers concluded: "Finally, 1.8% of the patients required blood transfusion of packed red blood cells at HVCs, whereas 2.4% required transfusion at MVCs and LVCs Experience correlates with fewer postoperative complications, including death, in bariatric centers in New York state." Parker and colleagues published their study in Surgical Endoscopy and Other Interventional Techniques (Predictors of outcome after obesity surgery in New York state from 1991 to 2003. Surgical Endoscopy and Other Interventional Techniques, 2007;21(9):1482-1486). Additional information can be obtained by contacting A. Kaul, New York Medical College, Dept. of Surgery, Grasslands Rd., Valhalla, NY 10595, USA. The publisher of the journal Surgical Endoscopy and Other Interventional Techniques can be contacted at: Springer, 233 Spring Street, New York, NY 10013, USA. Keywords: United States, Valhalla, Bariatrics, Obesity, New York Medical College, Medical College. This article was prepared by Obesity & Diabetes Week editors from staff and other reports. Copyright 2007, Obesity & Diabetes Week via NewsRx.com.
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