Does Certification as Bariatric Surgery Center and Volume Influence the Outcome in RYGB—Data Analysis of German Bariatric Surgery Registry

Aim To examine the association between the certification as bariatric surgery center and volume and patient outcome, data collected in the German Bariatric Surgery Registry were evaluated. All data were registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Ott...

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Bibliographic Details
Published in:Obesity surgery 2017-02, Vol.27 (2), p.445-453
Main Authors: Stroh, Christine, Köckerling, F., Lange, V., Wolff, S., Knoll, C., Bruns, C., Manger, Th
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery - standards
Bariatric Surgery - statistics & numerical data
Certification
Female
Gastrointestinal surgery
Germany
Health Facilities - standards
Health Facilities - statistics & numerical data
Hospitals
Humans
Male
Medicine
Medicine & Public Health
Obesity, Morbid - surgery
Original Contributions
Postoperative Complications
Quality Assurance, Health Care
Quality of care
Registries
Surgery
Surgical outcomes
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Summary:Aim To examine the association between the certification as bariatric surgery center and volume and patient outcome, data collected in the German Bariatric Surgery Registry were evaluated. All data were registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Otto-von-Guericke University Magdeburg. Methods Data collection began in 2005 for all bariatric procedures in an online database. Participation in the quality assurance study is required for all certified bariatric surgery centers in Germany. Descriptive evaluation and matched pairs analysis were performed. Patients were matched via propensity score taking into account BMI, age, and incidence of comorbidities. Results During the period from 2005 to 2013, 3083 male and 10,639 female patients were operated on with the RYGB primary approach. In Centers of Competence (77.2 %) and non-accredited hospitals (76.3 %), the proportion of female patients was significantly lower than in Centers of Reference/Excellence (78.7 %; p  = 0.002). The mean age in Centers of Reference/Excellence (41.2 years) was significantly lower than in Centers of Competence (43.2 years; p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-016-2340-8