Surgery for Obesity and Related Diseases
Volume 3, Issue 6 , Pages 592-596 , November 2007

Medicare and Medicaid status predicts prolonged length of stay after bariatric surgery

  • Ramsey M. Dallal, M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, Division of Bariatric Surgery, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania
    • Corresponding Author InformationReprint requests: Ramsey Dallal, M.D., F.A.C.S., Department of Surgery, Division of Bariatric Surgery, Albert Einstein Healthcare Network, 60 East Township Line Road, Elkins Park, PA 19027.
  • ,
  • Tejwant Datta, M.D.

      Affiliations

    • Department of Surgery, Division of Bariatric Surgery, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania
  • ,
  • Leonard E. Braitman, Ph.D.

      Affiliations

    • Office for Research and Technology Development, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania

Received 22 February 2007 ,Revised 7 July 2007 ,Accepted 13 August 2007.

References 

  1. Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg. 2004;240:416–424
  2. Pratt GM, McLees B, Pories WJ. The ASBS Bariatric Surgery Centers of Excellence program: a blueprint for quality improvement. Surg Obes Relat Dis. 2006;2:497–503
  3. Livingston EH. Procedure incidence and in-hospital complication rates of bariatric surgery in the United States. Am J Surg. 2004;188:105–110
  4. Poulose BK, Griffin MR, Zhu Y, et al. National analysis of adverse patient safety for events in bariatric surgery. Am Surg. 2005;71:406–413
  5. Livingston EH, Huerta S, Arthur D, Lee S, De Shields S, Heber D. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236:576–582
  6. Liu JH, Zingmond D, Etzioni DA, et al. Characterizing the performance and outcomes of obesity surgery in California. Am Surg. 2003;69:823–828
  7. Livingston EH, Ko CY. Assessing the relative contribution of individual risk factors on surgical outcome for gastric bypass surgery: a baseline probability analysis. J Surg Res. 2002;105:48–52
  8. Flum DR. Administrative data analyses in bariatric surgery—limits of the technique. Surg Obes Relat Dis. 2006;2:78–81
  9. Dennison C, Pokras R. Design and operation of the National Hospital Discharge Survey: 1988 redesign. Vital Health Stat. 2000;1:1–42
  10. Flum DR, Salem L, Elrod JA, Dellinger EP, Cheadle A, Chan L. Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. JAMA. 2005;294:1903–1908
  11. Livingston EH, Langert J. The impact of age and Medicare status on bariatric surgical outcomes. Arch Surg. 2006;141:1115–1121
  12. Dallal RM, Bailey L, Guenther L, Curley C, Sergi F. Comparative analysis of short-term outcomes after bariatric surgery between two disparate populations. Surg Obes Relat Dis. 2007;May 24; [Epub ahead of print]
  13. Goldfeder LB, Ren CJ, Gill JR. Fatal complications of bariatric surgery. Obes Surg. 2006;16:1050–1056
  14. Yeats M, Wedergren S, Fox N, Thompson JS. The use and modification of clinical pathways to achieve specific outcomes in bariatric surgery. Am Surg. 2005;71:152–154
  15. Jan JC, Hong D, Pereira N, Patterson EJ. Laparoscopic adjustable gastric banding versus laparoscopic gastric bypass for morbid obesity: a single-institution comparison study of early results. J Gastrointest Surg. 2005;9:30–41
  16. Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–291
  17. Nguyen NT, Paya M, Stevens CM, Mavandadi S, Zainabadi K, Wilson SE. The relationship between hospital volume and outcome in bariatric surgery at academic medical centers. Ann Surg. 2004;240:586–594
  18. Schauer P, Ikramuddin S, Hamad G, Gourash W. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17:212–215
  19. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–1737
  20. Livingston EH, Ko CY. Socioeconomic characteristics of the population eligible for obesity surgery. Surgery. 2004;135:288–296

PII: S1550-7289(07)00583-7

doi: 10.1016/j.soard.2007.08.009

Surgery for Obesity and Related Diseases
Volume 3, Issue 6 , Pages 592-596 , November 2007