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Excellence Programs Do Not Identify Safest Hospitals for Bariatric Surgery (Results of Michigan Bariatric Surgery Collaborative Study Show Hospital Surgical Complications are Similar Regardless of Designation as Center of Excellence in Bariatric Surgery)
Listed On: Thursday, July 29, 2010
University of Michigan Health System
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Ann Arbor, Mich. – New data emerges this week about the safety of bariatric surgery and the quality of hospitals that perform the increasingly common weight loss procedures on obese patients. ...Continue
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Official URL: http://www2.med.umich.edu/prmc/media/newsroom/details.cfm?ID=1668
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Summary: New data emerges this week about the safety of bariatric surgery and the quality of hospitals that perform the increasingly common weight loss procedures on obese patients. High volume hospitals had fewer complications, but Center of Excellence accreditation by a professional organization did not predict the safest hospitals for bariatric surgery. The good news is serious complications were relatively low at 7.3 percent, most of them wound and other minor problems, among 15,275 Michigan patients who had bariatric surgery at one of 25 hospitals in the Michigan Bariatric Surgery Collaborative. "Whether hospitals are designated as a bariatric Center of Excellence is not important." As surgery rates rose and safety questions lingered, the American College of Surgeons and the American Society of Metabolic and Bariatric Surgeons created center of excellence programs to help assess quality among hospitals. However, rates of serious complications are 2.7 percent at hospitals designated a center of excellence compared to a similarly low 2 percent at non-designated hospitals. Serious complications were about twice as high at 4.3 percent for low volume surgeons at low volume hospitals compared to 1.9 percent for high volume surgeons at high volume Michigan hospitals. Data for the study came from the Michigan Bariatric Surgery Collaborative which is a regional consortium of hospitals and surgeons performing surgery in Michigan. The efforts of the Michigan collaborative go beyond data feedback. Also a project data coordinator visits participating hospitals to check the accuracy of submitted data.
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