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Decreasing Readmissions in Bariatric Surgery

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The ASMBS Textbook of Bariatric Surgery

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Abstract

Bariatric surgery has experienced a tremendous improvement in clinical outcomes such as morbidity and mortality through the accreditation process. An additional area of improvement includes readmissions, which has significance to payors and patients alike. This chapter describes why readmissions matter, what readmissions risk factors are, and how readmissions can be prevented.

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References

  1. Nguyen NT, Nguyen B, Shih A, Smith B, Hohmann S. Use of laparoscopy in general surgical operations at academic centers. Surg Obes Relat Dis. 2013;9(1):15–20.

    Article  Google Scholar 

  2. http://www.mbsaqip.org/. Accessed 4/10/2019.

  3. Morton JM, Garg T, Nguyen N. Does hospital accreditation impact bariatric surgery safety? Ann Surg. 2014;260(3):504–9.

    Article  Google Scholar 

  4. Morton JM, Sell T, Garg T, Rivas H. Utilizing national clinical data to drive quality improvement, oral presentation, Obesity Week 2014.

    Google Scholar 

  5. Garg T, Birge K, Rosas U, Azagury D, Rivas H, Morton JM. A postoperative nutritional consult improves bariatric surgery outcomes. Surg Obes Relat Dis. 2016;12:1052–6.

    Article  Google Scholar 

  6. McMahon MM, Sarr MG, Clark MM, et al. Clinical management after bariatric surgery: value of a multidisciplinary approach. Mayo Clin Proc Oct. 2006;81(10 Suppl):S34–45.

    Article  CAS  Google Scholar 

  7. Shen R, Dugay G, Rajaram K, Cabrera I, Siegel N, Ren CJ. Impact of patient follow-up on weight loss after bariatric surgery. Obes Surg. 2004;14(4):514–9.

    Article  Google Scholar 

  8. Kulick D, Hark L, Deen D. The bariatric surgery patient: a growing role for registered dietitians. J Am Diet Assoc. 2010;110(4):593–9.

    Article  Google Scholar 

  9. Kushner RF, Neff LM. Bariatric surgery: a key role for registered dietitians. J Am Diet Assoc. 2010;110(4):524–6.

    Article  Google Scholar 

  10. Nijamkin MP, Campa A, Sosa J, Baum M, Himburg S, Johnson P. Comprehensive nutrition and lifestyle education improves weight loss and physical activity in Hispanic Americans following gastric bypass surgery: a randomized controlled trial. J Acad Nutr Diet. 2012;112(3):382–90.

    Article  Google Scholar 

  11. Singhal R, Kitchen M, Bridgwater S, Super P. Dietetic-led management of patients undergoing laparoscopic gastric banding: early results. Surg Endosc. 2010;24(6):1268–73.

    Article  Google Scholar 

  12. Sarwer DB, Moore RH, Spitzer JC, Wadden TA, Raper SE, Williams NN. A pilot study investigating the efficacy of postoperative dietary counseling to improve outcomes after bariatric surgery. Surg Obes Relat Dis. 2012;8:561–8.

    Article  Google Scholar 

  13. Garg T, Rosas U, Rogan D, Hines H, Rivas H, Azagury D, Morton JM. Characterizing readmissions after bariatric surgery. J Gastrointest Surg. 2016;20(11):1797–801. Epub 2016 Sep 9.

    Article  Google Scholar 

  14. Garg T, Rosas U, Rivas H, Azagury D, Morton JM. National prevalence, causes, and risk factors for bariatric surgery readmissions. Am J Surg. 2016;212(1):76–80. pii: S0002–9610(16)30119-2.

    Article  Google Scholar 

  15. Dorman RB, Miller CJ, Leslie DB, Serrot FJ, Slusarek B, Buchwald H, et al. Risk for hospital readmission following bariatric surgery. PLoS One. 2012;7:e32506.

    Article  CAS  Google Scholar 

  16. Zingmond DS, McGory ML, Ko CY. Hospitalization before and after gastric bypass surgery. JAMA. 2005;294:1918–24.

    Article  CAS  Google Scholar 

  17. Kwon S, Wang B, Wong E, Alfonso-Cristancho R, Sullivan SD, Flum DR. The impact of accreditation on safety and cost of bariatric surgery. Surg Obes Relat Dis. 2013;9:617–22.

    Article  Google Scholar 

  18. Kellogg TA, Swan T, Leslie DA, Buchwald H, Ikramuddin S. Patterns of readmission and reoperation within 90 days after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5:416–23.

    Article  Google Scholar 

  19. http://www.cms.gov/Medicare/Medicare-Fee-for-ServicePayment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. Accessed 4/10/19.

  20. http://www.bcbs.com/why-bcbs/blue-distinction/. Accessed 4/10/19.

  21. Robles AM, Shure D. Optimization of lung function before pulmonary resection: pulmonologists’ perspectives. Thorac Surg Clin. 2004;14(3):295–304.

    Article  Google Scholar 

  22. Kwon S, Thompson R, Dellinger P, Yanez D, Farrohki E, Flum D. Importance of perioperative glycemic control in general surgery: a report from the surgical care and outcomes assessment program. Ann Surg. 2013;257(1):8–14.

    Article  Google Scholar 

  23. Benotti PN, Still CD, Wood GC, Akmal Y, King H, El Arousy H, Dancea H, Gerhard GS, Petrick A, Strodel W. Preoperative weight loss before bariatric surgery. Arch Surg. 2009;144(12):1150–5.

    Article  Google Scholar 

  24. Berger ER, Huffman KM, Fraker T, Petrick AT, Brethauer SA, Hall BL, Ko CY, Morton JM. Prevalence and risk factors for bariatric surgery readmissions: findings from 130,007 admissions in the metabolic and bariatric surgery accreditation and quality improvement program. Ann Surg. 2018;267(1):122–31.

    Article  Google Scholar 

  25. Morton J. The first metabolic and bariatric surgery accreditation and quality improvement program quality initiative: decreasing readmissions through opportunities provided. Surg Obes Relat Dis. 2014;10(3):377–8.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

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  1. John M. Morton
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Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

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Morton, J.M. (2020). Decreasing Readmissions in Bariatric Surgery. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_42

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  • DOI: https://doi.org/10.1007/978-3-030-27021-6_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

  • eBook Packages: MedicineMedicine (R0)

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