Bariatric surgery patients had 64 percent fewer complications and a 26 percent shorter hospital stay if they went to a five-star rated hospital compared with a one-star rated hospital, according to a new study released today by HealthGrades. The study of bariatric surgery outcomes at hospitals in 19 states over the years 2003 to 2005 also found that five-star rated hospitals – those with better-than-average patient outcomes -- performed about twice the number of procedures compared with hospitals that rated poorly.
A clear trend away from traditional, more invasive gastric bypass to a less invasive laparoscopic procedure was also found in the study, according to the second annual HealthGrades Bariatric Surgery Trends in American Hospitals. Over 70 percent of the surgeries done in 2005 were laparoscopic, which are associated with fewer inhospital complications than traditional gastric bypass.
“Bariatric surgery has been demonstrated to be highly effective for those with morbid obesity, but the relatively new procedures are not yet regulated or a credentialed surgical subspecialty,” said Samantha Collier, MD., HealthGrades’ chief medical officer. “So it is important that patients considering surgery know how hospitals rate.”
The HealthGrades study analyzed 166,410 bariatric surgery procedures in the years 2003, 2004 and 2005 in the 19 states that collect and release all-payer outcomes data. Those states are: Arizona, California, Florida, Iowa, Maine, Maryland, Massachusetts, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Texas, Utah, Virginia, Washington and Wisconsin.
HealthGrades’ quality ratings for bariatric surgery at individual hospitals in these 19 states were posted today. Each hospital receives a star rating based on their patient outcomes for bariatric surgery. Hospitals with above-average outcomes receive a five-star rating. Hospitals with average outcomes receive a three-star rating, and hospitals with outcomes that are below average receive a one-star rating.
The second annual HealthGrades Bariatric Surgery Trends in American Hospitals Study found that: Hospitals rated with five stars by HealthGrades performed, on average, almost twice the number of procedures during the three years studied compared with those rated with one star – 533 procedures compared with 293 for one-star hospitals.
Patients at one-star rated hospitals had, on average, a 16.07% chance of experiencing an in-hospital complication; patients at a five-star rated hospital had, on average, a 5.60% percent chance.
A typical patient at a five-star rated hospital had, a 64 percent lower chance of developing one or more major in-hospital complications compare to a one-star hospital, and a 41 percent lower chance compared to all hospitals studied.
The most common major complications include respiratory, bleeding, gastrointestinal and laceration complications.
The average length of stay was 26 percent shorter in five-star hospitals as compared to one-star rated hospitals.
Among the 19 states studies, almost half of all the procedures were performed in just four states – New York, Pennsylvania, Texas and Florida
Last year, a study published by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality found that four of every ten patients undergoing bariatric surgery develop complications within six months.
For this study, HealthGrades analyzed 166,410 bariatric procedures performed in the years 2003, 2004 and 2005. To make accurate and valid comparisons of clinical outcomes at different hospitals with different patient characteristics, HealthGrades risk adjusted the data using multivariate logistic regression-based ratings to account for age, gender and underlying medical conditions that could increase the patient’s risk of mortality or complication.
No! I am not lazy, and NO, I have not abandoned my blog. I am just a human being that needed some vacations. I went to Chile (the country where I used to live for almost 20 years and where my Roux-en-Y gastric bypass was performed back in November 2005). It was a great time and thanks so much for all of your emails and comments. Beginning today (actually in a few minutes) I will continue with my regular posts! I got a lot of new material I want to share with all of you. I also had the opportunity to speak with some local bariatric surgeons in Chile, I have fresh news, tips and tricks I will be sharing!
I just found this incredible valuable resource. I am still playing with it, but I wanted to share it with you, because it looks like it will be a winner. Not only because it is well organized and all tools available are for free, but also because it’s all about food, health, dieting, exercise and community.
Among the tools you can find a food log, a food calendar a weight log, nutrition fact labels and other food and exercise related tools.
I could not imagine how much feedback that little “Inside Brookhaven Obesity Clinic” blog post I wrote almost two months ago would bring me. I received hundreds of emails and dozens of comments on the posting, and mainly, people asking where the obesity center is located.
Well, I did my research, and found it. It's really called the Brookhaven Rehab & Health Care Center located in Far Rockaway, NY (Queens). It's a nursing home basically, with a 60-bed obesity unit. (See map here). They phone number is (718) 337-4009 and their website is: www.brookhavenrehab.com
Now I must say that almost 2 months watching the show, I really think it is not a good alternative. I don’t’ want to write about this now, but you can read the comments of other viewers here.
If you do decide to go there, do not tell them I send you there… Please !
Hey ! I just found a great excuse to be fat! But well, there is a scientific paradox that should not be used as an excuse to indulge:
A 2005 study published in the American Journal of Medicine by scientists at Duke University examined nearly 16,000 people in 37 countries. The authors found that one year after a heart attack, the death rate for normal-weight patients was 4.3 percent. For obese patients, it was just 2.2 percent. (Read more here)