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The SAGES Bariatric Surgery Outcome Initiative.

机译：SAGES减肥手术成果计划。

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BACKGROUND: The recent initiative for identifying centers of excellence in bariatric surgery calls for documentation of surgical outcomes. The SAGES Outcomes Initiative is a national database introduced in 1999 as a method for surgeons to accumulate and compare their data with summary national data. A bariatric-specific dataset was established later in 2001. The aim of this study was to compare the outcomes of bariatric surgery from the Society of American Gastrointestinal Endoscopic Surgeons' (SAGES) bariatric database with data derived from a national administrative database of academic centers. METHODS: Between 2001 and 2004, 24 surgeons with 1,954 patients participated in the SAGES Bariatric Outcome Initiative, and 97 institutions with 42,847 patients participated in the University HealthSystem Consortium (UHC) database. Only 7 of the 24 surgeons participating in the SAGES Bariatric Outcome Initiative submitted more than 50 cases. The main outcome measures included demographics, comorbidities, typeof bariatric procedure, operative time, length of hospital stay, short- and long-term complications, mortality, and weight loss. RESULTS: Both datasets were comparable for gender. Roux-en-Y gastric bypass had been performed for 88% of the patients in the SAGES database and 96% of the patients in the UHC database. Associated comorbidities were similar between the two groups except for a higher rate of hyperlipidemia for the patients in the SAGES database. The SAGES database contains more bariatric-specific information such as body mass index, operative time, blood loss, bariatric-specific complications, long-term complications, and weight loss data than the UHC database. According to the available data, no statistically significant differences exist between the two datasets in terms of perioperative complications and mortality. CONCLUSIONS: The SAGES Bariatric Outcome Initiative provides valuable bariatric-specific data not currently available in an administrative database that may be useful for benchmarking purposes. However, this database is currently underutilized.
机译：背景：最近在减肥手术中识别卓越中心的倡议要求记录手术结果。 SAGES结果倡议是一个国家数据库，于1999年引入，作为外科医生将其数据与国家汇总数据进行比较和比较的一种方法。特定于肥胖症的数据集于2001年下半年建立。本研究的目的是比较美国胃肠内窥镜外科医生协会（SAGES）肥胖症数据库中的肥胖症手术结果与国家学术中心行政数据库中的数据。方法：在2001年至2004年之间，SAGES肥胖结果倡议组织（SAGES Bariatric Outcome Initiative）的24名外科医生，共1,954名患者，大学健康系统协会（UHC）数据库中的97家机构，共42,847名患者。参加SAGES肥胖症治疗倡议的24位外科医生中，只有7位提交了50多个病例。主要结局指标包括人口统计学，合并症，减肥手术类型，手术时间，住院时间，短期和长期并发症，死亡率和体重减轻。结果：两个数据集在性别上均具有可比性。在SAGES数据库中对88％的患者和UHC数据库中96％的患者进行了Roux-en-Y胃旁路手术。两组之间的合并症相似，但SAGES数据库中患者的高脂血症发生率更高。与UHC数据库相比，SAGES数据库包含更多的减肥特有信息，例如体重指数，手术时间，失血，减肥特有并发症，长期并发症和体重减轻数据。根据现有数据，就围手术期并发症和死亡率而言，两个数据集之间在统计学上没有显着差异。结论：SAGES肥胖症治疗结果倡议提供了有价值的特定于肥胖症的数据，该数据目前尚无法在管理数据库中获得，这可能对基准测试很有用。但是，该数据库当前未得到充分利用。

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