Laparoscopic sleeve gastrectomy leads the US utilization of bariatric surgery at academic medical centers
Laparoscopic sleeve gastrectomy leads the US utilization of bariatric surgery at academic medical centers
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DOI：
10.1016/j.soard.2015.02.008
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发表时间：
2015-09-01
影响因子：
3.1
通讯作者：
Nguyen, Ninh T.
中科院分区：
文献类型：
--
作者：
Varela, J. Esteban;Nguyen, Ninh T.
背景资料：对最近一项单一州减肥手术登记的分析显示，腹腔镜袖状胃切除术是2012年开始的最常见的减肥手术。本研究的目的是探讨在利用腹腔镜袖状胃切除术在学术医疗中心在美国的趋势。方法：使用1CD-9诊断和程序代码，临床数据从大学健康系统联盟数据库中获得的所有肥胖症的程序进行治疗的严重肥胖症在2011年10月1日至2014年6月30日。四个最常见的减肥手术的利用率季度趋势进行了检查，和程序之间的比较performed.Results：共进行了54,953减肥程序。腹腔镜袖状胃切除术在所有减肥手术中的使用率从2011年第四季度的23.7%增加到2014年第二季度的60.7%，而腹腔镜胃旁路术则从62.2%下降到37.0%。2013年第二季度，腹腔镜袖状胃切除术的使用率超过了腹腔镜胃旁路术（50.6%对45.8%）。在同一时期，开放式胃旁路术的使用率从6.6%下降到1.5%，腹腔镜可调节胃束带术的使用率从7.5%下降到.8%。结论：在美国学术医疗中心的背景下，腹腔镜袖状胃切除术的使用率显著增加，自2013年以来已超过腹腔镜胃旁路术的使用率。腹腔镜袖状胃切除术现在是最常见的减肥手术在国家一级的学术中心。(C)2015年美国代谢和减肥外科学会。All rights reserved.
Background: Analysis of a recent single state bariatric surgery registry revealed that laparoscopic sleeve gastrectomy was the most common bariatric procedure starting in 2012. The objective of this study was to examine the trend in utilization of laparoscopic sleeve gastrectomy performed at academic medical centers in the United States.Methods: Using 1CD-9 diagnosis and procedure codes, clinical data obtained from the University HealthSystem Consortium database for all bariatric procedures performed for the treatment of severe obesity between October 1, 2011, and June 30, 2014. Quarterly trends in utilization for the 4 most commonly performed bariatric operations were examined, and comparisons between procedures were performed.Results: A total of 54,953 bariatric procedures were performed. Utilization of laparoscopic sleeve gastrectomy increased from 23.7% of all bariatric procedures during the fourth quarter of 2011 to 60.7% during the second quarter of 2014 while laparoscopic gastric bypass decreased from 62.2% to 37.0%, respectively. Utilization of laparoscopic sleeve gastrectomy surpassed that of laparoscopic gastric bypass in the second quarter of 2013 (50.6% versus 45.8%). During the same time period, utilization of open gastric bypass fell from 6.6% to 1.5%, and the use of laparoscopic adjustable gastric banding decreased from 7.5% to.8%.Conclusions: Within the context of U.S. academic medical centers, there has been a significant increase in the utilization of laparoscopic sleeve gastrectomy, which has surpassed laparoscopic gastric bypass utilization since 2013. Laparoscopic sleeve gastrectomy is now the most commonly performed bariatric procedure at the national level within academic centers. (C) 2015 American Society for Metabolic and Bariatric Surgery. All rights reserved.