Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database
Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database
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DOI：
10.1016/j.soard.2009.11.015
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发表时间：
2010-07-01
影响因子：
3.1
通讯作者：
Winegar, Deborah A.
中科院分区：
文献类型：
--
作者：
DeMaria, Eric J.;Pate, Virginia;Winegar, Deborah A.
背景：减肥结果纵向数据库 (BOLD) 是美国代谢和减肥手术卓越中心参与者的自我报告减肥手术患者信息的注册表。本研究旨在定义输入 BOLD 数据的患者的基线特征。方法：对 2009 年 5 月 20 日之前使用 BOLD 的超过 800 名外科医生和超过 450 个设施提交的数据进行了分析。结果：总共纳入了 57,918 名经研究同意的手术数据患者。在 57,918 名患者中，41,243 名患者年龄在 26-55 岁之间，少数患者年龄在 66 岁以下（5.67%）。女性占研究人群的绝大多数（45,619 [78.76%]）。在 57,918 名患者中，78.12% 登记为白种人，10.52% 为非洲裔美国人，6.02% 为西班牙裔，0.20% 为亚洲人，0.46% 为美洲原住民。最常见的减肥手术是某种形式的胃绕道术（31,668 [54.68%]），其次是某种形式的胃束带术（22,947 [39.62%]）、袖状胃切除术（1,328 [2.29%]）和胆胰分流术（517 [0.89%]）。绝大多数索引手术都是使用腹腔镜手术技术完成的，但胆胰转流术除外，胆胰转流术主要是通过开放手术完成的。截至 2009 年 5 月，指数程序后的任何时间点均报告有 78 例死亡，死亡率为 0.13%。 90天死亡率为0.11%，30天死亡率为0.09%。结论：这是BOLD的第一份数据报告。这些数据揭示了美国各地参与减肥手术卓越中心计划的中心接受减肥手术的患者的重要特征。未来对 BOLD 数据的分析可能会对减肥手术的专业产生重大影响。 （Surg Obes Relat Dis 2010；6：347-355。）(C) 2010 年美国代谢和减肥外科学会。版权所有。
Background: The Bariatric Outcomes Longitudinal Database (BOLD) is a registry of self-reported bariatric surgery patient information from the American Society for Metabolic and Bariatric Surgery Bariatric Surgery Center of Excellence participants. The present study was undertaken to define the baseline characteristics of the patients with data entered into BOLD.Methods: The data submitted by >800 surgeons and >450 facilities using BOLD before May 20, 2009, were analyzed.Results: A total of 57,918 research-consented patients with surgical procedure data were included. Of the 57,918 patients, 41,243 were adults aged 26-55 years, with few patients aged = 66 years (5.67%). Females constituted a significant majority of the study population (45,619 [78.76%]). Of the 57,918 patients, 78.12% registered were described as Caucasian, 10.52% as African-American, 6.02% as Hispanic,.20% as Asian, and .46% as Native American. The most common bariatric surgical procedure was some form of gastric bypass (31,668 [54.68%]), followed by some form of gastric banding (22,947 [39.62%]), sleeve gastrectomy (1,328 [2.29%]), and biliopancreatic diversion (517 [.89%]). The vast majority of index procedures were completed using laparoscopic surgery techniques, except for biliopancreatic diversion, which was primarily done with an open approach. Through May 2009, 78 deaths were reported at any point after the index procedure, for a mortality rate of .13%. The 90-day mortality rate was .11%, and the 30-day mortality rate was .09%.Conclusion: This is the first report of data from BOLD. The data have revealed important characteristics of patients undergoing bariatric surgery across the United States in centers participating in the Bariatric Surgery Center of Excellence program. Future analyses of BOLD data are likely to have a major effect on the specialty of bariatric surgery. (Surg Obes Relat Dis 2010;6: 347-355.) (C) 2010 American Society for Metabolic and Bariatric Surgery. All rights reserved.