American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States
American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States
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DOI：
10.1016/j.soard.2019.12.022
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发表时间：
2020-04-01
影响因子：
3.1
通讯作者：
Morton, John M.
中科院分区：
文献类型：
--
作者：
English, Wayne J.;DeMaria, Eric J.;Morton, John M.
背景：代谢和减肥手术尽管是肥胖症唯一有效的持久治疗方法，但仍未得到充分利用，约占所有符合手术资格的患者的 1%。美国代谢和减肥手术协会创建了一个数字工作组，以指定肥胖治疗干预措施的年利用率，并确定有需要的患者是否正在接受适当的治疗。目的：本研究的目的是提供 2018 年在美国进行的代谢和减肥手术的最佳估计数量。地点：美国。方法：我们回顾了来自代谢和减肥手术认证和质量改进计划、国家外科质量改进计划、减肥手术的数据。结果纵向数据库和全国住院患者样本。此外，来自行业和门诊中心的数据被用来估计门诊中心的活动。 2018年的数据主要与前两年的数据进行比较。结果：与2017年相比，2018年进行的代谢和减肥手术总数从约228,000例增加至252,000例。袖状胃切除术仍然是最常见的手术。胃绕道手术趋势保持相对稳定，胃束带手术趋势持续下降。翻修手术和胆胰改道十二指肠转接手术的百分比略有增加。最后，胃内气球放置仍然是累计手术总数的重要贡献者，但较前一年有所下降。结论：与 2017 年相比，2018 年进行的代谢和减肥手术数量增加了 10.8%，自 2011 年以来总体增加约 60%。仅考虑主要手术时，约 1.1% 合格或代谢和减肥手术的患者在 2017 年接受了手术治疗。 2018。(C) 2020 美国减肥手术学会。由爱思唯尔公司出版。保留所有权利。
Background: Metabolic and bariatric surgery, despite being the only effective durable treatment for obesity, remains underused as approximately 1% of all patients who qualify undergo surgery. The American Society for Metabolic and Bariatric Surgery created a Numbers Taskforce to specify annual rate of utilization for obesity treatment interventions and to determine if patients in need are receiving appropriate therapy.Objectives: The objective of this study was to provide the best estimated number of metabolic and bariatric procedure performed in the United States in 2018.Setting: United States.Methods: We reviewed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, National Surgical Quality Improvement Program, Bariatric Outcomes Longitudinal Database, and Nationwide Inpatient Sample. In addition, data from industry and outpatient centers were used to estimate outpatient center activity. Data from 2018 were compared mainly with data from the previous 2 years.Results: Compared with 2017, the total number of metabolic and bariatric procedures performed in 2018 increased from approximately 228,000 to 252,000. The sleeve gastrectomy continues to be the most common procedure. The gastric bypass procedure trend remained relatively stable and the gastric band procedure trend continued to decline. The percentage of revision procedures and biliopancreatic diversion with duodenal switch procedures increased slightly. Finally, intragastric balloons placement continues as a significant contributor to the cumulative total number of procedures performed but declined from the previous year.Conclusions: There was a 10.8% increase in the number of metabolic and bariatric procedures performed in 2018, compared with 2017, with an overall increase of approximately 60% since 2011. When taking into account primary procedures only, approximately 1.1% of patients who qualified or metabolic and bariatric surgery were treated with surgery in 2018. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.