J Hunter Mehaffey, Alex D Michaels, Mathew G Mullen, Max O Meneveau, John R Pender, Peter T Hallowell
{"title":"Patient travel for bariatric surgery: does distance matter?","authors":"J Hunter Mehaffey, Alex D Michaels, Mathew G Mullen, Max O Meneveau, John R Pender, Peter T Hallowell","doi":"10.1016/j.soard.2016.12.025","DOIUrl":"10.1016/j.soard.2016.12.025","url":null,"abstract":"<p><strong>Background: </strong>Increasingly, patients are faced with greater travel distances to undergo bariatric surgery at high-volume centers.</p><p><strong>Objectives: </strong>This study sought to evaluate the impact of travel distance on access to care and outcomes after bariatric surgery.</p><p><strong>Setting: </strong>Patients who underwent Roux-en-Y gastric bypass at an academic bariatric surgery center from 1985 to 2004 were examined and stratified by patient travel distance.</p><p><strong>Methods: </strong>Univariate analyses were performed for preoperative risk factors, 30-day complications, and long-term (10-yr) weight loss between \"local,\" defined as<1 hour of travel time, and \"regional,\" defined as>1 hour of travel time. Survival analysis was performed with Kaplan-Meier and Cox proportional hazards models.</p><p><strong>Results: </strong>A total of 650 patients underwent Roux-en-Y gastric bypass, of whom 316 (48.6%) traveled<1 hour to undergo surgery and 334 (51.4%) traveled>1 hour. Median body mass index was equivalent between the groups (local, 52.9 kg/m<sup>2</sup>; regional, 53.2 kg/m<sup>2</sup>; P = .76). Patients who traveled longer distances had higher rates of preoperative co-morbidities, including chronic obstructive pulmonary disease, congestive heart failure, diabetes, and sleep apnea (all P<.05). Complications within 30 days of surgery and long-term reduction of excess body mass index were equivalent between groups. Travel time was an independent predictor of risk-adjusted reduced long-term survival (hazard ratio, 1.23, P = .0002).</p><p><strong>Conclusions: </strong>A majority of patients who underwent bariatric surgery at our center traveled>1 hour. Despite longer travel time for care, 30-day complications and long-term weight loss were equivalent with that of local patients. As expected, patients who lived in close proximity were more likely to adhere to yearly follow-up in surgery clinic. Travel time was an independent predictor of risk-adjusted reduced long-term survival.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"112 1","pages":"2027-2031"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5489384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89454865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Thereaux, T. Lesuffleur, S. Czernichow, A. Basdevant, S. Msika, D. Nocca, B. Millat, A. Fagot-Campagna
{"title":"Do sleeve gastrectomy and gastric bypass influence treatment with proton pump inhibitors 4 years after surgery? A nationwide cohort.","authors":"J. Thereaux, T. Lesuffleur, S. Czernichow, A. Basdevant, S. Msika, D. Nocca, B. Millat, A. Fagot-Campagna","doi":"10.1016/j.soard.2016.12.013","DOIUrl":"https://doi.org/10.1016/j.soard.2016.12.013","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"27 1","pages":"951-959"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87313199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Poghosyan, Clémentine Caille, D. Moszkowicz, M. Hanachi, C. Carette, J. Bouillot
{"title":"Roux-en-Y gastric bypass for the treatment of severe complications after omega-loop gastric bypass.","authors":"T. Poghosyan, Clémentine Caille, D. Moszkowicz, M. Hanachi, C. Carette, J. Bouillot","doi":"10.1016/j.soard.2016.12.003","DOIUrl":"https://doi.org/10.1016/j.soard.2016.12.003","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"105 1","pages":"988-994"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75565371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Kienzl‐Wagner, A. Weissenbacher, P. Gehwolf, H. Wykypiel, D. Öfner, S. Schneeberger
{"title":"Laparoscopic sleeve gastrectomy: gateway to kidney transplantation.","authors":"K. Kienzl‐Wagner, A. Weissenbacher, P. Gehwolf, H. Wykypiel, D. Öfner, S. Schneeberger","doi":"10.1016/j.soard.2017.01.005","DOIUrl":"https://doi.org/10.1016/j.soard.2017.01.005","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"108 1","pages":"909-915"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87882853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paired editorial: Evolution of Endoscopic Treatment of Sleeve Gastrectomy Leaks: From Partially Covered to Long Fully Covered Stents.","authors":"M. Nedelcu, P. Noel","doi":"10.1016/j.soard.2017.01.016","DOIUrl":"https://doi.org/10.1016/j.soard.2017.01.016","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"58 1","pages":"933"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90699670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Tai, Ming‐Lung Yu, H. Tu, Chih-Kun Huang, Jau-Chung Hwang, W. Chuang
{"title":"Derivation and validation of a scoring system for predicting nonalcoholic steatohepatitis in Taiwanese patients with severe obesity.","authors":"C. Tai, Ming‐Lung Yu, H. Tu, Chih-Kun Huang, Jau-Chung Hwang, W. Chuang","doi":"10.1016/j.soard.2016.11.028","DOIUrl":"https://doi.org/10.1016/j.soard.2016.11.028","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"20 1","pages":"686-692"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78431239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blunting of adaptive thermogenesis as a potential additional mechanism to promote weight loss after gastric bypass.","authors":"M. Browning, C. Rabl, G. Campos","doi":"10.1016/j.soard.2016.11.016","DOIUrl":"https://doi.org/10.1016/j.soard.2016.11.016","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"4 1","pages":"669-673"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79879643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Major, M. Wysocki, Jadwiga Dworak, M. Pędziwiatr, P. Małczak, A. Budzyński
{"title":"Are bariatric operations performed by residents safe and efficient?","authors":"P. Major, M. Wysocki, Jadwiga Dworak, M. Pędziwiatr, P. Małczak, A. Budzyński","doi":"10.1016/j.soard.2016.11.017","DOIUrl":"https://doi.org/10.1016/j.soard.2016.11.017","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"41 1","pages":"614-621"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81240976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Rebibo, C. Cosse, B. Robert, C. Chivot, T. Yzet, A. Dhahri, J. Regimbeau
{"title":"Eliminating routine upper gastrointestinal contrast studies after sleeve gastrectomy decreases length of stay and hospitalization costs.","authors":"L. Rebibo, C. Cosse, B. Robert, C. Chivot, T. Yzet, A. Dhahri, J. Regimbeau","doi":"10.1016/j.soard.2016.10.011","DOIUrl":"https://doi.org/10.1016/j.soard.2016.10.011","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"48 1","pages":"553-559"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74729901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Chang, Chih-Kun Huang, C. Tai, Ivy Ya-Wei Huang, Ming-Che Hsin, C. Hung
{"title":"Revision using totally hand-sewn gastrojejunostomy and truncal vagotomy for refractory marginal ulcer after laparoscopic Roux-en-y gastric bypass: a case series.","authors":"P. Chang, Chih-Kun Huang, C. Tai, Ivy Ya-Wei Huang, Ming-Che Hsin, C. Hung","doi":"10.1016/j.soard.2016.09.035","DOIUrl":"https://doi.org/10.1016/j.soard.2016.09.035","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"42 1","pages":"588-593"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82169905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}