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Perioperative Outco...
Perioperative Outcomes of Primary Bariatric Surgery in North-Western Europe : a Pooled Multinational Registry Analysis
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- Poelemeijer, Youri Q. M. (författare)
- Dutch Inst Clin Auditing, Sci Bur, Leiden, Netherlands;Leiden Univ, Dept Surg, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands,Scientific Bureau, Dutch Institute for Clinical Auditing, Leiden, Netherlands; Department of Surgery, Leiden University Medical Center, Leiden, Netherlands
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- Liem, Ronald S. L. (författare)
- Groene Hart Hosp, Dept Surg, Gouda, Netherlands;Dutch Obes Clin, The Hague, Netherlands,Department of Surgery, Groene Hart Hospital, Gouda, Netherlands; Dutch Obesity Clinic, The Hague, Netherlands
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- Våge, Villy (författare)
- Scandinavian Obes Surg Registry, Bergen, Norway,Scandinavian Obesity Surgery Registry, Bergen, Norway
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- Mala, Tom (författare)
- Oslo Univ Hosp, Dept Gastrointestinal Surg, Oslo, Norway,Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway
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- Sundbom, Magnus (författare)
- Uppsala universitet,Gastrointestinalkirurgi,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
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- Ottosson, Johan, 1957- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery,Orebro Univ Hosp, Dept Surg, Orebro, Sweden
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- Nienhuijs, Simon W. (författare)
- Catharina Hosp, Dept Surg, Eindhoven, Netherlands,Department of Surgery, Catharina Hospital, Eindhoven, Netherlands
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(creator_code:org_t)
- 2018-07-19
- 2018
- Engelska.
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Ingår i: Obesity Surgery. - : SPRINGER. - 0960-8923 .- 1708-0428. ; 28:12, s. 3916-3922
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://link.springe...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Introduction: The global prevalence of obesity has increased in recent decades, and bariatric surgery has become a part of the treatment algorithm of obesity. National high-quality registries enable large-scale evaluations of the use and outcome of bariatric surgery and may allow for improved knowledge. The main objective was to evaluate the rate and type of complications after primary bariatric surgery in three North-Western European countries using nationwide registries.Materials and Methods: Data from three registries for bariatric surgery were used (January 2015-December 2016). All registries have nationwide coverage with data on patient characteristics, obesity-related diseases, surgical technique, complications, grading of complications, reinterventions, readmissions, and mortality. Eligibility criteria for bariatric surgery were similar and included body mass index of 40.0 or 35.0kg/m(2), with one or more obesity-associated diseases.Results: A total of 35,858 procedures (32,177 primary) were registered. The most common procedure was gastric bypass in the Netherlands (78.9%) and Sweden (67.0%), and sleeve gastrectomy in Norway (58.2%). A total of 904 (2.8%) patients developed major complications after primary surgery and 12 patients (0.04%) died within 30days. Total number of complications between the registries were comparable (p=0.939). However, significant differences were seen for Clavien-Dindo Classification grades IIIb and IV (p<0.001). Pooled readmission rates were 4.3% (n=1386).Discussion: Bariatric surgery is safely performed in the three evaluated countries. Standardization of registries and consensus of variables are essential for international comparison and may contribute to improved quality of treatment across nations.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- DATO
- DICA
- DSMBS
- SOReg
- Netherlands
- Sweden
- Norway
- Bariatric
- Surgery
- Audit
- Auditing
- Comparison
- Gastric bypass
- Sleeve gastrectomy
- Registry
- Outcome
- Quality
- Indicators
- Complications
- Clavien-Dindo
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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