Conversions to open surgery greatly increase complications: an analysis of the MBSAQIP database

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

“…Coding and reporting mistakes may occur in the BS Data Files [ 43 ]; and the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database has completeness, accuracy, and consistency issues, and needs standardized coding for complications [ 44 ]. Quantifying the validity of diagnosis codes for obesity and other prognostic factors is critical to interpret surgical outcomes [ 42 ].…”

“…The 2016 IFSO survey has “data from 58/62 (94%) IFSO societies (except Panama, Paraguay, Philippines, Serbia), and 27 out of 58 (45.8%) reported information from their own national registries while the remaining national societies provided estimated data, although they declared a completeness of data of about 80%" [ 36 ]. Similarly, the MBSAQIP captures all surgeries performed at accredited centers, but not all BS done [ 43 ]. In addition, as non-IFSO members seem not included in the IFSO survey [ 36 ], it is uncertain whether additional numbers of BS globally were not represented in the IFSO estimate.…”

“…Significant number of BS patients pay cash [ 43 ]. “Endoscopic and surgical procedures performed in private not academic institutions are usually not reported; therefore, the reported number is probably underestimated” [ 36 ].…”

“…Some lack of mandatory reporting : in the USA, as ambulatory surgery centers can offer lower prices for sleeve gastrectomy (SG) and do not have to report discharge data to the state, databases could miss significant percentages of BS [ 43 ].…”

“…Texas performs 10% of BS in the USA, where 13%–20% of SG procedures were performed at non-accredited centers [ 43 ]. ‘If this is a trend that is applicable on a national level, we may be missing nearly one in six cases of bariatric surgery” [ 43 ]. There were 84 Accredited Centers in Texas (2017), but 171 centers were performing BS [ 43 ].…”