Standardized outcomes reporting in metabolic and bariatric surgery

Outcome of Laparoscopic Gastric Bypass (LRYGB) with a Program for Enhanced Recovery After Surgery (ERAS)

“…This makes comparison of results difficult. Recently, the D-C classification was criticized by the clinical issue committee of the American Association for Metabolic and Bariatric Surgery (ASMBS) for not taking the time frame into account [12]. The committee recommended the use of a simplified classification based on dividing morbidity in minor and major, and divided further by the time frame in early and late morbidity with cut-off at 30 days.…”

“…The diagnosis of hypertension (HT) was based solely on the presence of medication for high blood pressure. Both short-term and long-term morbidity was graded according to the Dindo-Clavien classification (D-C) [11], and recent guidelines regarding outcome reporting in bariatric surgery [12] were taken into account as well. Data are presented as mean±SD or median (range) as appropriate.…”

“…Mean (SD) and median (range) surgical time was 73.8 (16.9) and 65 (40-143)min, respectively. Mean LOS was 1.3 days (1.1), median 1 day (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Of all patients, 322 (83 %) were discharged on the first postoperative day (POD).…”

Effect of Roux-en-Y Gastric Bypass on Remission of T2D: Medium-Term Follow-up in Chinese Patients with Different BMI Obesity Class

“…Based on the 2015 outcome reporting standards for the ASMBS [12], diabetes complete remission was defined as glycated hemoglobin (A1C) level <6.0 % with a fasting glucose concentration <5.6 mmol/L for 1 year or more without active pharmacological intervention. Hypertension complete remission was defined as BP <120/80 mmHg without antihypertensive medication.…”

Red cell distribution width is a novel biomarker that predicts excess body-mass index loss 1 year after laparoscopic Roux-en-Y gastric bypass

“…The primary endpoints were percent excess BMI loss (over 25 kg/m 2 ) at 180 ± 30 days and 365 ± 45 days post-operatively (%EBMIL180 and %EBMIL365, respectively), defined as 100%*(BMI 0 − BMI t )/(BMI 0 −25 kg/m 2 ), where BMI 0 is the preoperative BMI and BMI t is the postoperative BMI at either 180 or 365 days from surgery. 11, 12 Between 2004 and 2013, we identified 547 consecutive patients who had primary LRYGB for morbid obesity (BMI > 35 kg/m 2 ) with RDW obtained within thirty days prior to surgery, and BMI documented preoperatively (BMI 0 ), 180 days postoperatively and 365 days postoperatively. Patients with missing data or re-operation during the follow up period were excluded from the analysis.…”