Mortality after Bariatric surgery
What this data shows:
Mortality is the most serious adverse post-operative event, and the primary outcome reported by other national audits.
How the data is gathered:
The reported mortality rate in the National Bariatric Surgery Registry relates to deaths occurring at any time during the in-hospital index admission following bariatric surgery. In-hospital mortality has not been risk-adjusted – crude rates are presented.All surgery carries some risk of death, but more than 99.9% of patients undergoing weight loss surgery were discharged home following primary surgery.
In-hospital survival from bariatric surgery continues to be at least as good if not better than many common laparoscopic gastrointestinal procedures.
When the data is shown:
The mortality rate after Bariatric surgery is very low indeed, and there are no ideal statistical methods to compare such low rates between surgeons. Where an individual consultant, in different hospitals, have one death each none are a potential statistical outlier. No surgeon reported more than one death during this study period.Individual cases where in-hospital death has been reported are reviewed locally, to ensure that no issues of the quality of care contributed to the death in question.Surgery itself is just one aspect of a multi-disciplinary team process of care that involves a wide range of healthcare professionals dedicated to the care of patients with severe and complex obesity. These include dieticians, specialist nurses, psychologists, bariatric physicians, anaesthetists, theatre teams and recovery staff, ward nurses including high dependency and intensive care nurses, out patient staff, radiographers, radiologists and exercise therapists. The close working and performance of the whole MDT is integral to the overall outcome.
More information about the data source:
Data are only available for those surgeons who are members of the British Obesity and Metabolic Surgery Society (BOMSS), and who submitted data to the audit over the relevant time period. Data are self-reported, or entered by delegates of individual surgeons, and have not been independently verified against other data sources.Individual surgeon volume must also be interpreted with caution since units may only start surgery part way through an analysis period or a surgeon may stop operating if they retire or a service is moved elsewhere as part of NHS service changes. Surgeons may also operate on NHS patients in 2 or more hospitals so that one unit’s activity may not reflect the overall workload of an individual, nor take into account the surgeon’s volume of work in non-NHS sectors.
Data Source:
The data are taken from UK National Bariatric Surgery Registry, operated by BOMSS and Dendrite Clinical Systems Ltd.
Data Period:
Cases operated upon between 1st April 2013 and 31st March 2016 inclusive
Data Supplier:
BOMSS and Dendrite Clinical Systems Ltd.
Further Information:
Please visit; http://www.bomss.org.uk/consultant-outcomes-2016