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| Name | Class |
|---|---|
| National Medical Research Council (NMRC), Singapore | OTHER_GOV |
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While metabolic-bariatric surgery is a safe and well-established surgery, complications do occur and can have significant impact on the patient. With the study, the investigators aim to establish the proportion of patients that will have complications and understand what the impact of complications are on costs.
Complications after metabolic-bariatric surgery can be catastrophic and have significant impact on costs, morbidity, and mortality. As current global benchmarks for complications rates in MBS are based on standard risk patients in western populations, the benchmark complication rates in high-risk patients and Asian populations are unknown. The investigators aim to evaluate the incidence of complications in 1016 consecutive patients and the impact of complications on costs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metabolic-Bariatric Surgery | Patients undergoing Metabolic-Bariatric Surgery are divided into either Laparoscopic Sleeve Gastrectomy (LSG), Roux-en-Y Gastric Bypass (RYGB) or One-Anastomosis Gastric Bypass (OAGB). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metabolic-bariatric surgery | Procedure | Our study is conducted in a predominantly high-risk Asian population that will be undergoing metabolic-bariatric surgery. The types of surgery can be divided into Laparoscopic Sleeve Gastrectomy (LSG), Roux-en-Y Gastric Bypass (RYGB) or One-Anastomosis Gastric Bypass (OAGB). |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Anastomotic Leak | 90 Day Post-Operative Complications | From completion of surgery till post-operative 90 days |
| Number of Participants with Bleeding | 90 Day Post-Operative Complications | From completion of surgery till post-operative 90 days |
| Number of Participants with Perforation | 90 Day Post-Operative Complications | Time Frame: From completion of surgery till post-operative 90 days |
| Number of Participants with Collection | Collection includes hematoma, pus, serous fluids. Outcome measured to 90 Day Post-Operative. | Time Frame: From completion of surgery till post-operative 90 days |
| Number of Participants with Hospital Readmission | Any readmission to hospital from completion of surgery till post-operative 90 days | From completion of surgery till post-operative 90 days |
| Number of Participants with Reoperation | Any reoperation due to any complications from completion of surgery till post-operative 90 days | From completion of surgery till post-operative 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Total Costs of Bariatric Surgery (USD) | Total costs of all events that occur from surgery till post-operative 90 days will be included. Costs will be extracted from hospital records. | From completion of surgery till post-operative 90 days |
| Time to surgical intervention (hr) |
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Inclusion Criteria:
Exclusion Criteria:
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Our patients are consecutive patients that underwent metabolic-bariatric surgery.
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| Name | Affiliation | Role |
|---|---|---|
| Asim Shabbir, MBBS, FRCS | National University Hospital, Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National University Hospital | Singapore | 119074 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19638912 | Result | Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, de Santibanes E, Pekolj J, Slankamenac K, Bassi C, Graf R, Vonlanthen R, Padbury R, Cameron JL, Makuuchi M. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009 Aug;250(2):187-96. doi: 10.1097/SLA.0b013e3181b13ca2. | |
| 31592894 |
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Data will be shared upon reasonable request towards corresponding author.
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| ID | Term |
|---|---|
| D050110 | Bariatric Surgery |
| ID | Term |
|---|---|
| D049088 | Bariatrics |
| D000073319 | Obesity Management |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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Time to surgical intervention for patients requiring surgical treatment for post-operative complications. Time will be extracted from surgical records |
| From completion of surgery till 90 days post-operative |
| Number of Participants with Total Parental Nutrition Requirement | Use of Total Parental Nutrition during 90 Day Post-Operative | From completion of surgery till post-operative 90 days |
| Number of Participants with Blood Transfusion | Any blood transfusion given from completion of surgery till post-operative 90 days | From completion of surgery till post-operative 90 days |
| Length of Stay (Days) | Length of hospital stay from index operation to hospital discharge | From completion of surgery till hospital discharge assessed up to post-operative 90 days |
| Number of Participants with Emergency Department Attendance | Any Emergency Department Attendance from completion of surgery till post-operative 90 days | From completion of surgery till post-operative 90 days |
| Gero D, Raptis DA, Vleeschouwers W, van Veldhuisen SL, Martin AS, Xiao Y, Galvao M, Giorgi M, Benois M, Espinoza F, Hollyman M, Lloyd A, Hosa H, Schmidt H, Garcia-Galocha JL, van de Vrande S, Chiappetta S, Menzo EL, Aboud CM, Luthy SG, Orchard P, Rothe S, Prager G, Pournaras DJ, Cohen R, Rosenthal R, Weiner R, Himpens J, Torres A, Higa K, Welbourn R, Berry M, Boza C, Iannelli A, Vithiananthan S, Ramos A, Olbers T, Sepulveda M, Hazebroek EJ, Dillemans B, Staiger RD, Puhan MA, Peterli R, Bueter M. Defining Global Benchmarks in Bariatric Surgery: A Retrospective Multicenter Analysis of Minimally Invasive Roux-en-Y Gastric Bypass and Sleeve Gastrectomy. Ann Surg. 2019 Nov;270(5):859-867. doi: 10.1097/SLA.0000000000003512. |