Objective: To investigate the incidence of bariatric surgery and postoperative outcomes in a population-based cohort of patients in Western Australia over a 17-year period. 2016;2018. b Patient’s age at surgery by country; calendar years 2014–2018 (data for 190,080 of 190,177 cases). One study looked at the long-term outcomes of lapband and bariatric surgery patients using a database to track progress, measure weight shifts, and document any changes . 2015;66(Suppl 2):7–12. throughout the world. A challenge for this and all registries is how to achieve better follow-up data. 2) million major surgical procedures are undertaken every year worldwide. Dendrite clinical systems ltd, Henley-on-Thames, RG9 1AY, UK 2014. 2013 Apr;23(4):427-36 We describe baseline demographics of international practice from the 4th report. Mr Agrawal is certified as ‘Surgeon of Excellence in Metabolic and Bariatric Surgery TM, SOEMBS TM ’ by Surgical Review Corporation of USA. 2018;19:14–27. volume 29, pages782–795(2019)Cite this article. The total number of bariatric procedures performed worldwide in 2013 was 468,609, 95.7 % carried out laparoscopically. The data collected via the Global Registry mirror the operative trends of the 2016 international survey of practice [11]. Although in the whole registry Roux en Y gastric bypass is the most recorded operation, in the last 2years, the number of sleeve gastrectomies recorded is greater than the number of Roux en Y gastric bypasses. Other countries have large comprehensive registries: in the USA, the MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) is a large collaboration between the American College of Surgeon and the ASMBS (American Society for Metabolic and Bariatric Surgery) and the resulting Participant Use Data File (PUF) is released periodically for independent analysis by participating centres. However, thus far, the project has been limited to a description of baseline demographics and 1-year outcomes so as to encourage continuing data submission and recognising the inherent challenges of data validation as described above. Richard Welbourn and Marianne Hollyman are joint first authors, Welbourn, R., Hollyman, M., Kinsman, R. et al. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UK ISBN 978–0–9929942-4-2 2018. Here we describe demographic data from the second report for 54,490 patients from 31 countries operated in the 3 calendar years 2013-2015 and follow up data from 66,560 of 112,544 patients in 2009-2015. Abstract. However, even in small datasets, the data submitted appear consistent with known parameters in that country: the number of patients submitted from Germany in this report is only 22 but their median BMI is similar to that of the known caseload in that country [18]. Chronic Disease Model of Shared Care after Obesity and Metabolic Surgery. One-year follow-up was more complete in those patients having Roux en Y gastric bypass than sleeve gastrectomy (57.4% vs 29.4%). Further data are needed to show the effect on other obesity-related diseases. Al-Ozairi E, El Samad A, Al Kandari J, Taghadom E, Adam S, le Roux C, Syed AA. Kumar SB, Hamilton BC, Wood SG, et al. The overall proportion of female patients was 73.7% (95% CI: 73.5–73.9%). 2014:CD003641. Gastric bypass was the most prevalent operation (49.4%), followed by sleeve gastrectomy (40.7%) and gastric banding (5.5%). Background: N Engl J Med. In this 4th report, the number of individual patient records has doubled the information available compared to the third report, together with a near doubling in the number of national registries submitting data [14, 15]. Obes Surg. He has the privilege of being the First (and only) surgeon in the UK to achieve this designation. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UKISBN 978–0–9929942-7-3 2018. 2013;23:427–36. One of the benefits of such a registry enables us in real time to appreciate the changes in practice, initially with the rise in popularity of the sleeve gastrectomy, and now with an emerging increase in the number of one anastomosis gastric bypass operations being performed. The average BMI for the study was 43%. One year after primary surgery, 66.1% of those taking medication for type 2 diabetes beforehand were no longer on medication; the proportion of patients no longer treated for diabetes was highly dependent on weight loss achieved, with the rate of improvement increasing with higher percentage weight loss (Fig. The percentage of those who had revision surgeries in the year 2015, however, rose to more than … Continued efforts to recruit new centres and obtaining data from existing, and developing, national registries will strengthen the description of baseline demographics in patients operated worldwide. The 1-year total weight loss for patients with available data was 30.53% (95% CI: 30.22-30.84%) and in the cohort 2009-15 was 30.4% with a follow-up rate of 59.14%. With international prevalence increasing year on year, and corresponding increases in the burden of related disease, it is clear that obesity is a problem that has to be addressed [1, 2]. Perioperative outcomes of primary bariatric surgery in North-Western Europe: a pooled multinational registry analysis. Mexico Bariatric Center's Founder and CEO, Ron Elli, Ph.D. has been in Medical Tourism Bariatrics and Plastics since early 2007. 2015;25:1822–32. Georgia, Bulgaria and Hong Kong had the highest risk patient populations (OSMRS groups B and C: 78.7%, 72.2% and 66.7%, respectively); South Korea, Bolivia and Kuwait show the least risk (OSMRS groups B and C: 12.5%, 20.5% and 22.2%). Please enable it to take advantage of the complete set of features! 6a). Since 2014, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has produced an annual report of all bariatric surgery submitted to the Global Registry. The median patient body mass index (BMI) pre-surgery was 41.7 kg m2 (inter-quartile range: 38.3–46.1 kg m2). Epub 2018 Nov 12. Epub 2019 Nov 16. Bariatric surgery has increasingly become common as obesity has become a widespread concern in much of the high-income world. Part of Springer Nature. Future iterations of the registry have the potential to describe the operated patients comprehensively. The dataset for the current version 4.1 is shown (Table 1) [16]. Metabolic/bariatric surgery worldwide 2011. Obes Surg. The global burden of obesity and the challenges of prevention. The IFSO Global Registry amalgamated data from 51 different countries, 14 of which provided data from their national … Keywords: There is widespread variation in access to surgery and in baseline patient characteristics in the countries submitting data to the IFSO Global Registry. Article  Darabi S, Pazouki A, Hosseini-Baharanchi FS, Kabir A, Kermansaravi M. Wideochir Inne Tech Maloinwazyjne. a Distribution of obesity-related disease by region; calendar years 2014–2018. Primary, Endoluminal, and Revisional procedures. OBES SURG 29, 782–795 (2019). PubMed  2015;25:587–606. Article  The median age at time of operation was 42 years (inter-quartile range: 33–51 years; Fig. Using Bayesian Networks to Predict Long-Term Health-Related Quality of Life and Comorbidity after Bariatric Surgery: A Study Based on the Scandinavian Obesity Surgery Registry. Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, Ramos A, Våge V, Al-Sabah S, Brown W, Cohen R, Walton P, Himpens J. Obes Surg. NIH Before surgery, 22.0% patients had type 2 diabetes (inter-country variation 7.4-63.2%); 31.9% were hypertensive (15.8-92.7%); 17.6% had depression (0.0-46.3%); 27.8% took medication for musculoskeletal pain (0.0-58.9%); 18.9% had sleep apnea (0.0-63.2%); and 29.6% of patients had gastro-esophageal reflux disease (9.1-90.9%). CAS  Obes Surg. Recent reports from the 2015 PUF provide baseline demographic descriptions that are complementary to the data presented here [21,22,23]. Surgery for weight loss in adults. Obes Surg. Second IFSO Global Registry Report 2016. 2004;14:1157–64. The total number of bariatric procedures performed worldwide in 2013 was 468,609, 95.7 % carried out laparoscopically. Most significant were the rise in prevalence of SG from 0 to 37 % of the world … -. Five International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) surveys since 1998 have estimated the volume and type of bariatric surgery being done in constituent member countries. 2009;19:1605–11. Article  COVID-19 is an emerging, rapidly evolving situation. There was marked variation in access and practice. Due to a rising prevalence of obesity, the figure rose to 196,000 in 2015, with gastric sleeve surgery being the most commonly performed bariatric surgery in that year (51.7%). Overall, those on medication for type 2 diabetes made up 19.8% of patients (inter-country variation: 4.5–97.7%); 30.6% were treated for hypertension (10.9–92.6%) and 12.4% of patients were on medication for depression (0.0–54.4%). Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Obes Surg. For this type of study, formal consent is not required. Hence all these statistics show an exponential increase in the number of bariatric surgeries that drive the overall growth of the market. Cochrane Database Syst Rev. Obesity and Bariatric Surgery Facts, Statistics and Rates of Obesity. In an effort to answer some of these questions, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) developed a Global Registry, in association with a software and analysis provider, Dendrite Clinical Systems Ltd., aiming to create a global estimate of bariatric surgery practice. Ron has published numerous articles in Global Healthcare and has been informing patients in U.S. and Canada through bariatric seminars and webinars. Such understanding can help us focus our research questions to make them relevant, as demonstrated by the By-Band study which evolved to become the By-Band-Sleeve randomised controlled trial in the UK, as the number of sleeve gastrectomies performed increased. Also, the data presented in the full 4th report show some promising trends in improvement of hypertension, sleep apnea, depression, and musculoskeletal pain, but with follow-up records available for fewer than 10% of cases, no conclusions can be drawn from these findings [15]. Although this year, the number of national registries submitting data has increased to 14, there are still large areas of the world whose data are unknown. 2020 Jun;15(2):290-297. doi: 10.5114/wiitm.2019.89774. 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