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01-01-2019 | Original Contributions

Mentorship Programs in Bariatric Surgery Reduce Perioperative Complication Rate at Equal Short-Term Outcome—Results from the OPTIMIZE Trial

Authors: Stefan Wolter, Anna Duprée, Alexander ElGammal, Norbert Runkel, Johannes Heimbucher, Jakob R. Izbicki, Oliver Mann, Philipp Busch

Published in: Obesity Surgery | Issue 1/2019

Abstract

Objectives

The aim of this study was to determine the efficacy of coaching on outcome in low volume centers of excellence and to evaluate the influence of mentorship programs on the center development.

Background

The number of bariatric procedures has increased steadily in the last years. Providing nationwide bariatric care on a high professional level needs structures to train and guide upcoming centers and ensure high quality in patient care.

Methods

A prospective multicentered, observational study including laparoscopic sleeve gastrectomies (SG) and Roux-en-Y gastric bypass (RYGB) procedures was performed. Twelve emerging bariatric centers were coached by five experienced bariatric centers. Surgeons of the mentor centers gave guidance on pre- and postsurgical management of their patients including complications and proctored the first interventions. The results were compared regarding operative outcomes, percentage of excess weight loss, complications, and resolution of comorbidities.

Results

A total of 214 of 293 patients (73.0%) completed the study. The most frequently reported complications were wound infection (4.4%), disorder of emptying stomach/new reflux (2.4%), anastomotic leaks, intra-abdominal secondary hemorrhage, and dumping syndrome (2.0% each). The mortality rate was zero. We found no difference in overall complication rates or resolution of obesity-related comorbidities when comparing experienced surgeons with less experienced surgeons.

Conclusions

Our results suggest that under the conditions of the practices of this study, coaching and mentoring were associated with comparable outcomes both in experienced and emerging centers. In addition, mentorship programs ensure equal outcome quality in terms of improvement of obesity-associated comorbidities.

Trial Registration

NCT Number: NCT01754194.

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Title: Mentorship Programs in Bariatric Surgery Reduce Perioperative Complication Rate at Equal Short-Term Outcome—Results from the OPTIMIZE Trial
Authors: Stefan Wolter
Anna Duprée
Alexander ElGammal
Norbert Runkel
Johannes Heimbucher
Jakob R. Izbicki
Oliver Mann
Philipp Busch
Publication date: 01-01-2019
Publisher: Springer US
Published in: Obesity Surgery / Issue 1/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3495-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mentorship Programs in Bariatric Surgery Reduce Perioperative Complication Rate at Equal Short-Term Outcome—Results from the OPTIMIZE Trial

Abstract

Objectives

Background

Methods

Results

Conclusions

Trial Registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Background

Methods

Results

Conclusions

Trial Registration

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