2024
Collateral Benefit of Systematic Improvement in Bariatric Surgery Outcomes Following a Single Quality Improvement Project for Bleeding
Chao G, Nadzam G, Cheung M, Duffy A, Ghiassi S, Morton J. Collateral Benefit of Systematic Improvement in Bariatric Surgery Outcomes Following a Single Quality Improvement Project for Bleeding. Obesity Surgery 2024, 34: 1041-1044. PMID: 38280157, DOI: 10.1007/s11695-023-07037-9.Peer-Reviewed Original ResearchMeSH KeywordsAnticoagulantsBariatric SurgeryHemorrhageHumansObesity, MorbidPostoperative ComplicationsQuality ImprovementVenous ThromboembolismConceptsQuality improvement projectImprovement projectImprove patient careTargeted quality improvement projectsVenous thromboembolism prophylaxisPatient careRoot cause analysisBariatric surgery outcomesIndications conferencePatient outcomesPostoperative complicationsThromboembolism prophylaxisSurgery outcomesStudy aimCause analysisAdverse outcomesBleedingImprove outcomesOutcomesTechnique standardization
2023
Laparoscopic Adjustable Gastric Band Colonization May Indicate Re-classification of Surgical Wounds
Ichter Z, Khoury H, Voller L, Deb S, Morton J. Laparoscopic Adjustable Gastric Band Colonization May Indicate Re-classification of Surgical Wounds. Obesity Surgery 2023, 34: 282-285. PMID: 37946013, DOI: 10.1007/s11695-023-06790-1.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryGastroplastyHumansLaparoscopyObesity, MorbidPostoperative ComplicationsReoperationRetrospective StudiesSurgical WoundSurgical Wound InfectionTreatment OutcomeConceptsSurgical site infectionRetrospective chart reviewGastric band removalLAGB removalChart reviewSite infectionSurgical woundsBand removalClean woundsLaparoscopic adjustable gastric band removalRate of SSIMethodsThis retrospective chart reviewSurgical site infection developmentCommon bariatric proceduresLaparoscopic bariatric surgerySource of morbidityHospital-acquired conditionsOutcomes of interestCoagulase-negative staphylococciBariatric surgeryDirty woundsBariatric proceduresGastric bandGastrointestinal tractPatients
2021
The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program bariatric surgical risk/benefit calculator: 30-day risk
Grieco A, Huffman KM, Cohen ME, Hall BL, Morton JM, Ko CY. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program bariatric surgical risk/benefit calculator: 30-day risk. Surgery For Obesity And Related Diseases 2021, 17: 1117-1124. PMID: 33773930, DOI: 10.1016/j.soard.2021.02.005.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationAdultBariatric SurgeryGastrectomyGastric BypassHumansObesity, MorbidPostoperative ComplicationsQuality ImprovementRetrospective StudiesTreatment OutcomeConceptsBariatric Surgery AccreditationLaparoscopic adjustable gastric bandCo-morbidity remissionLaparoscopic sleeve gastrectomyAdjustable gastric bandSurgical care teamQuality Improvement ProgramLogistic regression modelsClinical data registryMBSAQIP dataLaparoscopic RouxBariatric surgeryBiliopancreatic diversionGastric bandGastric bypassSleeve gastrectomyAdult patientsDuodenal switchPostoperative riskRisk calculatorCare teamAmerican CollegeData registryExcellent calibrationRisk features
2019
Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Brethauer SA, Grieco A, Fraker T, Evans-Labok K, Smith A, McEvoy MD, Saber AA, Morton JM, Petrick A. Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Surgery For Obesity And Related Diseases 2019, 15: 1977-1989. PMID: 31640906, DOI: 10.1016/j.soard.2019.08.024.Peer-Reviewed Original ResearchConceptsBariatric Surgery AccreditationLength of stayBariatric surgeryReoperation rateNational quality improvement projectBariatric Surgery projectPrimary bariatric procedureOverall adverse eventsBariatric surgery patientsEnhanced recovery pathwayEnhanced recovery protocolQuality improvement projectQuality Improvement ProgramFinal analytic sampleBariatric proceduresOverall morbidityAdverse eventsReadmission ratesSurgery patientsPrivate practice programsSignificant associationRecovery pathwaysSurgery projectAnalytic sampleProcess measuresPreoperative weight loss: is waiting longer before bariatric surgery more effective?
Eng V, Garcia L, Khoury H, Morton J, Azagury D. Preoperative weight loss: is waiting longer before bariatric surgery more effective? Surgery For Obesity And Related Diseases 2019, 15: 951-957. PMID: 31104959, DOI: 10.1016/j.soard.2019.03.012.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryFemaleHumansMaleObesity, MorbidPostoperative ComplicationsPreoperative PeriodRetrospective StudiesTime-to-TreatmentWeight LossConceptsBody mass indexWeight lossBariatric surgeryMass indexConsultation visitSupervised weight loss programAverage body mass indexPreoperative wait timeSleeve gastrectomy patientsGastric bypass patientsPostoperative weight lossRate of complicationsDelay of treatmentWeight loss programSingle academic institutionInitial consultation visitAdverse surgical eventsSignificant long-term benefitWait timePreoperative percentageGastrectomy patientsGastric bypassLaparoscopic RouxBypass patientsAdverse events
2018
Which postoperative complications matter most after bariatric surgery? Prioritizing quality improvement efforts to improve national outcomes
Daigle CR, Brethauer SA, Tu C, Petrick AT, Morton JM, Schauer PR, Aminian A. Which postoperative complications matter most after bariatric surgery? Prioritizing quality improvement efforts to improve national outcomes. Surgery For Obesity And Related Diseases 2018, 14: 652-657. PMID: 29503096, DOI: 10.1016/j.soard.2018.01.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnastomotic LeakBariatric SurgeryCritical CareFemaleHealth PrioritiesHumansMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsPostoperative HemorrhageProspective StudiesReoperationRisk AssessmentSurgical Wound InfectionTreatment OutcomeUrinary Tract InfectionsVenous ThromboembolismConceptsPopulation attributable fractionBariatric surgeryAttributable fractionSpecific complicationsIntensive care unit admissionQuality Improvement Program databaseBariatric surgery complicationsPrimary bariatric procedureCare unit admissionEnd-organ dysfunctionAdjustable gastric bandingImprovement Program databaseBariatric Surgery AccreditationUrinary tract infectionParticipant Use FileKey clinical outcomesKey surgical outcomesQuality improvement effortsUnit admissionGastric bandingGastric bypassPostoperative complicationsSleeve gastrectomyAdverse eventsBariatric proceduresPrevalence and Risk Factors for Bariatric Surgery Readmissions
Berger ER, Huffman KM, Fraker T, Petrick AT, Brethauer SA, Hall BL, Ko CY, Morton JM. Prevalence and Risk Factors for Bariatric Surgery Readmissions. Annals Of Surgery 2018, 267: 122-131. PMID: 27849660, DOI: 10.1097/sla.0000000000002079.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBariatric SurgeryConfidence IntervalsFemaleFollow-Up StudiesHumansIncidenceLaparoscopyMaleMiddle AgedObesity, MorbidPatient ReadmissionPostoperative ComplicationsPrevalencePrognosisQuality ImprovementRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUnited StatesYoung AdultConceptsLaparoscopic adjustable gastric bandingLaparoscopic sleeve gastrectomyPrimary bariatric surgeryBariatric surgeryReadmission ratesNutritional depletionPrimary laparoscopic adjustable gastric bandingAdjustable gastric bandingCurrent Procedural Terminology codesNational readmission ratesProcedural Terminology codesType of procedureRelated readmissionsAbdominal painGastric bandingGastric bypassLaparoscopic RouxSleeve gastrectomyAnastomotic leakPrimary outcomePrimary procedureRisk factorsCommon causeReadmissionLRYGB
2017
Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass
Ichter ZA, Voeller L, Rivas H, Khoury H, Azagury D, Morton JM. Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass. Surgery For Obesity And Related Diseases 2017, 13: 802-806. PMID: 28325504, DOI: 10.1016/j.soard.2017.01.019.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleGastric BypassHumansLaparoscopyLength of StayMaleMiddle AgedPostoperative ComplicationsPostoperative HemorrhageRetrospective StudiesSurgical StaplersSurgical StaplingConceptsBleeding-related complicationsGastric bypassBariatric surgerySignificant postoperative bleedingPostoperative weight lossLaparoscopic gastric bypassBody mass indexLength of staySingle academic institutionNew surgical techniqueLaparoscopic RouxPostoperative bleedingSleeve gastrectomySevere obesitySurgical characteristicsMass indexEEA staplerRetrospective studyGastrojejunal anastomosisStaple lineSurgical techniqueEffective treatmentComplicationsWeight lossTime points
2016
Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature
Springer BD, Carter JT, McLawhorn AS, Scharf K, Roslin M, Kallies KJ, Morton JM, Kothari SN. Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature. Surgery For Obesity And Related Diseases 2016, 13: 111-118. PMID: 27865814, DOI: 10.1016/j.soard.2016.09.011.Peer-Reviewed Original ResearchConceptsBariatric surgeryTotal joint arthroplastyJoint arthroplastyTotal joint arthroplasty outcomesJoint functionFundamental clinical questionsJoint arthroplasty outcomesSystemic inflammatory changesImpact of obesityMajority of patientsLower extremity arthritisDevelopment of osteoarthritisSignificant weight lossLower extremity rangeLower limb biomechanicsMorbid obesityObese patientsInflammatory changesSurgical managementArthroplasty outcomesGait speedExtremity rangeGait biomechanicsClinical questionsObesityGeographic variation in surgical outcomes and cost between the United States and Japan.
Hurley MP, Schoemaker L, Morton JM, Wren SM, Vogt WB, Watanabe S, Yoshikawa A, Bhattacharya J. Geographic variation in surgical outcomes and cost between the United States and Japan. The American Journal Of Managed Care 2016, 22: 600-7. PMID: 27662222.Peer-Reviewed Original ResearchAssessing national provision of care: variability in bariatric clinical care pathways
Telem DA, Majid SF, Powers K, DeMaria E, Morton J, Jones DB. Assessing national provision of care: variability in bariatric clinical care pathways. Surgery For Obesity And Related Diseases 2016, 13: 281-284. PMID: 27887932, DOI: 10.1016/j.soard.2016.08.002.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersBariatric SurgeryCritical PathwaysDelivery of Health CareHospitals, CommunityHospitals, PrivateHumansIntraoperative ComplicationsPatient SafetyPerioperative CarePostoperative ComplicationsPractice Patterns, Physicians'Quality ImprovementQuality of Health CareUnited StatesConceptsClinical pathwayPostoperative laboratory evaluationVenous thromboembolism prophylaxisClinical care pathwayPatient safety committeeUnited States CentersThromboembolism prophylaxisBariatric programBariatric patientsPain pathwaysPostoperative periodPerioperative carePostoperative carePostoperative managementBariatric surgeonsPatient satisfactionCare pathwayPractice patternsImproved careResponse rateCareHigh concordanceStates CentersLaboratory evaluationAmerican SocietyPatient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice
Azagury DE, Morton JM. Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice. Surgical Clinics Of North America 2016, 96: 733-742. PMID: 27473798, DOI: 10.1016/j.suc.2016.03.014.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationBariatric SurgeryHumansOutcome and Process Assessment, Health CarePatient ReadmissionPatient SafetyPostoperative ComplicationsQuality ImprovementUnited StatesNational prevalence, causes, and risk factors for bariatric surgery readmissions
Garg T, Rosas U, Rivas H, Azagury D, Morton JM. National prevalence, causes, and risk factors for bariatric surgery readmissions. The American Journal Of Surgery 2016, 212: 76-80. PMID: 27133197, DOI: 10.1016/j.amjsurg.2016.01.023.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge DistributionBariatric SurgeryBody Mass IndexDatabases, FactualFemaleGastrectomyGastric BypassGastroplastyHumansLaparoscopyLogistic ModelsMaleMiddle AgedMultivariate AnalysisObesity, MorbidOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsPrevalencePrognosisRetrospective StudiesRisk FactorsSex DistributionUnited StatesConceptsLaparoscopic adjustable gastric bandingAdjustable gastric bandingLaparoscopic sleeve gastrectomyGastric bandingGastric bypassLaparoscopic RouxSleeve gastrectomyBariatric surgeryChronic obstructive pulmonary diseaseObstructive pulmonary diseaseBody mass indexAfrican American raceLength of stayCurrent Procedure Terminology codesCommon readmissionReadmitted patientsPulmonary diseaseMass indexOperative timeRisk factorsNational prevalenceReadmissionTerminology codesPatientsPublic Use FileA postoperative nutritional consult improves bariatric surgery outcomes
Garg T, Birge K, Rosas U, Azagury D, Rivas H, Morton JM. A postoperative nutritional consult improves bariatric surgery outcomes. Surgery For Obesity And Related Diseases 2016, 12: 1052-1056. PMID: 27220825, DOI: 10.1016/j.soard.2016.01.008.Peer-Reviewed Original ResearchConceptsInitial postoperative visitPostoperative visitBariatric surgeryPostoperative carePatient outcomesPercent excess weight lossHigh-density lipoprotein cholesterolExcess weight lossBariatric surgery outcomesHigh-density lipoproteinMultivariate logistic modelNutritional consultsSerum thiamineProspective databaseLipoprotein cholesterolMinor complicationsTotal cholesterolSurgery outcomesRetrospective analysisEffective treatmentSurgeryDemographic featuresPatientsSurgeonsWeight loss
2014
Morbidity, Mortality, and Weight Loss Outcomes After Reoperative Bariatric Surgery in the USA
Sudan R, Nguyen NT, Hutter MM, Brethauer SA, Ponce J, Morton JM. Morbidity, Mortality, and Weight Loss Outcomes After Reoperative Bariatric Surgery in the USA. Journal Of Gastrointestinal Surgery 2014, 19: 171-179. PMID: 25186073, DOI: 10.1007/s11605-014-2639-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultBariatric SurgeryFemaleHumansMaleMiddle AgedMorbidityObesity, MorbidPostoperative ComplicationsReoperationSurvival RateUnited StatesWeight LossConceptsReoperative bariatric surgerySevere adverse eventsBariatric operationsPrimary operationAdverse eventsBariatric surgeryMortality ratePercent excess weight lossBariatric Outcomes Longitudinal DatabaseEfficacy of reoperationInitial bariatric operationsExcess weight lossBariatric surgery patientsWeight loss outcomesLength of stayMore African AmericansLarge national studyComplication rateSurgery patientsConversion groupPrimary procedureLoss outcomesReoperationCorrective operationWeight lossDoes Hospital Accreditation Impact Bariatric Surgery Safety?
Morton JM, Garg T, Nguyen N. Does Hospital Accreditation Impact Bariatric Surgery Safety? Annals Of Surgery 2014, 260: 504-509. PMID: 25115426, DOI: 10.1097/sla.0000000000000891.Peer-Reviewed Original ResearchConceptsLength of stayBariatric surgery outcomesNationwide Inpatient SampleBariatric surgerySurgery outcomesHigher mean LOSMean LOSShorter LOSHospital accreditationMultivariable logistic regression analysisHospital accreditation statusNinth Revision codesLogistic regression analysisLower total chargesBariatric centerRevision codesPatient dischargeAccredited centersInpatient SampleUnique hospitalsAmerican CollegeICD9 codesInternational ClassificationSurgery safetyHospitalSystematic review on reoperative bariatric surgery American Society for Metabolic and Bariatric Surgery Revision Task Force
Brethauer SA, Kothari S, Sudan R, Williams B, English WJ, Brengman M, Kurian M, Hutter M, Stegemann L, Kallies K, Nguyen NT, Ponce J, Morton JM. Systematic review on reoperative bariatric surgery American Society for Metabolic and Bariatric Surgery Revision Task Force. Surgery For Obesity And Related Diseases 2014, 10: 952-972. PMID: 24776071, DOI: 10.1016/j.soard.2014.02.014.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryHumansLaparoscopyObesity, MorbidPostoperative CarePostoperative ComplicationsRecurrenceReoperationTerminology as TopicWeight GainWeight LossConceptsReoperative bariatric surgeryBariatric surgeryReoperative surgeryWeight regainWeight lossCurrent evidenceSystematic reviewSingle-center retrospective reviewCo-morbidity reductionCenter retrospective reviewBariatric surgery programCo-morbid diseasesProcedure-specific outcomesLittle evidence-based guidanceEvidence-based guidanceChronic complicationsPrimary surgeryComplication rateReoperative proceduresRetrospective reviewTask ForcePersistent obesityInclusion criteriaSurgery programSpecific indicationsIs Ambulatory Laparoscopic Roux-En-Y Gastric Bypass Associated With Higher Adverse Events?
Morton JM, Winegar D, Blackstone R, Wolfe B. Is Ambulatory Laparoscopic Roux-En-Y Gastric Bypass Associated With Higher Adverse Events? Annals Of Surgery 2014, 259: 286-292. PMID: 24169190, DOI: 10.1097/sla.0000000000000227.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory Surgical ProceduresDatabases, FactualFemaleGastric BypassHumansLaparoscopyLength of StayLogistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesity, MorbidOdds RatioPatient ReadmissionPostoperative ComplicationsTreatment OutcomeYoung AdultConceptsBody mass indexSerious complicationsGastric bypassMass indexMedian body mass indexLaparoscopic gastric bypass procedureHigher adverse eventsLaparoscopic Roux-EnY Gastric BypassGastric bypass proceduresLogistic regression analysisDistribution of LOSLogistic regression modelsLRYGB patientsLaparoscopic RouxRoux-enMedian LOSAdverse eventsMedian agePatient demographicsReadmission ratesBypass proceduresInsurance statusComplicationsClinical database
2013
Does Chronic Kidney Disease Affect Outcomes after Major Abdominal Surgery? Results from the National Surgical Quality Improvement Program
Cloyd JM, Ma Y, Morton JM, Tamura M, Poultsides GA, Visser BC. Does Chronic Kidney Disease Affect Outcomes after Major Abdominal Surgery? Results from the National Surgical Quality Improvement Program. Journal Of Gastrointestinal Surgery 2013, 18: 605-612. PMID: 24241964, DOI: 10.1007/s11605-013-2390-3.Peer-Reviewed Original ResearchConceptsChronic kidney diseaseMajor abdominal surgeryGlomerular filtration rateAbdominal surgeryPostoperative mortalityKidney functionNational Surgical Quality Improvement ProgramNormal preoperative kidney functionEnd-stage renal diseaseSurgical Quality Improvement ProgramComplex abdominal surgeryMild asymptomatic diseaseNon-dialysis patientsPreoperative kidney functionPreoperative renal insufficiencyThirty-day morbidityOverall complication rateRate of pneumoniaThirty-day mortalityMajor abdominal operationsQuality Improvement ProgramKidney impairmentPostoperative complicationsPostoperative morbidityRenal insufficiencyLetter to the Editor: Response to JAMA Article Which Did Not Accept These Letters Delineating Numerous Problems With the Published Study
Morton JM, Nguyen N. Letter to the Editor: Response to JAMA Article Which Did Not Accept These Letters Delineating Numerous Problems With the Published Study. Surgery For Obesity And Related Diseases 2013, 9: 831. PMID: 24079903, DOI: 10.1016/j.soard.2013.06.002.Peer-Reviewed Original ResearchBariatric SurgeryFemaleHealth PolicyHospitalsHumansInsurance CoverageMalePostoperative Complications