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 ResearchConceptsSurgical 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
2022
First report from the American Society of Metabolic and Bariatric Surgery closed-claims registry: prevalence, causes, and lessons learned from bariatric surgery medical malpractice claims
Morton JM, Khoury H, Brethauer SA, Baker JW, Sweet WA, Mattar S, Ponce J, Nguyen NT, Rosenthal RJ, DeMaria EJ. First report from the American Society of Metabolic and Bariatric Surgery closed-claims registry: prevalence, causes, and lessons learned from bariatric surgery medical malpractice claims. Surgery For Obesity And Related Diseases 2022, 18: 943-947. PMID: 35595651, DOI: 10.1016/j.soard.2022.04.004.Peer-Reviewed Original ResearchConceptsBariatric surgeryMalpractice claimsClosed claimsClosed claim filesPostoperative careClinical complicationsVascular injuryUniversity HospitalCommon causeClinical summaryForeign bodyHospital statusSustained improvementMedical malpractice claimsSurgeryTreatment eventsExpert panelPrevalencePrivate practiceComplicationsMalpractice insurerAmerican SocietyRegistryHospitalHigh rate
2021
Bariatric-Metabolic Surgery Utilisation in Patients With and Without Diabetes: Data from the IFSO Global Registry 2015–2018
Welbourn R, Hollyman M, Kinsman R, Dixon J, Cohen R, Morton J, Ghaferi A, Higa K, Ottosson J, Pattou F, Al-Sabah S, Anvari M, Himpens J, Liem R, Våge V, Walton P, Brown W, Kow L. Bariatric-Metabolic Surgery Utilisation in Patients With and Without Diabetes: Data from the IFSO Global Registry 2015–2018. Obesity Surgery 2021, 31: 2391-2400. PMID: 33638756, PMCID: PMC8113173, DOI: 10.1007/s11695-021-05280-6.Peer-Reviewed Original ResearchConceptsBody mass indexType 2 diabetes mellitusMethodsCross-sectional analysisRates of T2DMBariatric-metabolic surgeryHigh rateGastric bypassPrimary surgerySleeve gastrectomyDiabetes mellitusMass indexGlobal RegistryBaseline ageNational registryInclusion criteriaT2DMType of operationPatientsOlder menWomenSurgeryRegistryMenHigher proportionCommon operationThe 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 ResearchConceptsBariatric 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
2020
Correlating actual one-year weight loss with predicted weight loss by the MBSAQIP: bariatric surgical risk/benefit calculator
Zhou R, Ying L, Valle J, Moore J, Nadzam G, Roberts K, Ghiassi S, Morton J, Duffy A. Correlating actual one-year weight loss with predicted weight loss by the MBSAQIP: bariatric surgical risk/benefit calculator. Surgical Endoscopy 2020, 35: 5705-5708. PMID: 32968922, DOI: 10.1007/s00464-020-08030-4.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryBody Mass IndexHumansObesityObesity, MorbidRetrospective StudiesRisk AssessmentTreatment OutcomeWeight LossConceptsHigher preoperative BMIBariatric surgeryWeight lossActual weight lossPreoperative BMIOne-year weight lossYale-New Haven HospitalNational databasePatient preoperative informationMethodsA retrospective reviewBody mass indexBackgroundThe American SocietyNew Haven HospitalUnpaired t-testObese patientsPatient factorsRetrospective reviewMass indexPreoperative discussionPreoperative informationBMI pointsBMIPatientsInformed consentSurgeryERAS protocols in bariatric surgery: a systematic review
Dutton J, Wadhwa A, Morton JM. ERAS protocols in bariatric surgery: a systematic review. International Anesthesiology Clinics 2020, 58: 29-33. PMID: 32482993, DOI: 10.1097/aia.0000000000000286.Peer-Reviewed Original ResearchPreventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?
Ziemann-Gimmel P, Schumann R, English W, Morton J, Wadhwa A. Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis? Obesity Surgery 2020, 30: 4138-4140. PMID: 32415631, DOI: 10.1007/s11695-020-04682-2.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidAntiemeticsBariatric SurgeryHumansObesity, MorbidPostoperative Nausea and VomitingConceptsBariatric surgeryGeneral surgical populationMultiple antiemetic drugsFrequent side effectsHigh-risk patientsRisk prediction scoreDifferent pharmacologic classesVariety of receptorsApfel scorePONV riskPostoperative nauseaSurgical populationBariatric proceduresPharmacologic classesAntiemetic drugsSide effectsTIVA techniquePatientsPrediction scoreNauseaVomitingSurgeryScoresPONVProphylaxisSafety and Efficacy of Bariatric and Metabolic Surgery
Ghiassi S, Morton JM. Safety and Efficacy of Bariatric and Metabolic Surgery. Current Obesity Reports 2020, 9: 159-164. PMID: 32253662, DOI: 10.1007/s13679-020-00377-y.Peer-Reviewed Original ResearchConceptsDurable weight lossBariatric surgeryRisk/benefit ratioWeight lossRisk of complicationsCurrent medical treatmentRisk of mortalityObesity-related diseasesReviewBariatric surgeryBariatric proceduresCause morbidityMetabolic surgeryObesity comorbiditiesMedical managementRelated comorbiditiesSafety profileCardiovascular diseaseGlobal prevalenceMedical treatmentSurgeryBenefit ratioMortalityComorbiditiesMorbidityDurable methodAmerican Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States
English WJ, DeMaria EJ, Hutter MM, Kothari SN, Mattar SG, Brethauer SA, Morton JM. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surgery For Obesity And Related Diseases 2020, 16: 457-463. PMID: 32029370, DOI: 10.1016/j.soard.2019.12.022.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryBiliopancreatic DiversionGastrectomyGastric BypassHumansObesity, MorbidUnited StatesConceptsBariatric proceduresBariatric surgeryQuality Improvement ProgramNational Surgical Quality Improvement ProgramBariatric Outcomes Longitudinal DatabaseSurgical Quality Improvement ProgramIntragastric balloon placementBariatric Surgery AccreditationObesity treatment interventionsNationwide Inpatient SampleDuodenal switch procedureAmerican SocietyBiliopancreatic diversionSleeve gastrectomyAppropriate therapyUndergo surgeryBalloon placementDurable treatmentInpatient SampleOutpatient centerPrimary procedureSwitch procedureRevision proceduresSurgeryTreatment interventions
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 measuresConcerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes—Reply
Morton J, Garg T, Leva N. Concerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes—Reply. JAMA Surgery 2019, 154: 884-884. PMID: 31188413, DOI: 10.1001/jamasurg.2019.1727.Peer-Reviewed Original ResearchAssessment of obesity prevalence and validity of obesity diagnoses coded in claims data for selected surgical populations
Ammann EM, Kalsekar I, Yoo A, Scamuffa R, Hsiao CW, Stokes AC, Morton JM, Johnston SS. Assessment of obesity prevalence and validity of obesity diagnoses coded in claims data for selected surgical populations. Medicine 2019, 98: e16438. PMID: 31335698, PMCID: PMC6709187, DOI: 10.1097/md.0000000000016438.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedArthroplasty, Replacement, KneeBariatric SurgeryBody Mass IndexCatheter AblationClinical CodingElectronic Health RecordsFemaleHerniorrhaphyHumansMaleMiddle AgedObesityOutcome Assessment, Health CarePatient SelectionPrevalencePrognosisReproducibility of ResultsRetrospective StudiesUnited StatesConceptsBody mass indexPositive predictive valueBariatric surgeryDiagnosis codesElectronic health recordsSurgical populationClaims dataHernia repairObesity diagnosisPrognostic factorsSurgical outcomesInterpretation of studiesCardiac ablationPatient body mass indexMeasured body mass indexHigh positive predictive valueImportant prognostic factorType of surgeryAdministrative healthcare dataAdministrative claims dataFalse positive patientsPatient ageMass indexPatient selectionIndex procedureUsing Machine Learning Applied to Real-World Healthcare Data for Predictive Analytics: An Applied Example in Bariatric Surgery
Johnston SS, Morton JM, Kalsekar I, Ammann EM, Hsiao CW, Reps J. Using Machine Learning Applied to Real-World Healthcare Data for Predictive Analytics: An Applied Example in Bariatric Surgery. Value In Health 2019, 22: 580-586. PMID: 31104738, DOI: 10.1016/j.jval.2019.01.011.Peer-Reviewed Original ResearchConceptsLarge US healthcare claims databasesLaparoscopic metabolic surgeryHealthcare claims databasesType 2 diabetesStudy inclusion criteriaLogistic regression modelsDays postindexMedication cessationBariatric surgeryMetabolic surgeryT2D diagnosisCessation ratesPatient selectionMedication treatmentClaims databaseInclusion criteriaTreatment responseDiscriminative accuracyPatientsExternal validationSurgeryRegression modelsHealthcare dataTreatmentUseful predictive modelsBariatric Surgery: Safety, Efficacy, Disease State, Collaboration, Future
Morton JM, Rosenthal RJ. Bariatric Surgery: Safety, Efficacy, Disease State, Collaboration, Future. The Journal Of Arthroplasty 2019, 34: s36-s37. PMID: 31003783, DOI: 10.1016/j.arth.2019.03.040.Peer-Reviewed Original ResearchPreoperative 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 ResearchConceptsBody 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 eventsObesity Disease Pandemic on Joint Disease and Longevity
Milla C, Lo Menzo E, Morton J, Rosenthal RJ. Obesity Disease Pandemic on Joint Disease and Longevity. The Journal Of Arthroplasty 2019, 34: s33-s35. PMID: 30954412, DOI: 10.1016/j.arth.2019.03.004.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, Replacement, KneeBariatric SurgeryHumansLongevityObesityObesity, MorbidOsteoarthritisUnited StatesWeight LossThe Impact of Ethnicity on Metabolic Outcomes after Bariatric Surgery
Valencia A, Garcia LC, Morton J. The Impact of Ethnicity on Metabolic Outcomes after Bariatric Surgery. Journal Of Surgical Research 2019, 236: 345-351. PMID: 30694776, DOI: 10.1016/j.jss.2018.09.061.Peer-Reviewed Original ResearchConceptsBody mass indexBariatric surgeryMetabolic outcomesDiabetic outcomesOral medicationsBlack patientsMass indexAsian patientsLaparoscopic sleeve gastrectomy procedureType II diabetes mellitusSignificant metabolic improvementSimilar metabolic outcomesSleeve gastrectomy procedureMajority of patientsAsian patient populationSingle academic institutionEthnic minority patientsNon-Hispanic whitesDiabetes remissionDiabetes resolutionGastric bypassLaparoscopic RouxPostoperative visitDiabetes mellitusMetabolic improvement
2018
Association of Bariatric Surgery and National Medication Use
Morton JM, Ponce J, Malangone-Monaco E, Nguyen N. Association of Bariatric Surgery and National Medication Use. Journal Of The American College Of Surgeons 2018, 228: 171-179. PMID: 30453056, DOI: 10.1016/j.jamcollsurg.2018.10.021.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBariatric SurgeryCardiovascular AgentsDrug UtilizationFemaleHealth Care CostsHumansHypoglycemic AgentsLongitudinal StudiesMaleMatched-Pair AnalysisMiddle AgedObesity, MorbidPostoperative PeriodPropensity ScoreRetrospective StudiesUnited StatesYoung AdultConceptsNonsurgical control patientsBariatric surgical patientsControl patientsSurgical patientsMedication useControl groupSurgical groupPharmacy costsPropensity-matched control groupTruven Health Analytics MarketScan Commercial ClaimsBariatric surgical proceduresMarketScan Commercial ClaimsTotal pharmacy costsLower pharmacy costsNonsurgical control groupEnduring treatmentGastric bypassIndex dateBariatric surgeryObese patientsPostoperative periodSevere obesitySurgical cohortBariatric operationsEncounters DatabaseRecommendations on the most suitable quality‐of‐life measurement instruments for bariatric and body contouring surgery: a systematic review
de Vries C, Kalff M, Prinsen C, Coulman K, Haan C, Welbourn R, Blazeby J, Morton J, van Wagensveld B. Recommendations on the most suitable quality‐of‐life measurement instruments for bariatric and body contouring surgery: a systematic review. Obesity Reviews 2018, 19: 1395-1411. PMID: 29883059, DOI: 10.1111/obr.12710.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryBody ContouringHumansObesityOutcome Assessment, Health CareQuality of LifeReproducibility of ResultsConceptsBariatric surgerySystematic reviewCochrane database systematic reviewsPatient-reported outcome measuresHealth Measurement INstruments (COSMIN) checklistLife measurement instrumentsFuture clinical trialsMeasurement propertiesSystematic literature searchDegree of recommendationFurther validation studiesClinical trialsEligible studiesOutcome measuresLife instrumentsMethodological qualityLiterature searchSurgeryLife measurementsContent validityStrong evidencePoor qualityValidation studyEMBASEReview