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
2016
Characterizing Readmissions After Bariatric Surgery
Garg T, Rosas U, Rogan D, Hines H, Rivas H, Morton JM, Azagury D. Characterizing Readmissions After Bariatric Surgery. Journal Of Gastrointestinal Surgery 2016, 20: 1797-1801. PMID: 27613733, DOI: 10.1007/s11605-016-3247-3.Peer-Reviewed Original ResearchConceptsBariatric surgeryIndex hospital lengthAdjustable gastric bandMultivariable logistic regressionSingle academic institutionHospital lengthHospital LOSLaparoscopic RouxGastric bandGastric bypassIndex procedureImportant quality metricGastrointestinal issuesCommon causeReadmissionSurgeryLogistic regressionPatientsMean timeLaboratory dataLRYGBDaysGastrectomyRouxStayPatient 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 ResearchNational 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
The first metabolic and bariatric surgery accreditation and quality improvement program quality initiative: Decreasing readmissions through opportunities provided
Morton J. The first metabolic and bariatric surgery accreditation and quality improvement program quality initiative: Decreasing readmissions through opportunities provided. Surgery For Obesity And Related Diseases 2014, 10: 377-378. PMID: 24951058, DOI: 10.1016/j.soard.2014.02.036.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationBariatric SurgeryHumansObesity, MorbidPatient ReadmissionProgram DevelopmentQuality ImprovementIs 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
2012
Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric?
Kastenberg ZJ, Morton JM, Visser BC, Norton JA, Poultsides GA. Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric? Hepato Pancreato Biliary 2012, 15: 142-148. PMID: 23297725, PMCID: PMC3719921, DOI: 10.1111/j.1477-2574.2012.00563.x.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal AbscessAgedCaliforniaCohort StudiesFemaleFollow-Up StudiesHospital MortalityHospitals, UniversityHumansIncidenceLength of StayMaleMiddle AgedPancreatic DiseasesPancreatic FistulaPancreaticoduodenectomyPatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsSurgical Wound InfectionSurvival RateTreatment OutcomeConceptsHospital readmissionPatterns of rehospitalizationSuperficial wound infectionDays of dischargePost-operative complicationsLength of stayNursing/rehabilitation facilityAcademic medical centerHealth care servicesDiet intoleranceFistula/Consecutive patientsWound infectionOutpatient settingDiagnostic evaluationPancreaticoduodenectomyBenign diagnosisMedical CenterReadmissionCommon reasonRehabilitation facilityCare servicesPatientsMeasures of qualityOne-fifth
2005
Weighing In on Bariatric Surgery: Procedure Use, Readmission Rates, and Mortality
Wolfe B, Morton J. Weighing In on Bariatric Surgery: Procedure Use, Readmission Rates, and Mortality. JAMA 2005, 294: 1960-1963. PMID: 16234503, DOI: 10.1001/jama.294.15.1960.Peer-Reviewed Original Research