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
2020
American 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 measuresAssessment 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 procedureObesity 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 Research
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 DatabasePrevalence 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
American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016
English WJ, DeMaria EJ, Brethauer SA, Mattar SG, Rosenthal RJ, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surgery For Obesity And Related Diseases 2017, 14: 259-263. PMID: 29370995, DOI: 10.1016/j.soard.2017.12.013.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Surgical ProceduresBariatric SurgeryHumansObesityReoperationSurgicentersUnited StatesConceptsBariatric proceduresQuality Improvement ProgramBariatric surgeryNational Surgical Quality Improvement ProgramBariatric Outcomes Longitudinal DatabaseSurgical Quality Improvement ProgramIntragastric balloon placementBariatric Surgery AccreditationObesity treatment interventionsNationwide Inpatient SampleDuodenal switch procedureAmerican SocietyNumber of proceduresMorbid obesityBiliopancreatic diversionGastric bypassAppropriate therapyUndergo surgeryBalloon placementInpatient SampleOutpatient centerSwitch procedureRevision proceduresTreatment interventionsSurgeryAmerican Society of Clinical Oncology Summit on Addressing Obesity Through Multidisciplinary Provider Collaboration: Key Findings and Recommendations for Action
Ligibel JA, Alfano CM, Hershman DL, Merrill JK, Basen‐Engquist K, Bloomgarden ZT, Demark‐Wahnefried W, Dixon S, Hassink SG, Jakicic JM, Morton JM, Okwuosa TM, Powell‐Wiley T, Rothberg AE, Stephens M, Streett SE, Wild RA, Westman EA, Williams RJ, Wollins DS, Hudis CA. American Society of Clinical Oncology Summit on Addressing Obesity Through Multidisciplinary Provider Collaboration: Key Findings and Recommendations for Action. Obesity 2017, 25: s34-s39. PMID: 29086516, PMCID: PMC6724199, DOI: 10.1002/oby.21987.Peer-Reviewed Original ResearchMeSH KeywordsGuidelines as TopicHumansMedical OncologyNeoplasmsObesityPatient Care TeamSocieties, MedicalUnited StatesConceptsHealth care provider communityProvider collaborationMultidisciplinary collaborationAmerican SocietySynopsis of recommendationsProvider communityOncology providersProvider educationObesity preventionObesity epidemicClinical OncologyObesitySummit attendeesIdentified prioritiesMalignancyCancerASCOOncologyObesity in America
Rosenthal RJ, Morton J, Brethauer S, Mattar S, De Maria E, Benz JK, Titus J, Sterrett D. Obesity in America. Surgery For Obesity And Related Diseases 2017, 13: 1643-1650. PMID: 28935198, DOI: 10.1016/j.soard.2017.08.002.Peer-Reviewed Original ResearchConceptsPrevalence of obesityDisease of obesityBest treatment modalityTreatment of obesityUS household populationConsequences of obesityGeneral US populationSerious health problemHIV infectionExcess weightObesity treatmentTreatment modalitiesTreatment optionsUniversity HospitalHeart diseaseObese AmericansEarly deathObesityHealth problemsUS populationMental illnessDiseaseWeight lossProbability-based panelOversamples of blacksA multidisciplinary approach to laparoscopic sleeve gastrectomy among multiethnic adolescents in the United States
Jaramillo JD, Snyder E, Farrales S, Stevens M, Wall JK, Chao S, Morton J, Pratt JS, Hammer L, Shepard WE, Bruzoni M. A multidisciplinary approach to laparoscopic sleeve gastrectomy among multiethnic adolescents in the United States. Journal Of Pediatric Surgery 2017, 52: 1606-1609. PMID: 28697852, DOI: 10.1016/j.jpedsurg.2017.06.021.Peer-Reviewed Original ResearchConceptsLaparoscopic sleeve gastrectomySleeve gastrectomyObese adolescentsPercent excess weight lossNonalcoholic fatty liver diseaseWeight lossComorbidity resolution rateMorbidly obese adolescentsResolution of comorbiditiesExcess weight lossExcess body weightSerious public health problemDescriptive case seriesFatty liver diseaseOccurrence of complicationsPublic health problemMorbid obesityProspective databaseSurgical complicationsPrimary outcomeCase seriesComorbid conditionsLiver diseaseRetrospective studyMean ageComparative effectiveness of primary bariatric operations in the United States
Sudan R, Maciejewski ML, Wilk AR, Nguyen NT, Ponce J, Morton JM. Comparative effectiveness of primary bariatric operations in the United States. Surgery For Obesity And Related Diseases 2017, 13: 826-834. PMID: 28236529, DOI: 10.1016/j.soard.2017.01.021.Peer-Reviewed Original ResearchConceptsBPD/DSPrimary bariatric operationsBariatric surgery centerBariatric operationsAdverse eventsSurgery centersBody mass index unitWeight lossCo-morbidity resolutionMore adverse eventsMultiple surgical centersSerious adverse eventsType 2 diabetesGreater weight lossLarge multisite cohortCurrent bariatric operationsT2D resolutionComorbidity resolutionBaseline characteristicsGastric bypassDuodenal switchSurgical centersInverse probability weightingMultisite cohortOdds ratio
2016
Constructing a competency-based bariatric surgery fellowship training curriculum
McBride CL, Rosenthal RJ, Brethauer S, DeMaria E, Kelly JJ, Morton JM, Menzo E, Moore R, Pomp A, Nguyen NT. Constructing a competency-based bariatric surgery fellowship training curriculum. Surgery For Obesity And Related Diseases 2016, 13: 437-441. PMID: 27986573, DOI: 10.1016/j.soard.2016.10.013.Peer-Reviewed Original ResearchConceptsCompetency-based medical educationCompetency-based curriculumMedical educationMedical education principlesPilot programEvaluation toolInnovative evaluation toolCurriculum developmentNew curriculumEducation principlesAcademic yearEducation CommitteeCurriculumCompetence assessmentTraditional formatTraining curriculumEducationFellowship curriculumFellowship training curriculumTraining CommitteeLearnersBariatric fellowshipProgramTrainingFellowship trainingGeographic 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 ResearchAmerican Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States
Ponce J, DeMaria EJ, Nguyen NT, Hutter M, Sudan R, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States. Surgery For Obesity And Related Diseases 2016, 12: 1637-1639. PMID: 27692915, DOI: 10.1016/j.soard.2016.08.488.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 ResearchBariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review
Azagury D, Morton JM. Bariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review. Journal Of The American College Of Surgeons 2016, 223: 469-477. PMID: 27423398, DOI: 10.1016/j.jamcollsurg.2016.06.014.Peer-Reviewed Original ResearchConceptsNon-accredited centersBariatric surgerySurgical outcomesOdds ratioAdjustable gastric bandBariatric surgery outcomesWeight loss surgeryVertical banded gastroplastyNewcastle-Ottawa ScaleRisk-adjusted outcomesCenters of excellenceBiliopancreatic diversionGastric bandGastric bypassDuodenal switchSurgery outcomesNational coverage decisionPRISMA guidelinesMEDLINE databaseSurgerySystematic reviewMedical literatureBariatric AccreditationMedical evidenceExcellence accreditationNational 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 FileCovering bariatric surgery has minimal effect on insurance premium costs within the Affordable Care Act
English W, Williams B, Scott J, Morton J. Covering bariatric surgery has minimal effect on insurance premium costs within the Affordable Care Act. Surgery For Obesity And Related Diseases 2016, 12: 1045-1050. PMID: 27260649, DOI: 10.1016/j.soard.2016.03.011.Peer-Reviewed Original ResearchConceptsBariatric surgery coverageBariatric surgerySurgery coverageAffordable Care ActAverage monthly premiumCare ActState health exchangesEssential health benefitsMillions of AmericansSurgeryPublic Use FileMonthly premiumHealth benefitsHealth exchangesUse FileInsurance premium costsBenchmark plansCoverage levelsMinimal effectPremium costs