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
The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients
Ying L, Chao G, Canner J, Graetz E, Ghiassi S, Schwartz J, Zolfaghari E, Schneider E, Gibbs K. The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients. Obesity Surgery 2023, 34: 51-70. PMID: 37994997, DOI: 10.1007/s11695-023-06944-1.Peer-Reviewed Original ResearchConceptsBariatric surgery patientsPostoperative complicationsOdds ratioRevision patientsSurgery patientsRevision surgeryIntensive care unit admissionQuality Improvement Program databaseDegree of hypoalbuminemiaImpact of hypoalbuminemiaPrevalence of hypoalbuminemiaCare unit admissionLaparoscopic sleeve gastrectomyGastric bypass patientsImprovement Program databaseBody mass indexInsulin-dependent diabetesMultivariable logistic regressionAnesthesia classMild hypoalbuminemiaPreoperative hypoalbuminemiaUnit admissionUnplanned intubationPrimary surgerySleeve gastrectomyA qualitative analysis describing attrition from bariatric surgery to identify strategies for improving retention in patients who desire treatment
Chao G, Lindquist K, Vitous C, Tolentino D, Delaney L, Alimi Y, Jafri S, Telem D. A qualitative analysis describing attrition from bariatric surgery to identify strategies for improving retention in patients who desire treatment. Surgical Endoscopy 2023, 37: 6032-6043. PMID: 37103571, PMCID: PMC10136401, DOI: 10.1007/s00464-023-10030-z.Peer-Reviewed Original ResearchConceptsBariatric surgeryBariatric surgery programFear of surgeryTheoretical Domains FrameworkSurgery programSerious chronic diseaseFuture theory-based interventionsNon-Hispanic whitesBackgroundAmong patientsResultsTwenty patientsTheory-based interventionChronic diseasesPatientsSurgeryClinical sitesConclusionsThis studyAnticipated regretTDF domainsDomains FrameworkIntervention designHealthy lifeSocial rolesDropout rateEnvironmental contextTreatmentOut-of-pocket Costs for Commercially-insured Patients in the Years Following Bariatric Surgery
Chao G, Yang J, Thumma J, Chhabra K, Arterburn D, Ryan A, Telem D, Dimick J. Out-of-pocket Costs for Commercially-insured Patients in the Years Following Bariatric Surgery. Annals Of Surgery 2023, 277: e332-e338. PMID: 35129487, PMCID: PMC9091055, DOI: 10.1097/sla.0000000000005291.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryGastrectomyGastric BypassHealth ExpendituresHumansObesity, MorbidRetrospective StudiesTreatment OutcomeConceptsSleeve gastrectomyBariatric surgeryOOP costsIBM MarketScan Commercial Claims DatabasesProcedure choiceMarketScan Commercial Claims databaseLaparoscopic sleeve gastrectomyBariatric surgery proceduresPostoperative year 1Commercial claims databaseTotal OOP costsYear 1Year 2Year 3Gastric bypassRetrospective studyClaims databaseSurgical episodesInsurance typeOperative yearBACKGROUND DATASurgery proceduresPatientsPrimary analysisClinical contributors
2022
The role of preoperative toxicology screening in patients undergoing bariatric surgery
Chao G, Ying L, Chan S, Alturki N, Aravind P, Thaqi M, Mahmoud A, Morton J. The role of preoperative toxicology screening in patients undergoing bariatric surgery. Surgery For Obesity And Related Diseases 2022, 19: 187-193. PMID: 36443215, DOI: 10.1016/j.soard.2022.10.021.Peer-Reviewed Original ResearchConceptsPreoperative lengthBariatric surgeryToxicology testingWeight lossBariatric surgical populationBody mass indexImportant surgical outcomesAcademic health systemGastric bypassLack of evidenceSurgical populationPostoperative outcomesRetrospective reviewMass indexSurgical outcomesUrine testingPositivity rateMean changePositive testingPatientsNegative testingReadmissionHealth systemChi-squarePositivityBirths After Bariatric Surgery in the United States
Chao G, Yang J, Peahl A, Thumma J, Dimick J, Arterburn D, Telem D. Births After Bariatric Surgery in the United States. Annals Of Surgery 2022, 277: e801-e807. PMID: 35762610, PMCID: PMC9794635, DOI: 10.1097/sla.0000000000005438.Peer-Reviewed Original ResearchConceptsRisk of reinterventionAdverse obstetric outcomesBariatric surgery patientsObstetric outcomesBariatric surgerySurgery patientsFemale patients ages 18Multivariable logistic regression analysisEvent ratesNational US cohortSevere maternal morbidityLaparoscopic sleeve gastrectomyPatients age 18Retrospective cohort studyIBM MarketScan databasesMultivariable logistic regressionKaplan-Meier estimatesLogistic regression analysisIncidence of birthsMaternal safetyDelivery complicationsGastric bypassGestational diabetesHypertensive disordersMaternal morbidityExpectations and experiences following bariatric surgery: Perceptions of female patients across Michigan
Vitous C, Ehlers A, Chao G, Stricklen A, Ross R, Kullgren J, Ghaferi A. Expectations and experiences following bariatric surgery: Perceptions of female patients across Michigan. The American Journal Of Surgery 2022, 224: 1182-1184. PMID: 35595572, DOI: 10.1016/j.amjsurg.2022.05.010.Peer-Reviewed Original ResearchVariation in pre-operative insurance requirements for bariatric surgery
Gomez-Rexrode A, Chhabra K, Telem D, Chao G. Variation in pre-operative insurance requirements for bariatric surgery. Surgical Endoscopy 2022, 36: 8358-8363. PMID: 35513536, DOI: 10.1007/s00464-022-09293-9.Peer-Reviewed Original ResearchMeSH KeywordsAgedBariatric SurgeryCross-Sectional StudiesHumansInsurance CoverageInsurance, HealthMedicaidMedicareUnited StatesWeight LossConceptsBariatric surgeryInsurance typePoisson regressionInsurance plan typeBariatric surgery programLife-saving interventionsCross-sectional assessmentPlan typeBackgroundFor patientsSecondary outcomesPrimary outcomeU.S. Census regionSurgery programMedicaid plansPatientsSurgeryWeight lossMedicaidNumber of monthsInsurance plansCommercial plansCensus regionGreater frequencyInsurance requirementsGreater numberFemale Patient Perceptions on Financial Incentives to Promote Follow-Up After Bariatric Surgery
Ehlers A, Vitous C, Chao G, Stricklen A, Ross R, Kullgren J, Ghaferi A. Female Patient Perceptions on Financial Incentives to Promote Follow-Up After Bariatric Surgery. Journal Of Surgical Research 2022, 276: 195-202. PMID: 35366424, DOI: 10.1016/j.jss.2022.02.027.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryDelivery of Health CareFemaleFollow-Up StudiesHumansMotivationQualitative ResearchComparative effectiveness of sleeve gastrectomy vs Roux-en-Y gastric bypass in patients giving birth after bariatric surgery: reinterventions and obstetric outcomes
Chao G, Yang J, Peahl A, Thumma J, Dimick J, Arterburn D, Telem D. Comparative effectiveness of sleeve gastrectomy vs Roux-en-Y gastric bypass in patients giving birth after bariatric surgery: reinterventions and obstetric outcomes. Surgical Endoscopy 2022, 36: 6954-6968. PMID: 35099628, DOI: 10.1007/s00464-022-09063-7.Peer-Reviewed Original ResearchConceptsAdverse obstetric outcomesGastric bypassObstetric outcomesBariatric surgerySleeve gastrectomyComparative effectivenessRisk of reinterventionLaparoscopic sleeve gastrectomyRetrospective cohort studyMultivariable logistic regressionSignificant differencesCommon procedure todayResultsFrom 2011Reintervention rateBariatric proceduresCohort studyIBM MarketScanNational cohortInverse probability weightingGastrectomyReinterventionRouxSurgeryPatientsBypassUnderstanding Racially Diverse Community Member Views of Obesity Stigma and Bariatric Surgery
Chao G, Diaz A, Ghaferi A, Dimick J, Byrnes M. Understanding Racially Diverse Community Member Views of Obesity Stigma and Bariatric Surgery. Obesity Surgery 2022, 32: 1216-1226. PMID: 35088253, PMCID: PMC8794039, DOI: 10.1007/s11695-022-05928-x.Peer-Reviewed Original ResearchQuestioning the legitimacy of bariatric surgery: a qualitative analysis of individuals from the community who qualify for bariatric surgery
Chao G, Diaz A, Ghaferi A, Dimick J, Byrnes M. Questioning the legitimacy of bariatric surgery: a qualitative analysis of individuals from the community who qualify for bariatric surgery. Surgical Endoscopy 2022, 36: 6733-6741. PMID: 34981224, PMCID: PMC8722749, DOI: 10.1007/s00464-021-08949-2.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryFemaleHispanic or LatinoHumansMaleObesityObesity, MorbidQualitative ResearchWeight LossConceptsBariatric surgeryMedical treatmentWeight loss requirementsInterpretive description frameworkNIH criteriaMajority of participantsDurable therapySurgeryMajority of individualsHealthcare providersDiverse cohortDescriptive studyWeight lossFirst qualitative studyPacific IslandersTreatmentQualitative studyParticipantsDoctorsImportant contributorFinal themeIndividualsObesityPatientsMajor themes
2021
Association Between Validated Psychometric Scales and Follow-up Rates After Bariatric Surgery
Chao G, Bonham A, Stricklen A, Ross R, Ghaferi A. Association Between Validated Psychometric Scales and Follow-up Rates After Bariatric Surgery. Obesity Surgery 2021, 31: 5092-5095. PMID: 34494231, DOI: 10.1007/s11695-021-05705-2.Peer-Reviewed Original ResearchVolume–outcome relationships for Roux-en-Y gastric bypass patients in the sleeve gastrectomy era
Chao G, Yang J, Thumma J, Chhabra K, Arterburn D, Ryan A, Telem D, Dimick J. Volume–outcome relationships for Roux-en-Y gastric bypass patients in the sleeve gastrectomy era. Surgical Endoscopy 2021, 36: 3884-3892. PMID: 34471980, DOI: 10.1007/s00464-021-08705-6.Peer-Reviewed Original ResearchDoes Bariatric Surgery Prevent Cancer?
Chao G, Urbach D. Does Bariatric Surgery Prevent Cancer? Annals Of Surgery 2021, 275: 7-8. PMID: 34387211, DOI: 10.1097/sla.0000000000005171.Peer-Reviewed Original ResearchHow do Patients Access Bariatric Surgery? An Analysis of Referrals to a Large Academic Medical Center
Jabour S, Griauzde D, Chao G, Ehlers A. How do Patients Access Bariatric Surgery? An Analysis of Referrals to a Large Academic Medical Center. Obesity Surgery 2021, 31: 4662-4665. PMID: 34296369, DOI: 10.1007/s11695-021-05584-7.Peer-Reviewed Original ResearchVenous thromboembolism: risk factors in the sleeve gastrectomy era
Chao G, Montgomery J, Abou Azar S, Telem D. Venous thromboembolism: risk factors in the sleeve gastrectomy era. Surgery For Obesity And Related Diseases 2021, 17: 1905-1911. PMID: 34389247, DOI: 10.1016/j.soard.2021.06.022.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryGastrectomyHumansMalePostoperative ComplicationsRisk FactorsVenous ThromboembolismConceptsHistory of VTEPostoperative venous thromboembolismBody mass indexVenous thromboembolismRisk factorsBlack patientsPreoperative body mass indexHigh-risk patientsBariatric Surgery AccreditationMultivariable logistic regressionVenous stasis diseaseQuality Improvement ProgramProlonged prophylaxisBariatric surgeryMultivariable analysisOperative timeMass indexOperative lengthProcedure typeWhite racePrevious historyPatientsSurgery dataLogistic regressionHealth equityFinancial Incentives to Improve Patient Follow-up and Weight Loss After Bariatric Surgery
Chao G, Kullgren J, Ross R, Bonham A, Ghaferi A. Financial Incentives to Improve Patient Follow-up and Weight Loss After Bariatric Surgery. Annals Of Surgery 2021, 277: e70-e77. PMID: 34171878, DOI: 10.1097/sla.0000000000005013.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryBody Mass IndexFollow-Up StudiesHumansMotivationObesity, MorbidWeight LossConceptsExcess weight lossBariatric surgeryWeight lossSurgery datePercent excess weight lossPostoperative months 1Financial incentive programsBody mass indexGreater weight lossPostintervention patientsPractice patientsPostoperative appointmentsContemporary patientsMass indexMonths 1Control practicesHistoric patientsPatientsSurgeryControl groupHealth outcomesHistoric groupPrior visitMonthsSignificant differencesComment on: Unequal rates of postoperative complications in relatively healthy bariatric surgical patients of White and Black race
Chao G, Guerra M, Jean R. Comment on: Unequal rates of postoperative complications in relatively healthy bariatric surgical patients of White and Black race. Surgery For Obesity And Related Diseases 2021, 17: e38-e39. PMID: 34090819, DOI: 10.1016/j.soard.2021.05.016.Peer-Reviewed Original ResearchPatient-reported Comorbidity Assessment After Bariatric Surgery
Chao G, Bonham A, Ross R, Stricklen A, Ghaferi A. Patient-reported Comorbidity Assessment After Bariatric Surgery. Annals Of Surgery 2021, 276: e792-e797. PMID: 33914479, DOI: 10.1097/sla.0000000000004841.Peer-Reviewed Original ResearchConceptsGastroesophageal reflux diseaseObstructive sleep apneaComorbidity assessmentPostoperative questionnaireBariatric surgerySleep apneaBariatric surgery patientsMedical chart auditLong-term outcomesLong-term efficacyCross-sectional studyPostoperative comorbiditiesGastric bypassReflux diseasePatient comorbiditiesSurgery patientsSurgical patientsChart auditPatient reportsBACKGROUND DATAComorbiditiesPatientsResponse rateΚ statisticMean difference