Quality criteria in bariatric surgery: Consensus review and recommendations of the Spanish Association of Surgeons and the Spanish Society of Bariatric Surgery
Cir Esp. 2017 Jan;95(1):4-16.
doi: 10.1016/j.ciresp.2016.09.007.
Epub 2016 Dec 13.
[Article in
English,
Spanish]
Authors
Fátima Sabench Pereferrer
1
, Eduardo Domínguez-Adame Lanuza
2
, Ainitze Ibarzabal
3
, María Socas Macias
4
, Víctor Valentí Azcárate
5
, Amador García Ruiz de Gordejuela
6
, Francisca García-Moreno Nisa
7
, Jesús González Fernández
8
, Ramón Vilallonga Puy
9
, Nuria Vilarrasa García
10
, Raquel Sánchez Santos
11
; Sociedad Española de Cirugía de la Obesidad (SECO)
Affiliations
- 1 General and Digestive Surgery Department, University Hospital of Sant Joan, Pere Virgili Health's Institute, Faculty of Medicine, Reus (Tarragona), España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 2 Metabolic and Gastroesophageal Surgery Unit, Virgen de la Macarena University Hospital, Sevilla, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 3 Clinical Institute of Digestive and Metabolic Diseases, Hospital Clínic de Barcelona, Barcelona, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 4 General and Digestive Surgery Department, Bariatric and Gastroesophageal Surgery Innovation Unit, University Hospital Virgen del Rocío, Sevilla, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 5 Department of Surgery, Bariatric and Metabolic Surgery, Clínica Universidad de Navarra, CIBER Pathophysiology of Obesity and Nutrition (CIBERobn), Carlos III Health's Institut, Health Research Institute of Navarra, Pamplona, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 6 Bariatric Surgery Unit, Surgery Department, Bellvitge University Hospital, L'Hospitalet de Llobregat (Barcelona), España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 7 Surgery Department, Ramón y Cajal University Hospital, Madrid, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 8 Metabolic, Bariatric and General Surgery Department, Asturias Medical Center, Oviedo, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 9 Endocrine, Metabolic and Bariatric Surgery Unit, Center of Excellence for the EAC-BC, General Surgery Department, Vall d'Hebron University Hospital, Barcelona, España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 10 Endocrinology and Nutrition Department, Bellvitge University Hospital, L'Hospitalet de Llobregat (Barcelona), España; Section of Morbid Obesity, Spanish Association of Surgeons.
- 11 General and Digestive Surgery Department, Complejo Hospitalario de Pontevedra, Pontevedra, España; Section of Morbid Obesity, Spanish Association of Surgeons. Electronic address: raquelsanchezsantos@gmail.com.
Abstract
Bariatric surgery has proven to be highly effective in controlling obesity and metabolic syndrome; the results of this surgery are not only expressed in terms of weight loss, but also in terms of resolution of comorbidities, improved quality of life and complications. The different parameters used to measure these outcomes require uniformity and reference patterns. Therefore, it is essential to identify those indicators and quality criteria that are helpful in defining the «best practice» principles in bariatric surgery. In this regard, the Section of Obesity of the Spanish Association of Surgeons, in collaboration with the Spanish Society for Bariatric Surgery (SECO), present as an objective to identify the key points that define «quality» in this type of surgery. We describe the main indicators based on the published literature as well as the criteria for referral of the main comorbidities according to the evidence found and grades of recommendation.
Keywords:
Bariatric surgery; Cirugía bariátrica; Criterios de calidad; Quality criteria; Recomendaciones; Recommendations.
Copyright © 2016 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.
Publication types
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Consensus Development Conference
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Practice Guideline
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Review
MeSH terms
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Bariatric Surgery / standards*
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Benchmarking*
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Humans