Establishing a laparoscopic bariatric program in a safety net hospital

A. K. Madan, D. S. Tichansky, C. A. Ternovits, K. E. Speck, B. W. Steinhauer, Martin Croce, Timothy Fabian

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Most laparoscopic bariatric programs are situated in a community- or university-based hospital. The authors have recently initiated a program at a safety net hospital. This investigation hypothesizes that a laparoscopic bariatric program can be established at a safety net hospital with good clinical and financial results. Methods: A laparoscopic bariatric program was initiated December 2002 at a safety net hospital. The program included a dedicated operative suite, an operative team, a bariatric unit, and a clinical pathway. The data for all the patients who underwent laparoscopic gastric bypasses up to June 2003 were analyzed. The patients were analyzed by type of insurance: government-sponsored insurance (G) or commercial insurance (C). Results: There were 104 patients during this period. Their mean age was 40 years (range, 18-63 years), and their mean body mass index was 48 (range, 38-62). The median length of hospital stay was 2 days (mean, 3.9 days). Hypertension and diabetes were resolved for more than 80% of the patients. The average percentage of excess body weight loss was 73% after 1 year. There were no significant clinical differences between payor groups. The payor mix was 31% G and 69% C. The mean collection rates for hospital charges were 10% for G versus 53% for C (p < 0.0001). Conclusions: A laparoscopic bariatric program can be established in a safety net hospital with good clinical results. Findings showed that 1-year weight loss and comorbidity improvement/resolution compares favorably with those of other programs. Despite the overall poor payor mix of many safety net hospitals, a bariatric program can be established and can attract a high rate of commercially insured patients.

Original languageEnglish (US)
Pages (from-to)801-804
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number5
DOIs
StatePublished - May 1 2007

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Safety-net Providers
Bariatrics
Insurance
Weight Loss
Length of Stay
Hospital Charges
Critical Pathways
Gastric Bypass
Comorbidity
Body Mass Index
Body Weight
Hypertension

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Madan, A. K., Tichansky, D. S., Ternovits, C. A., Speck, K. E., Steinhauer, B. W., Croce, M., & Fabian, T. (2007). Establishing a laparoscopic bariatric program in a safety net hospital. Surgical Endoscopy and Other Interventional Techniques, 21(5), 801-804. https://doi.org/10.1007/s00464-006-9039-1

Establishing a laparoscopic bariatric program in a safety net hospital. / Madan, A. K.; Tichansky, D. S.; Ternovits, C. A.; Speck, K. E.; Steinhauer, B. W.; Croce, Martin; Fabian, Timothy.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 21, No. 5, 01.05.2007, p. 801-804.

Research output: Contribution to journalArticle

Madan, AK, Tichansky, DS, Ternovits, CA, Speck, KE, Steinhauer, BW, Croce, M & Fabian, T 2007, 'Establishing a laparoscopic bariatric program in a safety net hospital', Surgical Endoscopy and Other Interventional Techniques, vol. 21, no. 5, pp. 801-804. https://doi.org/10.1007/s00464-006-9039-1
Madan, A. K. ; Tichansky, D. S. ; Ternovits, C. A. ; Speck, K. E. ; Steinhauer, B. W. ; Croce, Martin ; Fabian, Timothy. / Establishing a laparoscopic bariatric program in a safety net hospital. In: Surgical Endoscopy and Other Interventional Techniques. 2007 ; Vol. 21, No. 5. pp. 801-804.
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