Bariatric Care Center 215 Outcomes Report
Since my surgery, my life is happier; I am happier with myself. Lisa Mark, Weight Loss Surgery Patient 2 Bariatric Care Center
Contents Surgical Procedure Volume 4 Quality of Care 5 Surgical Demographics 7 Surgical Percentage of Excess Body Weight Loss 9 Dear Colleagues, Surgical Comorbidity Resolution 1 I am pleased to share with you the 215 quality outcomes for the Summa Health Bariatric Care Center. As you know, obesity continues to be one of the leading causes of death in the United States, and the prevalence is not improving. Given the number of co-morbid conditions caused by obesity, this makes the work we do more important than ever. While there is not yet agreement on a single best approach to nonsurgical weight loss management, there is now consensus that the most effective and long-lasting treatment for morbid obesity is surgical weight loss intervention. Our approach to weight loss management is two-fold. We offer patients both a surgical and nonsurgical approach for successful weight loss management. Each patient is carefully assessed and provided with an individually tailored recommendation. Since starting our surgical program in 24, we have performed a total of 2,792 surgeries and have continued to expand annually, performing 412 surgeries in 215. As Summa Health continues to develop its population health strategy, weight loss management will continue to be a critical initiative for all of us. The Summa Health Bariatric Care Center can offer a successful program for any of your patients interested in losing weight. Thank you for taking the time to review our results. While cosmetic improvements are frequently a result of significant weight loss, the primary goal is to help cure our patients of the medical problems caused by their obesity and to help them reclaim their life. As always, please do not hesitate to contact me directly if you have any questions, or if you need information for your patients. Sincerely, John G. Zografakis, M.D., FACS Director, Summa Health Bariatric Care Center While we have continued to increase the number of patients we serve, our focus on creating a positive patient experience has never wavered. We are proud that our patient experience scores for both inpatient and outpatient care have placed us in the 95th percentile nationally for the past nine years. 215 Outcomes Report 3
Surgical Procedure Volume Volume Surgical weight loss procedures performed at Summa Health include laparoscopic Roux-en-Y gastric bypass, laparoscopic sleeve gastrectomy, laparoscopic adjustable gastric banding and laparoscopic revisional procedures. Our bariatric surgeons are fellowship-trained in advanced laparoscopic and weight loss surgery. Some procedures can be done using a single incision or robotic-assisted approach. Adjustable Gastric Band Roux-en-Y Gastric Bypass Sleeve Gastrectomy 3 3 2 2 1 1 8 133 119 22 214 217 237 2 32 358 372 Procedure Totals 2,792 28 291 7 24 25 26 27 28 29 21 211 212 213 214 215 22 168 Revisions 1 12 1 8 2 1 3 2 2 2 19 19 24 37 17 24 25 26 27 28 29 21 211 212 213 214 215 125 112 5 199 24 291 4 Bariatric Care Center
Quality of Care Our bariatric care team collects and monitors quality of care data and works continuously to refine and improve its processes and program to make sure each patient receives the highest level of care. 3-day Mortality Procedure Summa s Bariatric Care Center Percentage Roux-en-Y Gastric Bypass.%.2% Sleeve Gastrectomy.%.1% National Percentage* Average Length of Stay Procedure Summa s Bariatric Care Center Number of Days Roux-en-Y Gastric Bypass 2. 2. Sleeve Gastrectomy 1. 2. National Average Number of Days* *National Data for 213 taken from American College of Surgeons MBSAQIP Database 215 Outcomes Report 5
I used to be very limited, but now I can do anything. Gary Jentes, Weight Loss Surgery Patient 6 Bariatric Care Center
Surgical Demographics Demographics Candidates for a primary weight loss procedure at Summa Health range in ages from 17 to 7. These are patients with morbid obesity, with or without comorbid diseases such as type 2 diabetes, obstructive sleep apnea, hypertension and gastroesophageal reflux disease. The typical patient has usually tried many different approaches to weight loss but has been unsuccessful in sustaining weight loss. In many cases, patients also struggle with underlying issues such as binge eating, emotional eating or other behavioral health conditions which have contributed to their obesity. Male: 8 Female: 1993 African American: 274 Caucasian: 225 Hispanic/Other: 22 Gender Race <2: 7 2-29: 162 3-39: 558-49: 629-59: 681-69: 416 7-79: 48 Age 35-39.9 kg/m 2 : 272-49.9 kg/m 2 : 1314-59.9 kg/m 2 : 638-64.9 kg/m 2 : 277 BMI Average Age: 47 years Average BMI: 49.98 kg/m 2 215 Outcomes Report 7
I used to feel imprisoned by my health. Now I feel liberated. Jim Sommers, Weight Loss Surgery Patient 8 Bariatric Care Center
Surgical Percentage of Excess Body Weight Loss 1 1 Year 2 Years 3 Years 4 Years 5 Years Laparoscopic Roux-en-Y Bypass The average percentage of excess body weight loss as a result of laparoscopic Roux-en-Y bypass is 64% after three years. 7 68% 68% 65 55 64% 62% % 45 Laparoscopic Sleeve Gastrectomy 1 The average percentage of excess body weight lost as a result of a laparoscopic sleeve gastrectomy as a primary weight loss procedure is 51% after three years. 7 65 55 52% 53% 51% 58% 65% 45 Laparoscopic Adjustable Gastric Band The average percentage of excess body weight loss as a result of an adjustable gastric band is 42% after three years. 7 65 55 45 41% 45% 42% 47% 47% Long-term weight loss for patients with diabetes using a nonsurgical, conservative weight loss method is 6% at one year and 4% at three years. 2 1 Beginning in 21, the laparoscopic sleeve gastrectomy was performed as a primary weight loss surgery and as the first step in a staged procedure leading to a roux-en-y gastric bypass 2 Diabetes Prevention Program Research Group. Reduction of the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med 22: 346: 393-3. Feb 7, 22 215 Outcomes Report 9
Surgical Comorbidity Resolution Type 2 Diabetes Mellitus 754 of 2,1 (3%) patients undergoing weight loss surgery had type 2 diabetes preoperatively. Following weight loss surgery: Two years post-operatively: 66% of patients have complete resolution of type 2 diabetes. 83% of patients experienced resolution and/or improvement of their type 2 diabetes. Five years post-operatively: 84% of patients experienced resolution and/or improvement of their type 2 diabetes. 9 8 7 3 2 1 31% 388 66% 256 21% 66 2 Year 83% 322 34% 1 65% 65 19% 19 5 Year 84% 84 Hypertension 1,463 of 2,1 (58%) patients undergoing weight loss surgery had hypertension preoperatively. Following weight loss surgery: Two years post-operatively: % of patients have complete resolution of their hypertension. 7% of patients experienced resolution and/or improvement of their hypertension. Five years post-operatively: 72% of patients experienced resolution and/or improvement 9 8 7 3 2 1 59% 729 2% 146 % 364 7% 51 64% 188 18% 34 54% 11 72% 135 2 Year 5 Year 1 Bariatric Care Center
Diagnosed Improved Resolved Improved & Resolved Obstructive Sleep Apnea 1,434 of 2,1 (57%) patients undergoing weight loss surgery had obstructive sleep apnea preoperatively. Following weight loss surgery: Two years post-operatively: 71% of patients experienced complete resolution of their obstructive sleep apnea. Five years post-operatively: 79% of patients experienced resolution of their obstructive sleep apnea. 8 7 3 2 1 56% 695 71% 494 48% 142 79% 112 2 Year 5 Year Gastroesophageal Reflux Disease 1,382 of 2,1 (55%) patients undergoing weight loss surgery had gastroesophageal reflux disease preoperatively. 8 7 58% 718 57% 41 64% 115 64% 115 Following weight loss surgery: Two years post-operatively: 57% of patients experienced complete resolution of their gastroesophageal reflux disease. Five years post-operatively: 64% of patients experienced resolution of their gastroesophageal reflux disease. 3 2 1 2 Year 5 Year Hypertriglyceridemia 82 of 2,1 (33%) patients undergoing weight loss surgery had hypertriglyceridemia preoperatively. Following weight loss surgery: Two years post-operatively: 54% of patients experienced complete resolution of their hypertriglyceridemia. Five years post-operatively: 65% of patients experienced resolution of their hypertriglyceridemia. 8 7 3 2 1 54% 232 35% 431 2 Year 65% 64 34% 99 5 Year 215 Outcomes Report 11
To refer a patient or for more information, call 33.375.659 or go to summahealth.org/weightloss Summa Health System Akron Campus Bariatric Care Center Richard M. and Yvonne Hamlin Pavilion 95 Arch St, Suite 2 Akron, OH 4434 BAR-16-26852/CS/KH/1-17/1