Bariatric analysis and reporting outcome

نویسندگان

  • D. Moneghini
  • F. Mittempergher
  • C. Terraroli
  • F. Di Fabio
چکیده

The evaluation of outcome in bariatric surgery is one of the major concerns for surgeons (1). An objective analysis is hindered by the absence of a standard for comparison of data, and by restricted periods of follow-up usually analysed. In fact, different parameters have been proposed in order to assess the outcome after bariatric surgical procedures, as well as the weight loss, the percentage of initial weight loss, the excess weight lost, the reduction of the Body Mass Index (BMI) (2). These different methods of estimation led the surgeons to adopt dissimilar criteria to define the outcome of a treatment, with the consequence that comparison of series results sometimes complicated (3-12). Many reports have underlined the improvement of obesity-related medical conditions after surgery, suggesting their relevance for a correct evaluation of outcome (12-14); moreover, many Authors stressed the role of a routine assessment of quality-of-life (QOL), because of the important physical and psychological modifications following the weight loss (1, 15, 16). In order to overcome this imbalance, Oria and Moorehead have recently elaborated the Bariatric Analysis and Reporting Outcome System (BAROS) (17), an evidence-based method for an objective, scored definition of outcome after a bariatric treatment, taking into account changes in weight, comorbidities, postoperative complications and the QOL. We report the BAROS results of a series of patients undergone biliopancreatic diversion (BPD) in our Department. Riassunto

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Bariatric analysis and reporting outcome system (BAROS)

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تاریخ انتشار 2004