Audit
Audit Report
February 2013
In my last report I was delighted to announce the publication of the First Report of the National Bariatric Surgery Registry (NBSR), which had recently come out. No further update has yet been published so currently there is little to report in terms of bariatric audit, suffice to say that data entry into the NBSR continues to grow.
Last year’s report was the first comprehensive, prospective, nationwide analysis of outcomes from bariatric surgery in the United Kingdom and Ireland. In summary, it contained data from 84 surgeons in 86 hospitals and comprised nearly 9,000 operations. Around two-thirds of the cases were NHS funded and one third were private. The cases presented included 3,817 gastric bypasses, 2,132 bands and 588 sleeve gastrectomies.
Most patients were discharged by the third post-operative day. The morbidity and mortality figures were very low at 2.6% and 0.1% (0.2% for gastric bypass) respectively, which is much lower than for many other planned operations. The overall excess weight loss was 57.8% (43.2% for banding, 67.8% for bypass and 54.0% for sleeve gastrectomy). Exercise tolerance improved significantly, 60.2% of patients with sleep apnoea were able to come off treatment and 85.5% of type II diabetics were able to come off all hypoglycaemic treatment.
These figures have been heralded as being comparable to the best in the world, showing UK bariatric surgery to be safe and effective. They have been widely quoted in the Press and have been used by Commissioners and PCTs as a basis for financial planning and bariatric surgery commissioning.
I look forward to the publication of the second NBSR report in due course.
Mr Roger Ackroyd
BOMSS Honorary Secretary
Audit Report
August 2012
In my summer report last year I was delighted to announce the publication of the First Report of the National Bariatric Surgery Registry (NBSR), which had recently come out. No further update has yet been published so this summer there is little news to report in terms of bariatric audit, suffice to say that data entry into the NBSR continues to grow.
Last year’s report was the first comprehensive, prospective, nationwide analysis of outcomes from bariatric surgery in the United Kingdom and Ireland. In summary it contained data from 84 surgeons in 86 hospitals and comprised nearly 9000 operations. Around two thirds of the cases were NHS funded and one third were private. The cases presented included 3817 gastric bypasses, 2132 bands and 588 sleeve gastrectomies.
Most patients were discharged by the third post-operative day. The morbidity and mortality figures were very low at 2.6% and 0.1% (0.2% for gastric bypass) respectively, which is much lower than for many other planned operations. The overall excess weight loss was 57.8% (43.2% for banding, 67.8% for bypass and 54.0% for sleeve gastrectomy). Exercise tolerance improved significantly, 60.2% of patients with sleep apnoea were able to come off treatment and 85.5% of type II diabetics were able to come off all hypoglycaemic treatment.
These figures have been heralded as being comparable to the best in the world, showing UK bariatric surgery to be safe and effective. They have been widely quoted in the Press and have been used by Commissioners and PCTs as a basis for financial planning and bariatric surgery commissioning.
I now look forward to the publication of the second NBSR report in due course.
Mr Roger Ackroyd
BOMSS Honorary Secretary
NBSR Register
February 2012
The NBSR report published in April 2011 demonstrated safety of surgery in more than 8,000 patients in the UK with low complication rates. The one- and two-year follow up data showed impressive improvement in obesity-related disease. At the NBSR Workshop session at the BOMSS 2012 Annual Scientific Meeting in Bristol, Mr Richard Welbourn highlighted the results and presented to the membership work in progress for discussion as the Registry evolves. Members who wish to be involved should send expressions of interest to Mr Alberic Fiennes, Chair of the NBSR Committee via Nichola Coates at the BOMSS office, email: nichola@augis.org
The National Bariatric Surgery Register report published in April 2011 is the first comprehensive, prospective, nationwide analysis of outcomes from bariatric surgery in the United Kingdom and Ireland. It contains pooled national outcome data for bariatric and metabolic surgery in the United Kingdom. Eighty four surgeons and their teams working at 86 hospitals contributed data on patients treated up to March 2010.
The document is available as a free pdf download to BOMSS members via www.e-dendrite.com/nbsr
Additional copies may be purchased online from Dendrite's e-bookshop: www.e-dendrite.com/publishing/reports
Click here to view an extract of the NBSR
Members of the NBSR Data Committee are Alberic Fiennes, Marcus Reddy, Simon Dexter, Bruce Tulloh, Michael Rhodes and Peter Sedman.
