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Related Experiment Videos

Does outcomes research impact quality? Examples from bariatric surgery.

Matthew M Hutter1

  • 1Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.

The American Surgeon
|November 24, 2006
PubMed
Summary

Outcomes research influenced bariatric surgery quality, particularly policy changes like the 2006 Medicare coverage determination and accreditation. Earlier events saw research as a result, not a driver, of quality improvements.

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Area of Science:

  • Surgical Quality Improvement
  • Health Services Research

Background:

  • Bariatric surgery has undergone significant changes, including consensus conferences, increased procedure volume, and laparoscopic adoption.
  • The impact of outcomes research on these changes and overall quality remains a key question.

Purpose of the Study:

  • To examine the role of outcomes research in major recent events in bariatric surgery.
  • To determine if outcomes research influences quality in bariatric surgery.

Main Methods:

  • Review of four major events in bariatric surgery since 1991.
  • Analysis of the relationship between outcomes research and these events.

Main Results:

  • Outcomes research appeared to be a consequence, not a cause, of the first three events (1991 NIH conference, increased volume, laparoscopic shift).

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  • Outcomes research played a significant role in the 2006 Centers for Medicare and Medicaid Services National Coverage Determination and accreditation, influencing policy and quality.

    • Conclusions:

    • Outcomes research has a demonstrable impact on policy and quality in bariatric surgery, especially in recent developments.
    • The influence of outcomes research on quality has evolved over time within the field.