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Mortality related to primary bariatric surgery in England
M Alam1, S Bhanderi1, J H Matthews1
1Upper Gastrointestinal and Bariatric Unit, Heartlands Hospital, Heart of England NHS Foundation Trust Birmingham UK.
BJS Open
|June 29, 2018
Summary
Bariatric surgery in England remains safe, with very low in-hospital and 30-day mortality rates. An increased uptake of these procedures in the National Health Service (NHS) has not compromised patient safety.
Area of Science:
- Bariatric surgery outcomes
- Surgical safety
- Public health
Background:
- Bariatric surgery is a key treatment for severe obesity.
- Previous data indicated a 0.3% 30-day mortality rate in the NHS.
- No recent mortality data for bariatric procedures since 2008 were available.
Purpose of the Study:
- To assess mortality rates for bariatric surgery in England from 2009 onwards.
- To evaluate the safety of increased bariatric surgery uptake in the NHS.
Main Methods:
- Utilized Hospital Episode Statistics (HES) data from 2009-2016.
- Identified primary bariatric procedures, excluding revisions and non-obesity related surgeries.
- Primary outcomes included in-hospital and 30-day post-discharge mortality using HES and Office for National Statistics (ONS) data.
Main Results:
- 41,241 primary bariatric procedures were performed between 2009 and 2016.
- In-hospital mortality was 0.07% (29 deaths).
- 30-day post-discharge mortality was 0.08% (32 deaths), showing a downward trend over time.
Conclusions:
- In-hospital and 30-day mortality rates after primary bariatric surgery are very low.
- The increasing utilization of bariatric surgery within the English NHS has been demonstrated to be safe.
- These findings support the continued role of bariatric surgery in managing severe obesity.
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