文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

巴西国家减重登记处-试点研究。

Brazilian national bariatric registry - pilot study.

机构信息

- Universidade Federal de Pernambuco, Departamento de Cirurgia - Recife - PE - Brasil.

- Hospital Santa Joana Recife, Centro de Obesidade e Diabetes - Recife - PE - Brasil.

出版信息

Rev Col Bras Cir. 2023 Mar 10;50:e20233382. doi: 10.1590/0100-6991e-20233382-en. eCollection 2023.


DOI:10.1590/0100-6991e-20233382-en
PMID:36921131
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10519695/
Abstract

INTRODUCTION: Brazil is a world leader in bariatric surgery. However, the actual number of surgeries performed in the country is still unknown. It is necessary to implement an instrument to monitor the quality of care provided. This study evaluated the implementation of a Bariatric Surgery Data Registry in Brazil. METHODOLOGY: the registry was developed with Dendrite Clinical Systems Ltd., with data collected prospectively on an internet-based software. Seven centers were selected based on surgical volume and data entry commitment. The project covered three years after system implementation. RESULTS: 1,363 procedures performed by 17 surgeons were included. Most patients were female (67.2%), with average age of 39 years old and average baseline BMI of 41.5kg/m2. Diabetes mellitus was present in 34.5%, and hypertension in 40.1%. Roux-en-Y gastric bypass was performed in 79.3%, 95.5% by laparoscopy. There was one in-hospital death of cardiovascular cause. The average hospital stay was 2.03 days. The surgery-related complication rate was 0.97% in the first month, with three reoperations. Short-term follow-up was recorded in 75.6% and one-year follow-up in 21.64%. Total body weight loss was 10% in 30 days, rising to 33.3% after one year, with no difference between surgical techniques. CONCLUSIONS: the population profile was in accordance with the global registry of the International Federation for the Surgery of Obesity and Metabolic Disorders. The main difficulty encountered was low postoperative data entry. The experience acquired in this project will help advance data collection and knowledge of the safety and effectiveness of bariatric surgery in Brazil.

摘要

引言:巴西是减重手术领域的世界领导者。然而,该国实际开展的手术数量仍不清楚。有必要实施一种工具来监测所提供的护理质量。本研究评估了在巴西实施减重手术数据登记的情况。

方法:该登记册由 Dendrite Clinical Systems Ltd. 开发,使用基于互联网的软件前瞻性收集数据。根据手术量和数据输入承诺选择了 7 个中心。该项目在系统实施后的三年内进行。

结果:共纳入 17 名外科医生进行的 1,363 例手术。大多数患者为女性(67.2%),平均年龄为 39 岁,平均基线 BMI 为 41.5kg/m2。34.5%的患者患有糖尿病,40.1%的患者患有高血压。实施的手术中,Roux-en-Y 胃旁路术占 79.3%,其中 95.5%为腹腔镜手术。有 1 例心血管原因的院内死亡。平均住院时间为 2.03 天。术后 1 个月内手术相关并发症发生率为 0.97%,其中 3 例再次手术。75.6%记录了短期随访,21.64%记录了 1 年随访。术后 30 天体重减轻 10%,1 年后增加到 33.3%,不同手术技术之间无差异。

结论:人群特征与国际肥胖与代谢手术联合会的全球登记册相符。术后数据录入量低是遇到的主要困难。本项目获得的经验将有助于推进巴西减重手术的数据收集和安全性及有效性的知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/95d28bc720f6/rcbc-50-e20233382-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/e579be71b962/rcbc-50-e20233382-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/9f70c95be16c/rcbc-50-e20233382-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/b99037483355/rcbc-50-e20233382-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/95d28bc720f6/rcbc-50-e20233382-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/e579be71b962/rcbc-50-e20233382-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/9f70c95be16c/rcbc-50-e20233382-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/b99037483355/rcbc-50-e20233382-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/10519695/95d28bc720f6/rcbc-50-e20233382-g004.jpg

相似文献

[1]
Brazilian national bariatric registry - pilot study.

Rev Col Bras Cir. 2023

[2]
Outcomes of Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Patients Older than 60.

Obes Surg. 2015-12

[3]
Surgery for weight loss in adults.

Cochrane Database Syst Rev. 2014-8-8

[4]
Single-stage conversions from failed gastric band to sleeve gastrectomy versus Roux-en-Y gastric bypass: results from the United Kingdom National Bariatric Surgical Registry.

Surg Obes Relat Dis. 2018-6-30

[5]
Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study.

Lancet Diabetes Endocrinol. 2017-1-6

[6]
Association of Bariatric Surgery Using Laparoscopic Banding, Roux-en-Y Gastric Bypass, or Laparoscopic Sleeve Gastrectomy vs Usual Care Obesity Management With All-Cause Mortality.

JAMA. 2018-1-16

[7]
Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial.

JAMA. 2018-1-16

[8]
Overcoming the learning curve of laparoscopic Roux-en-Y gastric bypass: a 12-year experience.

Surg Obes Relat Dis. 2013-2-11

[9]
The Interest of Enhanced Recovery After Surgery in a New Bariatric Center.

J Laparoendosc Adv Surg Tech A. 2020-1

[10]
Real-world evidence of health outcomes and medication use 24 months after bariatric surgery in the public healthcare system in Brazil: a retrospective, single-center study.

Clinics (Sao Paulo). 2020-4-6

引用本文的文献

[1]
Bridging the Gap: Addressing Barriers in Bariatric Surgery Training in Pakistan.

Cureus. 2025-7-9

[2]
Evaluation of the cost and care outcomes by group related to the diagnosis of bariatric surgery.

BMC Surg. 2024-11-29

本文引用的文献

[1]
High acquisition rate and internal validity in the Scandinavian Obesity Surgery Registry.

Surg Obes Relat Dis. 2021-3

[2]
Results from the first Kuwait National Bariatric Surgery Report.

BMC Surg. 2020-11-23

[3]
Trends in Bariatric Surgery: a 5-Year Analysis of the Israel National Bariatric Surgery Registry.

Obes Surg. 2020-5

[4]
The Israel National Bariatric Surgery Registry: the inception process.

Surg Obes Relat Dis. 2020-1

[5]
Commissioning guidance for weight assessment and management in adults and children with severe complex obesity.

Obes Rev. 2017-10-10

[6]
Laparoscopy in Duodenal Switch: Safe and Halves Length of Stay in a Nationwide Cohort from the Scandinavian Obesity Registry.

Scand J Surg. 2017-9

[7]
The importance of national registries/databases in metabolic surgery: the UK experience.

Surg Obes Relat Dis. 2016-7

[8]
Why the NHS should do more bariatric surgery; how much should we do?

BMJ. 2016-5-11

[9]
Regional differences in the coverage and uptake of bariatric-metabolic surgery: A focus on type 2 diabetes.

Surg Obes Relat Dis. 2016-7

[10]
Trocar Injuries in 17,446 Laparoscopic Gastric Bypass-a Nationwide Survey from the Scandinavian Obesity Surgery Registry.

Obes Surg. 2016-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索