- Universidade Federal de Pernambuco, Departamento de Cirurgia - Recife - PE - Brasil.
- Hospital Santa Joana Recife, Centro de Obesidade e Diabetes - Recife - PE - Brasil.
Rev Col Bras Cir. 2023 Mar 10;50:e20233382. doi: 10.1590/0100-6991e-20233382-en. eCollection 2023.
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.
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。
Rev Col Bras Cir. 2023
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Surg Obes Relat Dis. 2016-7
Surg Obes Relat Dis. 2016-7