Transition of Single Surgeon Bariatric Service to an Interdisciplinary Multiple Surgeon Model

Completed

• Conditions: Bariatric Surgery Candidate; Obesity
• Interventions: Procedure: Bariatric surgery- single surgeon service; Procedure: Bariatric surgery- multiple surgeon + multidisciplinary team approach

• Registration Number: NCT04431583
• Lead Sponsor: University of Adelaide

Brief Summary

This retrospective study will analyse the transition of an Australian hospital which significantly increased volume of bariatric operations after introduction of a clinical pathway, and to assess the outcomes. Barriers to introduction of the multidisciplinary pathway and the means to overcome these will also be analysed and discussed. The analysis will also determine if there are any other areas of bariatric surgery which can be further investigated to optimise current practice.

Detailed Description

Not available

Study Timeline

• Study Start: 2008-01-01
• Primary Completion: 2018-12-31
• Status Verified: 2020-06
• Study Completion: 2020-06-03
• Study First Submitted: 2020-06-04
• Study First Submitted QC: 2020-06-11
• Last Update Submitted: 2020-06-13
• Study First Posted: 2020-06-16
• Last Update Posted: 2020-06-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 146

Inclusion Criteria

• Participants must have had bariatric surgery at The Queen Elizabeth Hospital between 2008-2018

Exclusion Criteria

• nil

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
2008-2012 Participants	Bariatric surgery- single surgeon service	Participants who underwent bariatric surgery between 2008 and 2012 (inclusive).
2013-2016 Participants	Bariatric surgery- multiple surgeon + multidisciplinary team approach	Participants who underwent bariatric surgery between 2013 and 2016 (inclusive).

Primary Outcome Measures

Name	Time	Method
Post-operative length of stay (nights)	The number of nights the participant stay in hospital from the day of procedure to the day of hospital discharge. This time period occurs immediately after the procedure. This data will be retrospectively reviewed on an average of 5 years.	This will be measured in number of nights the participant stayed in hospital after the procedure.
End weight loss	Up to 12 months	Post-operative weight loss

Secondary Outcome Measures

Name	Time	Method
End weight loss	Up to 36 months	Post-operative weight loss
Type of Operation Performed	Retrospectively reviewed, 1 yearly	The number of the different types of bariatric operations which occurred in each group
Intraoperative time	The start time of the operation to the end time of the procedure. This data will be retrospectively reviewed on an average of 5 years.	Duration of operative time measured in minutes
Post-operative complications	Up to 36 months	Complications which occurred in the post operative period
Number of operations performed in time period	Retrospectively reviewed, 1 yearly	The number of operations which occurred in each group
Number of participants converted from Gastric Sleeve to Gastric Bypass	Retrospectively reviewed, 1 yearly
Number of patients on surgical waitlist	Retrospectively reviewed, 1 yearly	The number of patients on the surgical waitlist for each time period