Some 88 hospitals have been rated as "best" performers by the HealthGrades Fourth Annual Bariatric Surgery Trends in American Hospitals Study released today. The basis of this rating includes mortality rates, complication rates and patient lengths of stay, which are dramatically lower than poorly rated hospitals.
In the study, HealthGrades, the nation's leading independent healthcare ratings organization, evaluated the quality of bariatric surgery in hospitals across 19 states that provide all-payer information. The recipient list and full study results can be found at
www.healthgrades.com. As other studies have found, high bariatric surgery volumes correlated with better inhospital outcomes. In this study, higher-volume programs, those with greater than 375 cases over three years, have a 32 percent lower risk of patient complications than lower volume programs, those with less than 75 cases over three years.
California was, on average, the most expensive state for bariatric surgery, with an average charge per procedure of $52,224, the study found. Maryland was the least expensive with an average charge per procedure of $14,577.
Bariatric surgery is a general term describing several types of weight loss procedures. The HealthGrades study analyzed the outcomes of the most common including gastric bypass procedures, less invasive laparoscopic procedures including gastric banding, malabsorbtive procedures and combined malabsorbtive/restrictive procedures.
Due to the growing number of obese Americans and the explosion of bariatric surgery programs in the U.S., patients have many choices when it comes to selecting a program. This study has found a wide variation in the quality and outcomes of these programs. Because bariatric surgery is an elective procedure, patients have the time to thoroughly investigate their surgeon and hospital before making a decision on where to have surgery performed.