An Exploration of System-Level Factors and the Geographic Variation in Bariatric Surgery Utilization
There is wide geographic variation in bariatric surgery rates, although higher regional rates of obesity are not correlated with higher rates of surgery. In this study, four system-level factors were explored as contributors to this geographic variation. Geographic utilization rates of bariatric sur...
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| Veröffentlicht in: | Obesity surgery 2016-07, Vol.26 (7), p.1635-1638 |
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| creator | Macht, Ryan Rosen, Amy Horn, Garrick Carmine, Brian Hess, Donald |
| description | There is wide geographic variation in bariatric surgery rates, although higher regional rates of obesity are not correlated with higher rates of surgery. In this study, four system-level factors were explored as contributors to this geographic variation. Geographic utilization rates of bariatric surgery showed no correlation to the number of bariatric surgeons, number of accredited centers, and the percentage of patients with a recent primary care visit. The total number of surgical discharges was weakly correlated with bariatric surgery rates (
r
= 0.26,
p
= |
| doi_str_mv | 10.1007/s11695-016-2164-6 |
| format | Article |
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r
= 0.26,
p
= <0.001). As surgeon supply, accredited bariatric centers, overall surgical volume, and access to primary care do not appear to heavily influence bariatric surgery rates, future studies are needed to identify additional factors that may explain the underutilization of bariatric surgery.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-016-2164-6</identifier><identifier>PMID: 27034061</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery - utilization ; Brief Communication ; Gastrointestinal surgery ; Geodemographics ; Health disparities ; Health services utilization ; Humans ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - surgery ; Surgeons - supply & distribution ; Surgery</subject><ispartof>Obesity surgery, 2016-07, Vol.26 (7), p.1635-1638</ispartof><rights>Springer Science+Business Media New York 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-fce82a4606b88a7049ccff161be85380de95e1ee0afd1638c6208b6d8ef1728b3</citedby><cites>FETCH-LOGICAL-c372t-fce82a4606b88a7049ccff161be85380de95e1ee0afd1638c6208b6d8ef1728b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-016-2164-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-016-2164-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27034061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macht, Ryan</creatorcontrib><creatorcontrib>Rosen, Amy</creatorcontrib><creatorcontrib>Horn, Garrick</creatorcontrib><creatorcontrib>Carmine, Brian</creatorcontrib><creatorcontrib>Hess, Donald</creatorcontrib><title>An Exploration of System-Level Factors and the Geographic Variation in Bariatric Surgery Utilization</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>There is wide geographic variation in bariatric surgery rates, although higher regional rates of obesity are not correlated with higher rates of surgery. In this study, four system-level factors were explored as contributors to this geographic variation. Geographic utilization rates of bariatric surgery showed no correlation to the number of bariatric surgeons, number of accredited centers, and the percentage of patients with a recent primary care visit. The total number of surgical discharges was weakly correlated with bariatric surgery rates (
r
= 0.26,
p
= <0.001). As surgeon supply, accredited bariatric centers, overall surgical volume, and access to primary care do not appear to heavily influence bariatric surgery rates, future studies are needed to identify additional factors that may explain the underutilization of bariatric surgery.</description><subject>Bariatric Surgery - utilization</subject><subject>Brief Communication</subject><subject>Gastrointestinal surgery</subject><subject>Geodemographics</subject><subject>Health disparities</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Surgeons - supply & distribution</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU9v1DAQxS1ERZeWD8AFWeLCxTDjJLZzLFVbkFbi0D9Xy3EmbapsvNhJxfbT19sUhJA4WbZ_783oPcbeI3xGAP0lIaq6EoBKSFSlUK_YCjUYAaU0r9kKagXC1LI4ZG9TugfIlJRv2KHUUJSgcMXak5Gf_doOIbqpDyMPHb_cpYk2Yk0PNPBz56cQE3djy6c74hcUbqPb3vWe37jYL6J-5F-fLzE_X87xluKOX0_90D8-A8fsoHNDoncv5xG7Pj-7Ov0m1j8uvp-erIUvtJxE58lIVypQjTFOQ1l733WosCFTFQZaqitCInBdi6owXkkwjWoNdailaYoj9mnx3cbwc6Y02U2fPA2DGynMyaKutawUImT04z_ofZjjmLfbUworXeg9hQvlY0gpUme3sd-4uLMIdl-BXSqwuQK7r8CqrPnw4jw3G2r_KH5nngG5ACl_jTmrv0b_1_UJrsqRNA</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Macht, Ryan</creator><creator>Rosen, Amy</creator><creator>Horn, Garrick</creator><creator>Carmine, Brian</creator><creator>Hess, Donald</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>An Exploration of System-Level Factors and the Geographic Variation in Bariatric Surgery Utilization</title><author>Macht, Ryan ; 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r
= 0.26,
p
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| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2016-07, Vol.26 (7), p.1635-1638 |
| issn | 0960-8923 1708-0428 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bariatric Surgery - utilization Brief Communication Gastrointestinal surgery Geodemographics Health disparities Health services utilization Humans Medicine Medicine & Public Health Obesity Obesity, Morbid - surgery Surgeons - supply & distribution Surgery |
| title | An Exploration of System-Level Factors and the Geographic Variation in Bariatric Surgery Utilization |
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