Buchbeschreibung Springer-Verlag Gmbh Sep , Zustand: Neu. Volume 1: Bariatric Surgery covers the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. A section focuses on revisional bariatric surgery and new innovative endoscopic bariatric procedures. Other special emphasis given to the topics of metabolic surgery and surgery for patients with lower BMI In den Warenkorb.
Verlag: Springer-Verlag Gmbh Sep Neu Anzahl: 1. Morton can explain this new feature. We feel this is important because different hospitals may operate on different patient and with different procedures. These risk-adjusted assessments allow us to capture a fair comparison of centers, taking patient and procedure into account.
The Obesity Summit was a meeting that included 20 professional societies with the mission of providing a network and developing cross-community relationships to aid in the provision and coordination of care for the obese population. John Morton, who led the summit, can provide more information. Morton: The first annual Obesity Summit this past September proved to be a great success greeted by much enthusiasm to repeat the event in The ASMBS along with over 20 medical societies discussed how to help every member of the medical community that treats a patient with obesity.
We discussed putting together a consensus for joint guidelines on the care of patients with obesity and also conducted a needs assessment among the other disciplines.
The ASMBS Textbook of Bariatric Surgery : Volume 2: Integrated Health - iqizenubes.cf
We received percent support from all societies to move forward with the joint guidelines. We will be continuing discussion with medical specialties about these guidelines and also examining the needs assessment. This technology will allow new procedures or difficult cases to be done under the direct mentoring by an experienced surgeon at a distance. This pilot program will hopefully be available to all surgeons, including surgeons from overseas. Nguyen can ellaborate. Nguyen: Training in the technical aspects of bariatric surgery is not new.
This can be commonly done at our annual meeting, attending weekend courses, or through a mentoring process whereby the trainee surgeon travels to the mentor institution and watches live surgical cases.
The latter option is an attractive one for training but can be cumbersome, time-intensive, and very costly. A telementoring program will streamline this important aspect of learning and may allow many more surgeons to participate in this type of training. Ponce: The Essential Health Benefits have a deficient access for bariatric surgery in 28 states. The Access to Care Committee has worked hard to put together an access tool kit with all the necessary information per state that can be used to fight and establish local access in each of the 28 states that currently do not offer coverage.
The goal is to have universal access at some point.
The committee is continuing their hard work. Morton and Dr.
Wayne English, Chair of the Access Committee can elaborate on this work. We have proved that bariatric surgery is both safe and effective. While these were great strides, there is still much that we need to accomplish. One big push is for the Essential Health Benefit by state. Currently, 22 states cover bariatric surgery and 28 do not.
The ASMBS State Chapters will be providing a toolkit to each of these states that includes the following: fact sheets, list of key opinion leaders in their state, Power Point presentations on types of surgery, and cost analyses. The data are on our side and bariatric surgery is here to stay. English: The ASMBS Access to Care Committee has been working hard to obtain universal access to care with uniform coverage for both medical and surgical treatment of obesity.
Unfortunately, the Essential Health Benefits does not include obesity treatment, which means each state is faced with a decision to determine if they will include obesity treatment coverage in the State Health Insurance Exchange. Sadly, only 22 states decided to include bariatric surgery coverage. However, 28 states in the country do not have bariatric surgery coverage. The Essential Health Benefit Tool Kit was created to make it easier for ASMBS State Chapters to educate elected state officials about the safety, effectiveness and cost saving measures associated with bariatric surgery.
The Tool Kit includes fact sheets on obesity and bariatric surgery, list of key opinion leaders in each state, sample introduction letters and call to action summaries, PowerPoint presentations, and cost analyses data. In addition, we have recently submitted Local Care Determination LCD Reconsideration requests to three Medicare Administrator Contractors MACs in an effort to open access to care, requesting to change of comorbidity definitions felt to be too restrictive, and to two MACs requesting to change age restriction criteria for sleeve gastrectomy coverage.
Responses are currently pending and we will inform the ASMBS membership when information becomes available. In this position, I helped to establish better communication among the leadership of IFSO and the ASMBS to expand in different areas and explore potential opportuites to reach all countries.
- Langfords Starting Photography.
- Heikkinen & Komonen (Current Architecture Catalogues).
- Difference and Differential Equations with Applications in Queueing Theory.
We are planning to offer some post-graduate courses from Obesity Week online for surgeons that live far away and cannot travel to the United States for the meeting. We are also going to work with IFSO to develop more educational projects, including the telementoring technology, to reach more places around the world. Ponce: Support for innovative research continues.
See a Problem?
Ranjan Sudan, Chair of the Research Committee, can provide an update on their work. Sudan: Research through discovery and innovation helps the needle move forward for our specialty in many different ways. The ASMBS has supported this conviction by promoting research and has offered research grants worth nearly one million dollars to its members over the last several years. Many young scientists have used this funding to launch their academic careers.
The grants have funded basic science research in areas such as diabetes and the gut-brain axis as well as clinical areas of interest such as sexual dysfunction. Awardees are recognized at the annual meeting and have an opportunity to present their findings to the membership. The society also recognizes the importance of outcomes research as this has the potential to impact public and payor policy and increase access to care. The research committee has been actively working to make the Bariatric Outcomes Longitudinal Database BOLD data available to its membership through the availability of the participant use file.
This data set has been interrogated by the society to address issues of importance, including the following: 1 readmission rates, 2 outcomes of revision bariatric surgery, and 3 data pertaining to access, such as ethnicity resulting in four national presentations at ASMBS, TOS, and Society for Surgery of the Alimentary Tract SSAT ; two published manuscripts6,7 and three other manuscripts in preparation. Also, Blue Cross and Blue Shield of North Carolina has recently revised its policies and made it easier for patients to obtain revisions following publication of outcomes for reoperative bariatric surgery.
The ASMBS Textbook of Bariatric Surgery : Volume 2: Integrated Health (2014, Hardcover)
Over the last few years, the volume of bariatric operations performed annually in the United States has remained relatively stable despite the well-known effects on resolution of comorbid conditions based on several recent short-term randomized studies. The society has recognized the need for large multi-institutional studies to address these questions and is in the process of planning such studies. The ASMBS needs to continue to work with the industry to complement the progress and innovation in bariatric surgery.
Additionally, we have been able to comment in FDA panels. Next year, more devices may be formally evaluated and will continue to complement with our expertise. Pryor: I think it is very exciting that many new technologies are potentially coming to the United States in the next few years. New technologies allow us to potentially improve patient care and expand interest in bariatric surgery. We have provided feedback to the FDA device panels on both study design and specific product recommendations.