Publications by authors named "Jenifer Cottrell"
Background: To determine if the positive outcomes from clinical trials regarding the safety and efficacy of metabolic bariatric surgery are reproducible at a national level.
Methods: A longitudinal registry-based observation study with data collected from all persons undergoing metabolic bariatric surgery in Australia from 28 February 2012-31 December 2021 including data from 122,567 index patients who underwent 134,625 completed bariatric procedures.
Main Outcomes And Measures: Defined adverse outcomes at 90-days (unplanned readmission, intensive care admission and re-operation; death), annual change in weight (percent total body weight loss (TBWL)), diabetes treatment and need for re-operation.
Article Synopsis
- - The study aimed to determine the expected average length of stay (ALOS) in hospitals for primary and conversion bariatric surgery in Australia and examine factors affecting it, such as patient and surgeon characteristics.
- - Results showed that uncomplicated primary bariatric surgery had an ALOS of 2.30 days, while conversion procedures had an ALOS of 2.71 days, with complications significantly increasing the stay duration.
- - Factors like older age, diabetes, living in rural areas, and the volume of cases handled by both the surgeon and hospital were found to significantly extend ALOS after bariatric surgery.
Purpose: This study aims to determine if the hospital efficiency, safety and health outcomes are equal in patients who receive bariatric surgery in government-funded hospitals (GFH) versus privately funded hospitals (PFH).
Materials And Methods: This is a retrospective observational study of prospectively maintained data from the Australia and New Zealand Bariatric Surgery Registry of 14,862 procedures (2134 GFH and 12,728 PFH) from 33 hospitals (8 GFH and 25 PFH) performed in Victoria, Australia, between January 1st, 2015, and December 31st, 2020. Outcome measures included the difference in efficacy (weight loss, diabetes remission), safety (defined adverse event and complications) and efficiency (hospital length of stay) between the two health systems.