PMID- 25443067
OWN - NLM
STAT- MEDLINE
DCOM- 20160106
LR  - 20181202
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 11
IP  - 1
DP  - 2015 Jan-Feb
TI  - Claims to the patient insurance after bariatric surgery in Sweden 2000-2012.
PG  - 201-6
LID - S1550-7289(14)00249-4 [pii]
LID - 10.1016/j.soard.2014.06.006 [doi]
AB  - BACKGROUND: Since 2000, the annual number of bariatric procedures has increased 
      more than 10-fold in Sweden, and in 2012, 94% of these procedures were primary 
      laparoscopic gastric bypass. METHODS: We studied claims from the national Patient 
      Insurance (Landstingens Omsesidiga Forsakringsbolag, LOF) to evaluate if the 
      number of adverse events (AEs) from a patient perspective had increased 
      unproportionally. All claims related to bariatric surgery from January 2000 to 
      March 2012 were identified by ICD-10 codes and divided into 3 main groups: (1) 
      procedure-related AEs (occurring within 30 days), (2) late AEs, and (3) 
      nonsurgical AEs. Logistic regression was used to study the change in claim rate 
      over time. The setting was a university hospital in Sweden. RESULTS: In total, 
      359 claims were included, corresponding to 14 claims per 1,000 bariatric 
      procedures (laparoscopic 59%, open 24%, revision 17%). Numbers correlated with 
      the expansion of bariatric surgery and type of procedure routinely performed. Of 
      the procedure-related claims (74% of all claims), postoperative leaks or 
      bleedings were most common. In this group, patients frequently needed additional 
      surgery (69%) and intensive care (42%). Half of the late AEs (69 in total) were 
      related to abdominal pain or malnutrition, including 5 cases of Wernicke's 
      encephalopathy. In total 2% died. Of 344 settled claims, economical compensation 
      was given to 29%. CONCLUSION: In this cohort of patients with insurance claims 
      after bariatric surgery (1.4% of all procedures), procedure-related AEs were 
      severe, with a large amount of patients requiring reoperation and intensive care. 
      No change in claim rate was seen, in spite of the 10-fold increase of bariatric 
      surgery.
CI  - Copyright (c) 2015 American Society for Bariatric Surgery. Published by Elsevier 
      Inc. All rights reserved.
FAU - Skogar, Martin
AU  - Skogar M
AD  - Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden. 
      Electronic address: martin.skogar@akademiska.se.
FAU - Ahlberg, Jon
AU  - Ahlberg J
AD  - Patient Insurance LOF, Box 17830, SE-118 94, Stockholm, Sweden.
FAU - Sundbom, Magnus
AU  - Sundbom M
AD  - Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20140612
PL  - United States
TA  - Surg Obes Relat Dis
JT  - Surgery for obesity and related diseases : official journal of the American 
      Society for Bariatric Surgery
JID - 101233161
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anastomotic Leak/epidemiology
MH  - Anesthesia, General/adverse effects
MH  - Bariatric Surgery/methods/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Insurance, Health/*statistics & numerical data
MH  - Intensive Care Units/statistics & numerical data
MH  - Laparoscopy/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*epidemiology
MH  - Reoperation/statistics & numerical data
MH  - Sweden/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Adverse events
OT  - Bariatric surgery
OT  - Gastric bypass
OT  - Insurance claims
OT  - Obesity
OT  - Surgery
EDAT- 2014/12/03 06:00
MHDA- 2016/01/07 06:00
CRDT- 2014/12/03 06:00
PHST- 2014/02/07 00:00 [received]
PHST- 2014/06/06 00:00 [revised]
PHST- 2014/06/06 00:00 [accepted]
PHST- 2014/12/03 06:00 [entrez]
PHST- 2014/12/03 06:00 [pubmed]
PHST- 2016/01/07 06:00 [medline]
AID - S1550-7289(14)00249-4 [pii]
AID - 10.1016/j.soard.2014.06.006 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2015 Jan-Feb;11(1):201-6. doi: 10.1016/j.soard.2014.06.006. 
      Epub 2014 Jun 12.