Epub 2016 Jan 25. With international prevalence increasing year on year, and corresponding increases in the burden of related disease, it is clear that obesity is a problem that has to be addressed [1, 2]. Higa K, Himpens J, Welbourn R, Dixon J, Kinsman R, Walton P. Third IFSO Global Registry Report 2017. The reasons for this are unknown, but might be due to different follow-up data submitted by the geographically separate centres doing these operations. Dr. Welbourn reports non-financial support for attending conferences from Ethicon Endo-Surgery, personal fees from consultancy fees from Novo Nordisk, outside the submitted work. Abstract. The estimated international number of operations performed in 2016 was 634,897. Other countries have large comprehensive registries: in the USA, the MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) is a large collaboration between the American College of Surgeon and the ASMBS (American Society for Metabolic and Bariatric Surgery) and the resulting Participant Use Data File (PUF) is released periodically for independent analysis by participating centres. Descriptive statistics were used for the analysis of the data. PubMed  4 and Table 5. Estimate of Bariatric Surgery Numbers, 2011-2018 Published June 2018 The ASMBS total bariatric procedure numbers are based on the best estimation from available data (BOLD,ACS/MBSAQIP, National Inpatient Sample Data and outpatient estimations). The proportion of patients no longer receiving treatment for diabetes was highly dependent on weight loss achieved. Metabolic/bariatric surgery worldwide 2008. Almost all, 99.3%, operations were performed laparoscopically. Richard Welbourn and Marianne Hollyman are joint first authors, Welbourn, R., Hollyman, M., Kinsman, R. et al. Google Scholar. Obes Surg. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UK ISBN 978–0–9929942-4-2 2018. Would you like email updates of new search results? In the time period of this analysis, there were 72,645 Roux en Y gastric bypass operations (38.2%), 87,467 sleeve gastrectomy operations (46.0%), 14,516 one anastomosis gastric bypass procedures (7.6%) and 9534 gastric banding operations (5.0%). In 2019, an estimated 38.2 million children under the age of 5 years were overweight or obese. One of the benefits of such a registry enables us in real time to appreciate the changes in practice, initially with the rise in popularity of the sleeve gastrectomy, and now with an emerging increase in the number of one anastomosis gastric bypass operations being performed. Angrisani L, Santonicola A, Iovino P, et al. There is a fine balance between the two approaches to achieve a comprehensive, detailed database with true case attainment: there is more work to be done to achieve the perfect equilibrium. 6b). Stroh C, Weiner R, Wolff S, et al. Global Bariatric Surgery Devices Market Report 2019 +49 322 210 92714 (GMT OFFICE HOURS) +1-855-465-4651 (US/CAN TOLL FREE) +1-386-310-3803 (US OFFICE NO) Home; Categories; Become Publisher; News ; About Us; Contact Us; Search. -. El Chaar, M, Lundberg P, Stoltzfus J. Thirty-day outcomes of sleeve gastrectomy versus Roux-en-Y gastric bypass: first report based on metabolic and bariatric surgery accreditation and quality improvement program database. Recent reports from the 2015 PUF provide baseline demographic descriptions that are complementary to the data presented here [21,22,23]. Variation in attainment of follow-up data for the Roux en Y gastric bypass group is shown (Table 6). 2018;14:545–53. Dr. Dixon reports personal fees from NHMRC, during the conduct of the study; personal fees from Apollo Endosurgery, personal fees from Bariatric Advantage, personal fees from Medrontic, personal fees from Nestle, personal fees from Johnson & Johnson, outside the submitted work. OBES SURG 29, 782–795 (2019). Five International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) surveys since 1998 have estimated the volume and type of bariatric surgery being done in constituent member countries. * The number of overweight and obese Americans has increased almost continuously since 1960. However, the IFSO Global Registry has no mechanism to check case ascertainment, submission of incomplete or erroneous data, and it is assumed that each submitting society provides this validation. Due to a rising prevalence of obesity, the figure rose to 196,000 in 2015, with gastric sleeve surgery being the most commonly performed bariatric surgery in that year (51.7%). Welbourn R, Dixon J, Higa K, Kinsman R, Ottosson J, Ramos A. 2018;28(12):3916–22. Surg Obes Relat Dis. Also, the data presented in the full 4th report show some promising trends in improvement of hypertension, sleep apnea, depression, and musculoskeletal pain, but with follow-up records available for fewer than 10% of cases, no conclusions can be drawn from these findings [15]. Article  Correspondence to Mexico Bariatric Center's Founder and CEO, Ron Elli, Ph.D. has been in Medical Tourism Bariatrics and Plastics since early 2007. PubMed  b Distribution of obesity-related disease ordered by each disease; calendar years 2014–2018. USA.gov. This is just one … Surg Obes Relat Dis. The contributors were reassured that no statistical comparison would be attempted between different units or countries. 1a). Google Scholar. Bariatric surgery has the potential to improve health, in a cost-effective manner, to a large number of patients. Assessing operations performed between 2012 and 2016, at one year after surgery, the mean recorded percentage weight loss was 28.9% and 66.1% of those taking medication for type 2 diabetes were recorded as not using them. Surg Obes Relat Dis. 2 Moreover, the proportion of people with severe obesity (BMI ≥ 35 kg/m 2) and morbid obesity (BMI ≥ 40 kg/m 2) is rising at a faster rate … Many individuals believe that the procedures are not safe and that the risk of death is high. Future iterations of the registry have the potential to describe the operated patients comprehensively. Worldwide, bariatric surgery provides marked weight loss and remission of diabetes at 1 year. Recently, the Swedish and Norwegian SOReg and the Dutch registry DATO have demonstrated that sharing data elements between registries can allow accurate cross-comparison of surgical complications, an important initiative towards quality assurance between different countries [20]. Dr. Hollyman, Dr. Liem, Dr. Brown, Dr. Ottosson, Dr. Ramos, Dr. Alsabah, and Dr. Våge have nothing to disclose. Variation in data completion for the whole registry is presented (Table 4). Here we describe demographic data from the second report for 54,490 patients from 31 countries operated in the 3 calendar years 2013-2015 and follow up data from 66,560 of 112,544 patients in 2009-2015. [16] We note the differences in captured follow-up for patients with diabetes having gastric bypass (41.1%) and sleeve gastrectomy (11.9%). The variation in disease prevalence between regions is shown (Fig. Chronic Disease Model of Shared Care after Obesity and Metabolic Surgery. Surg Obes Relat Dis. Results: Obes Surg. A global description of patients undergoing bariatric surgery is emerging. a Patient’s BMI before surgery by country; calendar years 2014–2018 (data for 188,522 of 190,177 cases). Lancet. 2007;3:134–40. 2013 Apr;23(4):427-36. doi: 10.1007/s11695-012-0864-0. The author concluded that the use of the procedure has increased to about 113,000 cases per year.  |  Obes Surg. The market research report titled “Global Bariatric Surgery Market Projected To Grow And Attain The Value Of Around USD 3, 518 Million By 2024” and published by … Viszeralmedizin. HHS For this type of study, formal consent is not required. This article does not contain any studies with human participants or animals performed by any of the authors. Br J Surg. 2016 Jul;12(6):1178-85. doi: 10.1016/j.soard.2016.02.030. According to the statistics, Sweden is the leader in obesity surgery with 9 surgeries performed on 10,000 residents and 9 surgeries performed on 1,000 obese adults. In addition, there is limited information on variation in surgical outcomes including length-of-stay or reduction in BMI or effect on obesity-related diseases on a national or international basis. Bariatric surgery worldwide 2003. The vast majority of patients who had a gastric band inserted were discharged within 1 day of their operation (88.5%); gastric bypass patients within 2 days of surgery (84.1%); and sleeve gastrectomy patients within 3 days (84.5%). Using Bayesian Networks to Predict Long-Term Health-Related Quality of Life and Comorbidity after Bariatric Surgery: A Study Based on the Scandinavian Obesity Surgery Registry. NLM 2004;14:1157–64. In this 4th report, the number of individual patient records has doubled the information available compared to the third report, together with a near doubling in the number of national registries submitting data [14, 15]. 2018;14(9):1276–82. Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018. In 13 of the Member States, cataract surgery was performed 1 … There was marked variation in access and practice. Seidell JC, Halberstadt J. COVID-19 is an emerging, rapidly evolving situation. Over all types of surgery, the average recorded percentage weight loss was 28.9% a year after surgery: 30.0% for Roux en Y; 29.1% for gastric sleeve; 16.1% for gastric band; and 32.9% for one anastomosis gastric bypass. 2020 Jul 20;20(1):160. doi: 10.1186/s12893-020-00819-3. No matter the procedure performed, all surgery types show positive results from having weight loss surgery. Data were available from 394,431 individual records, of which 190,177 were primary operations performed since 2014. 2015 Sep 5;386(9997):964-73 The worldwide prevalence of obesity nearly tripled between 1975 and 2016. It is estimated to save up to 80% of the cost by undergoing bariatric surgery in Mexico . Dr. Elli is a pioneer in the Mexico Weight Loss Surgery field. However, accessibility to surgery varies within and between countries. The US is close with 8 surgeries performed on 10,000 residents, whereas France is following with 5. A comparison of 30-day complications using the MBSAQIP data registry. Google Scholar. Ng M, Fleming T, Robinson M, et al. Data presented in graphs define the number of “valid” records, indicating the number of records where obesity-related disease could be ascertained and cases with “no data”, the number of cases unavailable for subgroup analysis. Objective: To investigate the incidence of bariatric surgery and postoperative outcomes in a population-based cohort of patients in Western Australia over a 17-year period. Global Bariatric Surgical Devices Market research report presents you a complete study of market growth, size, share, trends and cost structure, statistical and comprehensive data of the global market with forecast to 2020-2025 - In the future, standardising a minimum bariatric dataset could be a goal for national registries and local databases worldwide. Conclusions: 2) million major surgical procedures are undertaken every year worldwide. As would be expected, the percentage weight loss at 1 year was greater in those with a higher initial BMI (Fig. A challenge for this and all registries is how to achieve better follow-up data. 1b) There was variation between countries with a trend to Middle Eastern and Asian countries having a younger, or adolescent practice, with those in the West more commonly operating at an older age. Forty-six percent of the baseline records were > 80% complete in data submitted in the calendar years 2014–2018. Ron has published numerous articles in Global Healthcare and has been informing patients in U.S. and Canada through bariatric seminars and webinars. According to the American Society for Metabolic and Bariatric Surgery statistics, there were around 228,000 surgeries in 2017 and 193,000 surgeries in 2015 were performed in the United States alone. One year after primary surgery, 66.1% of those taking medication for type 2 diabetes beforehand were no longer on medication; the proportion of patients no longer treated for diabetes was highly dependent on weight loss achieved, with the rate of improvement increasing with higher percentage weight loss (Fig. The IFSO Global Registry amalgamated data from 51 different countries, 14 of which provided data from their national registries. 2018 Jan;28(1):253-254. doi: 10.1007/s11695-017-2972-3. In the 2009-2015 cohort, 64.7% of patients on treatment for diabetes preoperatively were not on treatment postoperatively. 2015;25:587–606. Google Scholar. For the 184,871 primary operations recorded between 2012 and 2016, 116,431 had follow-up records (63.0%). As expected, a large proportion of patients had obesity-related disease. Following gastric bypass, 84.1% of patients were discharged within 2 days of surgery; and 84.5% of sleeve gastrectomy patients were discharged within 3 days. Limitations of the paper include lack of generalizability due to incomplete case ascertainment, and inability to assess incomplete or erroneous data submission, as well as incomplete follow-up data. Such understanding can help us focus our research questions to make them relevant, as demonstrated by the By-Band study which evolved to become the By-Band-Sleeve randomised controlled trial in the UK, as the number of sleeve gastrectomies performed increased. OSMRS group by country; calendar years 2014–2018. 2004;292:1724–37. Welbourn R, Hopkins J, Dixon JB, et al. Dr. Himpens reports personal fees from Ethicon, personal fees from Medtronic, outside the submitted work. Mexico (205/253, 81.0%), Colombia (282/356, 79.2%) and Brazil (595/808, 73.6%) reported the highest proportions of gastric bypass surgery; Australia (284/284, 100.0%), Saudi Arabia (2122/2122, 100.0%) and Guadeloupe (196/197, 99.5%) reported the highest rates of sleeve gastrectomy operations. 2004 Oct;14(9):1157-64 To enable high levels of participation and compliance with the Global Registry, the dataset has purposefully been kept short and minimal, predominantly in the form of ‘Yes/No’ questions. Future iterations of the dataset could include a question about whether the data have been validated before submission. - 94.23.208.148. Metabolic/bariatric surgery worldwide 2011. b Diabetic medication use in type 2 diabetics 1 year after surgery: operations in calendar years 2012–2016. Although according to American Society for Metabolic and Bariatric Surgery, the chance of dying from metabolic or bariatric surgery averages at just .13% within 30 days of the procedure. N Engl J Med. Janik MR, Mustafa RR, Rogula TG, Alhaj Saleh A, Abbas M, Khaitan L. Safety of laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass in elderly patients - analysis of the MBSAQIP. Methods: Scopinaro N. The IFSO and obesity surgery throughout the world. The study “The incidence of bariatric surgery has plateaued in the U.S.,” authored by Livingston E.H. is focused on the increase of bariatric surgery incidence in the country. Obes Surg. 2015;25:1822–32. The dataset, defined by a committee for the 1st report, has since been extended slightly, for instance to include explicitly one anastomosis gastric bypass as a procedure distinct from Roux en Y bypass. Khalaj A, Tasdighi E, Hosseinpanah F, Mahdavi M, Valizadeh M, Farahmand E, Taheri H, Barzin M. BMC Surg. The global burden of obesity and the challenges of prevention. Epub 2020 May 19. Continuous Glucose Monitoring of Glycemic Variability During Fasting Post-Sleeve Gastrectomy. Some information has been gleaned by worldwide surveys of practice of bariatric surgeons, but overall, little is still known about the demographics and trends of patients being operated on around the world [6,7,8,9,10,11]. In addition, open surgery has decreased to represent only 3% of the cases now, despite the fact that it costs on average $4,800 less than … PubMed Google Scholar. The median age at time of operation was 42 years (inter-quartile range: 33–51 years; Fig. PubMed Central  3) [17]. 4. Results: The total number of bariatric/metabolic procedures performed in 2016 was 685,874; 634,897 (92.6%) of which were primary and 50,977 were revisional (7.4%). Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018 Richard Welbourn1 & Marianne Hollyman1 & Robin Kinsman2 & John Dixon3 & Ronald Liem4 & Johan Ottosson5 & Almino Ramos6 & Villy Våge7 & Salman Al-Sabah8 & Wendy Brown9 & Ricardo Cohen10 & Peter Walton2 & Jacques Himpens11 Received: 15 October 2018 … Obes Surg. The overall proportion of female patients was 73.7% (95% CI: 73.5–73.9%). Gastric bypass was the most prevalent operation (49.4%), followed by sleeve gastrectomy (40.7%) and gastric banding (5.5%). We noted that the overall completion of the baseline dataset was 63%. Overall, those on medication for type 2 diabetes made up 19.8% of patients (inter-country variation: 4.5–97.7%); 30.6% were treated for hypertension (10.9–92.6%) and 12.4% of patients were on medication for depression (0.0–54.4%). -, Lancet. Obes Rev. Richard Welbourn. 2016;2018. Meaning that the popularity of bariatric surgeries … National societies were invited by the IFSO President Dr. Jacques Himpens to participate in the Global Registry as previously detailed [16] and a 4th report was commissioned for distribution at the IFSO World Congress in Dubai 2018 [15]. The Global Registry has reported on its findings for the last 4 years [12,13,14,15]. The IFSO Global Registry Fourth Report was funded by the International Federation for Surgery for Obesity and Metabolic Disorders. 2014;384:766–81. 2013;23:427–36. Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, Ramos A, Våge V, Al-Sabah S, Brown W, Cohen R, Walton P, Himpens J. Obes Surg. Himpens J, Ramos A, Welbourn R, Kinsman R, Walton P. Fourth IFSO Global Registry Report 2018. Bariatric surgery has increasingly become common as obesity has become a widespread concern in much of the high-income world. Brethauer SA, Kim J, El Chaar M, et al. Surg Obes Rel Dis. Data were submitted from over 550 hospitals in 51 countries spanning 5 continents, including data from 14 national registries. In addition to the limitations of the Yes/No questions, there is unknown selection bias for those patients with recorded follow-up. One-year follow-up was more complete in those patients having Roux en Y gastric bypass than sleeve gastrectomy (57.4% vs 29.4%). In an effort to answer some of these questions, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) developed a Global Registry, in association with a software and analysis provider, Dendrite Clinical Systems Ltd., aiming to create a global estimate of bariatric surgery practice. The dataset for the current version 4.1 is shown (Table 1) [16]. Bariatric surgery, or weight loss surgery, is the third biggest contributor to medical tourism in Mexico. Although bariatric surgery has been demonstrated to be a safe, effective and sustainable method of weight loss with associated reduction of obesity-related disease [3, 4], it is only performed on a very small percentage of patients who could benefit from it [5]. Article  Ann Nutr Metab. Continued efforts to recruit new centres and obtaining data from existing, and developing, national registries will strengthen the description of baseline demographics in patients operated worldwide. Second IFSO Global Registry Report 2016. What is interesting, is that the other 3 big Western European countries such as the UK, Germany and Spain are well behind these trends each having ratio of 1 only. CAS  The registry contained 394,431 individual operation records at the time of last data submission. The majority of the database records fell in the period 2009–2018 (88.5% of the total) although some countries have submitted data from procedures prior to 2000; 190,177 of primary operations were dated in the calendar years 2014–2018. Obes Surg. 5. The role of alimentary and biliopancreatic limb length in outcomes of Roux-en-Y gastric bypass. Article  Standardized outcomes reporting in metabolic and bariatric surgery. Laparoscopic Roux-en-Y gastric bypass (LRYGB) and the gastric band were second and third respectively (23.1% and 5.7%). 2013 Apr;23(4):427-36 We do not have complete country-data on case ascertainment.  |  The data collected via the Global Registry mirror the operative trends of the 2016 international survey of practice [11]. The highest number (n = 154,276) was from the USA/Canada region. Buchwald H, Oien DM. [24]. Obes Surg. PubMed  Georgia, Bulgaria and Hong Kong had the highest risk patient populations (OSMRS groups B and C: 78.7%, 72.2% and 66.7%, respectively); South Korea, Bolivia and Kuwait show the least risk (OSMRS groups B and C: 12.5%, 20.5% and 22.2%). Orthopedics, IVF, optometry, etc. Data are shown for countries with 100 or more qualifying operations. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Colquitt JL, Pickett K, Loveman E. Frampton GK. Background: Qualitative assurance and improvement projects might be a future goal of the IFSO Global Registry. The international survey obtains a wider coverage of complete countries than is obtained by the Global Registry; however, where no national registry is available, these numbers may be estimated. Between 1994-2011 these individuals were treated with a laparoscopic adjustable gastric band. The total number of bariatric procedures performed worldwide in 2013 was 468,609, 95.7 % carried out laparoscopically. Although in the whole registry Roux en Y gastric bypass is the most recorded operation, in the last 2years, the number of sleeve gastrectomies recorded is greater than the number of Roux en Y gastric bypasses. Obes Surg. CAS  2018;28:313–22. 2020 Jun;15(2):290-297. doi: 10.5114/wiitm.2019.89774. For the 16 countries with ≥ 1000 submitted patients, the gender ratios were 57.7% female (India; n = 11,088) to 79.4% female (Netherlands; n = 37,818). 6a). Overweight (body mass index [BMI] ≥ 25 kg/m 2) and obesity (BMI ≥ 30 kg/m 2) are currently described as a worldwide epidemic. PubMed  2017;104:1207–14. If this became possible, the bariatric community would be able to demonstrate further the safety of bariatric/metabolic surgery on a generalizable basis. © 2021 Springer Nature Switzerland AG. Bariatric surgery worldwide 2013. 3227 individuals were followed, most being in their 40’s. This site needs JavaScript to work properly. throughout the world. The burden of obesity-related disease in the operated populations is high but varies greatly between regions. Fifth International Consensus Conference: current status of sleeve gastrectomy. [20] Over time, future iterations of the IFSO Global Registry might be able to achieve this on a much wider scale. Darabi S, Pazouki A, Hosseini-Baharanchi FS, Kabir A, Kermansaravi M. Wideochir Inne Tech Maloinwazyjne. For the 16 countries with ≥ 1000 submitted patients, the BMI range was 37.3 (China; n = 1939) to 44.5 (Saudi Arabia; n = 2119). 2018;14:264–9. Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018, https://doi.org/10.1007/s11695-018-3593-1. 2018;19:14–27. Although operations were more common in females in all countries, there was also a wide variation in the gender ratios, ranging from 50.9% female in Georgia (55/108) to 93.4% female in Guadeloupe (183/196). The highest number (n = 154,276) was from the USA/Canada region. 2020 Jun 17;9(6):1895. doi: 10.3390/jcm9061895. All operations entered up until 4th July 2018 were included in the analysis. 2015 Oct;25(10):1822-32. doi: 10.1007/s11695-015-1657-z. An IFSO Global Registry pilot project in 2014 demonstrated that it was possible to amalgamate large numbers of individual patient data from different local and national database systems. A higher initial BMI ( Fig bypass ( LRYGB ) and the gastric band from Over hospitals. Registries is how to achieve this designation initial BMI ( Fig findings the. Medical, Brazil, outside the submitted work contain any studies with human participants or animals performed by of!, M., Kinsman, R. et al 370 ( 21 ):2002-13 -, Obes.... 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