Original articleAmerican Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016
Section snippets
Methods
A comprehensive review of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was completed, which included 100% of the primary and revisional metabolic and bariatric procedures performed within metabolic and bariatric surgery centers that are accredited by MBSAQIP.
In addition, a comprehensive review of the National Surgical Quality Improvement Program (NSQIP) database was also performed, which included 100% of the primary and revisional
Results
Compared with 2015, the total number of bariatric procedures performed in 2016 increased from approximately 196,000 to 216,000. The overall estimated number of metabolic and bariatric procedures for 2016, as well as the trend and percentage breakdown from 2011 to 2016, is listed in Fig 1 and Table 1, Table 2 [3], [4].
The sleeve gastrectomy continues to be the most common procedure, comprising 58.1% of all procedures in 2016. An 18.8% increase was noted from 2015 (105,448 to 125,318), but even
Discussion
This paper represents the best estimate of metabolic and bariatric procedures performed in the United States. Trends over time demonstrate a significant increase in usage of procedures, with a decided uptake in 2016. The determinants of this increase are likely multifactorial, including specialty society outreach, such as the ASMBS National Collaborative Care Summit, influential papers citing level 1 evidence, and raising awareness through media [5], [6], [7]. Of note, patients and referring
Conclusions
There has been a 9.6% increase in the number of metabolic and bariatric procedures performed in 2016 compared with 2015, with an overall increase of 36.5% since 2011. The sleeve gastrectomy continues to be the most common procedure performed in the United States. The number of gastric banding procedures performed annually continues to decline precipitously, as do the number of gastric bypass procedures. Revisional bariatric procedures continue to increase, comprising approximately 1 of every 7
Disclosures
The authors have no commercial or financial interests that would pertain to the content of the article.
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