Weight Loss Care Quality Measures
The Weight Loss Center strives to deliver the highest quality of care to all patients. As part of this commitment, we are dedicated to providing transparency for our patient outcome rates across a number of procedures.
The information below provides an in-depth look at the data for key procedures performed by the Cedars-Sinai, as well as their outcome rates, including mortality and length of hospital stay. These reports aim to reduce ambiguity in procedure outcome data, so that patients and their loved ones can make decisions with the utmost confidence regarding their medical care.
The Cedars-Sinai Weight Loss Center provides a complete range of medical and surgical treatments for adults ranging from the overweight to the morbidly obese. Our doctors create care plans specific to each patient for effective treatment and long-lasting success.
Our procedures include:
- Sleeve gastrectomy, in which the surgeon removes a large portion of the stomach, reshaping the stomach into a vertical "sleeve" about the size of a thin banana. The new smaller stomach holds less food and helps the patient feel fuller faster. At Cedars-Sinai, this procedure typically requires up to a two-day stay in the hospital.
- Roux-en-Y gastric bypass, in which the surgeon divides the upper portion of the stomach and creates a small pouch, so the stomach holds less food. The surgeon next attaches a section of the small intestine to the pouch, so the food eaten bypasses a portion of the small intestine and mixes with digestive enzymes further down the digestive tract. As a result, the patient is able to eat less, and less of the food eaten is absorbed by the body. At Cedars-Sinai, a Roux-en-Y gastric bypass procedure typically requires up to a two-day stay in the hospital.
- Laparoscopic adjustable gastric band, in which the surgeon inserts an inflatable silicone band around the upper stomach, tubing and an access port that sit just under the patient's skin. The band creates a new, smaller pouch in the stomach, so the patient can eat less. It also slows the movement of food through the stomach into the intestines. This means the patient feels fuller sooner. The band can be adjusted by injecting or removing saline solution through the port and tubing into the band. During the first year following surgery, adjustments need to be made every month for the best results. At Cedars-Sinai, laparoscopic adjustable gastric band surgery typically requires a one-day stay in the hospital.
Quality Measures for Bariatric Surgery Patients
As you'll see from the comparison of cases at Cedars-Sinai against the national database, our Weight Loss Center’s performance is significantly higher than the national average on most of the indicators tracked.
As the number 1 hospital for gastroenterology and GI surgery in Southern California, we monitor our surgical volumes and outcomes closely and work toward continuous improvement.
Studies suggest that for many surgical procedures, hospitals performing a higher volume of procedures:
- Have lower short-term and long-term mortality and morbidity
- Indicate greater experience, which influences outcomes in multiple ways
- May institute specific care processes that improve outcomes
- Have infrastructure dedicated to particular clinical specialties, including related technology and intensive care personnel
Commitment to quality standards throughout the institution is also an important factor for better outcomes.1,2 In addition, outcomes for high-risk procedures have been shown to be better when performed by highly trained surgeons than by general surgeons.3
The table below reflects data on patients who underwent gastric bypass or adjustable gastric band surgical procedures to treat obesity.
1Bach PB, Ann Intern Med 2009; 150:729-30
2Greene FL, Ann Surg Oncol 2007; 15:14-15
3Kozower BD et al, Ann Thorac Surg 2008; 86:1405-08