There are times when a pat on the back is very welcome and the bariatric healthcare community can feel suitably cheered by the second report from the National Bariatric Surgery Register (NBSR). Discharge date The NBSR Committee on behalf of the British Obesity and Metabolic Surgery Society presents the operative outcomes data for NHS patients having bariatric surgery for the three financial years 2013/14 to 2015/16 on http://nbsr.e-dendrite.com. Weight Reviews. Please note, most our our registries will take you to the Demonstration site, please read and select the correct option if you need to access the Live registry. 29th International EAES Congress, Barcelona, Spain - 7th - 10th July 2021 Eight consultants in different hospitals had one death each during the 3-year reporting and none was a statistical outlier. If one or more field is missing the data record will remain yellow for incomplete. We believe the 3-year data for 2012/15 are a correct representation of surgeon and hospital volume, baseline BMI, degree of baseline obesity-related disease, type of operation, mortality and length of stay. In addition, there is a new policy concerning non-submission of mortality data on the BOMSS website http://www.bomss.org.uk/wp-content/uploads/2014/04/NBSR-Policy-for-Managing-Non-Contribution-of-Patient-Data-March-2015.pdf. We use the same definitions of major and minor revision surgery as for 2014/15. We also use analytics & advertising services. A group of North Dakota counties have joined together to extend the application of the 1999 disaster-proofing FEMA grant and provide access to real estate records via the Internet. Although mandated in the NHS provider contracts, the NBSR committee has no further role other than pointing out the apparent lack of case input. ONS also records the mortality rate within 30 days of discharge. ** The historic HES data volumes are slightly different from those recorded in the 2014/15 COP report due to adjustments made by the HSCIC. The current data fr om the NBSR show that the proportion of bariatric operations that wer e publicly funded was 72.1% in 2009-2010, rising signi cantly to 76.2% by 2011-2013 (p<0.001; χ 2 The rules regarding publication of small numbers do not allow us to investigate further but we assume that they were in the 30-day recorded ONS deaths. However a future data cut in around October 2016 for the 2014/15 publication will show all updated records to that point, for all contributing surgeons. Twenty-four surgeons were potential negative outliers for data completion at the 99.9% alarm level and will be sent letters as per the policy published in 2013 on the BOMSS website 6. We reproduce here a paragraph regarding estimating mortality after 30 days from the 2013/14 report 2: ‘‘The current analyses of mortality do not extend beyond 30 days. The definition also includes re-operations for internal hernia (twisted bowel) that can occur after some types of surgery. The United Kingdom National Bariatric Surgery Registry. Sub-divides revision surgery into major and minor, so as to highlight the work of those who take on higher risk major revisions. Feedback about the NBSR and publications from some of the other specialties suggested that future outputs should include the ability for a patient to search for the local hospital performing bariatric surgery. We were contacted by Sunderland Royal Hospital where intra-gastric balloon data are collected on a different system and are not currently submitted to in the NBSR. Seventeen hospitals were identified as having more than 10% fewer patient records submitted to the NBSR than recorded in HES. Type Of Operation (Primary, Revision or Planned Second Stage) Recommend. ASA grade Endoscopic) This third report once again highlights the exceptional safety and efficacy of bariatric surgery in the United Kingdom (UK),” said David Kerrigan, President of BOMSS. "The NBSR is an example of what we can achieve collectively for the benefit of our patients. A dedicated data extraction form was used to collect information from each paper and the NBSR 3. ORBIS - Obesity Research Biobank Syndicate, When it comes to registries, I would highly recommend Dendrite Clinical Systems, as in addition to the service agreement, they have provided that extra support, insight and guidance which has…. Bariatric and Metabolic Surgery Reports. Information. Dendrite Clinical Systems Limited; 2011. Also, a substantial proportion of gastric bypasses in Sunderland are constructed using a loop technique, which it is not possible to record in the NBSR. Please note that your mailbox will be unavailable for up to ten minutes after you change your password. For the 2013/14 report we took 2 data cuts, in July and September 2014. None was a statistical outlier. If you fail to login three consecutive times your account could be disabled. Insurance claims. North Tyneside General Hospital, South Shields To opt-out click for more information. The r2 value for HES vs NBSR entries is 0.95, indicating close overall correlation between the HES codes we are using and caseload entered into the NBSR, correcting for one hospital that had 304 patient according to HES, with only 48 entered into the NBSR, and correcting for another on two sites where 56 patients recorded in HES were done at the other hospital. I wrote the 2nd NBSR Report in 2014. Mr James Hopkins MA DPhil FRCS completed his post-graduate medical training at Guy’s & St Thomas’ Hospital, University of London in 2003. From NBSR, in the postoperative period, the prevalence of type 2 diabetes fell by 54 %, polycystic ovarian syndrome by 15 %, and any menstrual dysfunction by 12 %. Surgery Registry (NBSR) published its individual consultant outcomes data on 2nd July 2013 for surgeons in NHS in England 1. The NBSR administrators Sarvjit Wünsch or Nichola Coates are contactable by email sarvjit@augis.org or nichola@augis.org, telephone 0207 869 6941 or post to The National Bariatric Surgery Registry, The Royal College of Surgeons of England, 35-43 Lincoln’s Inn Fields, London WC2A 3PE. Other complications Eleven consultants in different hospitals had one death each and none was a potential statistical outlier. To access our secure intra-net site, you must be a current NBS Member, and possess a valid user ID and password. Login NBSRA 2018-04-11T14:30:42+00:00 Member Access. In the 3-year reporting period one hospital appeared as a potential outlier at the 99.9% alarm level. Walsall Manor Hospital ADA Websites. We recognise that there may be teething problems when using the new version. A loop gastric bypass page is planned for Version 2 of the NBSR to accommodate this changing practice. As participation in the NBSR is a mandatory part of provider contracts, this year the NBSR Committee: We are well aware of the lack of audit back up in many units and the first two are intended to support surgeons in their discussions locally. 5. Commenting on the launch of the Second NBSR (National Bariatric Surgery Registry) report, Miss Clare Marx, President, Royal College of Surgeons said: “This audit shows compelling evidence of the cost-effectiveness of bariatric surgery for obese patients. We use cookies on our website to support technical features that enhance your user experience. I n my opinion, the most important part of a patient's weight loss sugery is choosing a good, safe surgeon. Note: The password is case sensitive. Operations such as cholecystectomy are not recorded as revisions with this definition. In-hospital and 30-day survival from bariatric surgery continues to improve and be at least as good if not better than many common laparoscopic gastrointestinal procedures. Welcome to WebMail. Showing all reviews « ‹ 1 2 › » Page 1 of 2 . The NBSR Committee and Dendrite Clinical Systems have been working over the last 3 years to deliver changes requested by you, the bariatric surgeon. Please email national-support@e-dendrite.com with your query and we will deal with your problem without a ticket. Operative approach (Laparoscopic, Lap converted to Open, Open, The first round of Consultant Outcomes Publication in 10 specialties, including bariatric surgery, in summer 2013, followed a call for a culture of openness, transparency and candour from the Francis Report (2013) that dealt with the events leading up to the Mid Staffordshire enquiry 3. All rights reserved. The recording of the 2 NBSR deaths as occurring in-hospital may be anomalous due to the precise way that the deaths were entered onto the database, where the analysis programme fails to discern that a discharge and readmission has happened before the death occurs. → Obesity rates in the UK are high with over one-quarter of adults being classified as obese.1 Obesity is associated with a number of medical comorbidities, including type 2 diabetes mellitus, hypertension, obstructive sleep apnoea, and osteoarthritis. There were 2 recorded in-hospital deaths in the NBSR. Further local investigation of these indicated that the patients had been re-admitted to hospital after discharge and had subsequently died within 30 days. For this year we present the last 7 years of mortality data according to Hospital Episode Statistics (HES) and the Office of National Statistics (ONS). Zurück zum Zitat NBSR. Type 2 Diabetes and duration (where applicable) If you do not have a login, please register now. Next Upcoming Event ⇢ July 07th - 10th 2021. The NBSR data and the various HES analyses are entirely equivalent to a US benchmark, the American College of Surgeons Bariatric Surgery Center Network, where the published mortality rate was 0.12% (35 out of 28,616) for patients operated from 2007-10 7. The total number of hospitals includes private hospitals where these were used to provide additional capacity for the NHS bariatric units. Every day millions of people around the world use NDrive GPS products and maps. I am an hon Reader in Bariatric Surgery in Bristol University. Group B (2-3 points) 2 Cardiac Surgery. The data presented here for 2014/15 corroborate the high levels of obesity-related disease combined with low mortality and short length of stay for bariatric surgery published in the 2013 and 2014 Bariatric Consultant Outcomes Publications 1, 2. Welcome to the world of NDRIN....the North Dakota Recorders Information Network. Demand for surgery to treat morbid obesity outstrips supply. The following links will take you to demonstration databases where you can try out the software in a safe test environment. Doncaster Royal Infirmary In addition, outcomes assessed in the UK National Bariatric Surgery Registry (NBSR) were added to the list 3. Seventy-three surgeons were positive outliers at the 99.9% level ie had near-complete or complete data completion. Funding Category, Baseline comorbidity Total number of revision operations (%), Number of NBSR primary operations and major revisions, HES recorded data (NBSR case ascertainment primary operations %) **. Clinical Databases. Future reports may also include post-operative complications occurring within or after 30 days of the index procedure. Listening. Dendrite enables collaboration between its members through file sharing, chat, forums and bespoke networks of users tailored to each member. Richard Welbourn (Chair), Simon Dexter, Ian Finlay, James Hopkins, Omar Khan, Marcus Reddy, Peter Sedman, Peter Small, Shaw Somers. Online Renewal: Login Online License Renewal is now available! Overall for the 3 years, primary surgery: The average patient body mass index (BMI) was 49.8 kg/m2 and the average weight was 138.3kg, indicating that the patients were twice the ideal weight for their height, The average number of obesity-related diseases for each patient, for example type 2 diabetes, hypertension, sleep apnoea, functional impairment and arthritis was 3.57, There were 12 recorded deaths for an in-hospital mortality rate of 0.08%, equivalent to a survival rate of 99.9%, The average length of hospital stay for all operations was 2.7 days, There were no potential statistical outliers for mortality or length of stay, Publishes the names of the hospitals whose total patient records were >10% fewer than they should be according to HES, Adds the  percentage of initial patient records that are ‘green for complete’. The Board sent out renewal notices by email on November 2, 2020! **** Data suppressed as low numbers to prevent potential identification of individual patients. The registry is a joint collaboration between the ALSGBI, Dendrite Clinical Systems, AUGIS and BOMSS. Hypertension Therefore the numbers include re-operations for complications of the primary procedure (which may not be detected as bariatric operations by HES) as well as conversions to another bariatric procedure. There are times when a pat on the back is very welcome and the bariatric healthcare community can feel suitably cheered by the second report from the National Bariatric Surgery Register ( The United Kingdom National Bariatric Surgery Registry: first registry report to March 2010. The new 2014/15 outcomes are: 1       Case ascertainment vs Hospital Episodes Statistics (HES). For the next iteration of the process we are invited by Sir Bruce Keogh to highlight examples of good practice (positive outliers) as well as publishing the names of potential negative statistical outliers. Login / Register. The First NBSR Report details the data fields that need to be completed to make the record go green 5. In this Journal of Human Nutrition and ... PEBWL at 12 and 24 months was approximately 10% greater in this study than reported nationally by the NBSR 4. Minor revision surgery includes reoperations for complications of all bariatric procedures, ranging from more minor reoperations on for instance a subcutaneous gastric band port to more major reoperations for complications eg a leak from or stricture in a staple line, or bleed from a gastric bypass or sleeve gastrectomy. For the bariatric speciality, figures have been released by the National Bariatric Surgical Registry (NBSR) for 106 consultant surgeons contributing to the NBSR for the financial year 2013/14. The NBSR second registry report. The definition of in-hospital death used for the NBSR and HES reporting is a death that occurs during the initial hospital stay before discharge. Home.com Domains; Hscn.e-dendrite.com ; Hscn.e-dendrite.com has server used 193.200.98.242 (United Kingdom) ping response time Hosted in Register Domain Names at 123-Reg Limited.This domain has been created 20 years, 180 days ago, remaining 2 years, 184 days.You can check the number of websites and blacklist ip address on this server Patients can be stratified for risk according to how many of these risk factors are present. In addition to naming, and sending letters to, hospitals with more than 10% fewer patient records than indicated by HES we took an executive decision to exclude hospitals from this category if there were 10 or fewer cases missing. Average ratings. Group C (4-5 points). The data shown are those of surgeons currently practising to our knowledge within the NHS and excludes retired surgeons. 2019-06-20 Person. NBSR. The NBSR Committee on behalf of the British Obesity and Metabolic Surgery Society presents the operative outcomes data for NHS patients having bariatric surgery for the three financial years 2016/17 to 2018/19 on https://nbsr.e-dendrite.com. Northern Beaches Smash Repairs provide services to all insurance companies. Accessing, undergoing, and achieving a successful outcome from surgery for “severe and complex obesity” is difficult and requires determination and effort. Dendrite Clinical Systems currently designs, develops and hosts three of the online Surgeon Specific Outcome Reports, namely the National Bariatric Surgery Registry (NBSR), the British Association of Endocrine and Thyroid Surgery (BAETS) and the Head and Neck Audit (HANA). We change the way people travel and commute everyday: either using their smartphones or the infotainment unit on the car, we always get to the point! The data are adjusted compared to previously reported, since entries on the registry have been changed/edited by contributing surgeons. In: Committee ND, editor. For Revisions Prior Operation Type (where applicable), Post-op course and discharge The co-morbidity count was taken from the NBSR dataset of co-morbidities: The Obesity Surgery-Mortality Risk Score is the only validated measure of operative risk for patients undergoing bariatric surgery 8. Password. The NBSR is a web-based application developed to collect prospective data for all bariatric surgery patients in 3       Primary and Revision surgery are here defined as. Prior to medical school he completed an undergraduate degree and doctorate in Biochemistry and Metabolism at the University of Oxford (1990 – 1997) and was a Research Fellow in Medicine at Harvard Medical School in Boston MA from 1998 – 2000. 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