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Patients at Risk for Primary Open-Angle Glaucoma (04:38)

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Author in the Room® Teleconference

Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence

Justin B. Dimick, MD, MPH; Lauren H. Nicholas, PhD; Andrew M. Ryan, PhD; Jyothi R. Thumma, MPH; John D. Birkmeyer, MD

Summary Points:

Interview with Justin B. Dimick, MD, MPH, author of Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence. Summary Points:

• Bariatric surgery has become much safer over the past decade, likely due to better techniques, training in advanced laparoscopy, and tighter credentialing of surgeons.
• The CMS policy of restricting care to Centers of Excellence has not improved outcomes, but may have had the unintended consequence of reducing access to care.
• Referring patients to Centers of Excellence for bariatric surgery will not lower the risk of adverse outcomes and decisions should be based on other factors, such as a surgeon’s training, experience, and outcomes.

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JAMA Editor's Audio Summary

May 14, 2013

JAMA: 2013-05-14, Vol. 309, No. 19,
Editor's Audio Summary