Variation in outcomes after metabolic bariatric surgery: multilevel analysis to assess the contribution of patient, surgeon, and hospital factors
Variation in outcomes is mostly explained by hospital factors, rather than surgeon factors, supporting hospital-based performance feedback. The results suggest that the pre- and postoperative trajectory and perioperative care may affect MBS outcomes more than patient characteristics or surgical team performance.
Authors
- Wouter Vening
- Jan Greve (ORCID: https://orcid.org/0000-0002-8202-7076)
- René A. Klaassen (ORCID: https://orcid.org/0000-0002-4599-3726)
- Marijn Takkenberg
- Robert M. Smeenk (ORCID: https://orcid.org/0000-0001-7804-1660)
- Perla J. Marang‐van de Mheen (ORCID: https://orcid.org/0000-0003-1439-0989)
- Stefan L. Damen
- F.H.W. Jonker (ORCID: https://orcid.org/0000-0001-8433-7388)
- S. M. M. de Castro (ORCID: https://orcid.org/0000-0003-3692-6457)
- G J D van Acker
- Ian F. Faneyte
- Ronald S. L. Liem (ORCID: https://orcid.org/0000-0002-0165-5995)
- E. A. G. L. Lagae (ORCID: https://orcid.org/0000-0001-6426-4337)
- Evelien de Witte
- Simon Willem Nienhuijs (ORCID: https://orcid.org/0000-0002-0104-9477)
- S. J. M. Smeets (ORCID: https://orcid.org/0000-0001-8718-9739)
- Jan A. Apers (ORCID: https://orcid.org/0000-0002-6348-9697)
- Arijan A. P. M. Luijten (ORCID: https://orcid.org/0000-0001-6640-7864)
- Floris F. E. Bruinsma (ORCID: https://orcid.org/0000-0001-7975-3862)
- S. Bruin
- G. van ’t Hof
- B. S. Langenhoff
Institutions
- Radboud University Nijmegen (NL)
- Maastricht University Medical Centre (NL)
- Catharina Ziekenhuis (NL)
- Dutch Institute for Clinical Auditing (NL)
- Doctors of the World (US)
- Nederlandse Obesitas Kliniek (NL)
- Groene Hart Ziekenhuis (NL)
- Delft University of Technology (NL)
Publication Details
- Journal
- British journal of surgery
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1093/bjs/znaf186
- Primary Topic
- Bariatric Surgery and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00