Although the NBSR became mandatory for NHS providers from 1st April 2013, we remind hospital Trusts of their obligation to: Our view remains that it is insufficient to rely on individual clinicians alone to ensure there are no missing records, incomplete records or inaccurate data entry and thus possible under-reporting.’’. 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. The National Bariatric Surgery Registry (NBSR) published its individual consultant outcomes data for 2012/13 on 2nd July 2013 and for 2013/14 on 30th October 2014 for surgeons in the NHS in England 1, 2. 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. All rights reserved. In: Committee ND, editor. These differences accounted for the observed discrepancy in their NBSR numbers vs HES. Sub-divides revision surgery into major and minor, so as to highlight the work of those who take on higher risk major revisions. See the Frequently Asked Questions section on how to interpret this. Copyright © 2020 Dendrite Clinical Systems.. All rights reserved. Height The ONS data indicate that the 30-day mortality rate continued to fall compared to the 2 years 2012/14 when it was 0.17%. Listening. We worked with the Quality Outcomes Research Unit in Birmingham University (QUORU) to analyse the HES data, and using a refined set of OPCS4 codes were able to estimate the mortality for primary bariatric surgery for the 3 years April 2012 – March 2015 previously highlighted (D McNulty, D Pagano, P Small, R Welbourn unpublished). IFSO Global Registry - Version 6 - 2020 - Upload My Data, IFSO Global Registry - Version 6 - 2020 - Direct Data Entry, IFSO Global Registry Pilot - Upload My Data, IFSO Global Registry Pilot - Direct Data Entry, UK National Bariatric Surgery Registry Version 2-, Brazilian National Bariatric & Metabolic Surgery Database (English and Brazilian version), Kuwait National Bariatric & Metabolic Surgery Registry, Dominican Republic National Bariatric & Metabolic Surgery Registry, Egyptian National Bariatric & Metabolic Surgery Registry, Turkish National Bariatric & Metabolic Surgery Database (English and Turkish version), Obesity and Metabolic Surgery Society of India (OSSI) National Bariatric Surgery Registry, Bariatric surgery database system for individual surgeons and small clinics, New Zealand Breast Cancer Foundation Registry, New Dendrite/SCTSGBI National Adult Cardiac Surgical Registry Upload-My-Data Portal, International Registry of Mitral Interventions (European Valve Repair Registry), Irish Transcatheter Aortic Valve Implantation (TAVI) Registry, Bulgarian National Cardiac Surgery Registry (in Bulgarian and English), The Kingdom of Saudi Arabia National Adult Cardiac Surgery Registry, CANPAF - Canadian Patient Initiated Atrial Fibrillation Registry, Dendrite Data Analysis Demonstration Registry, Pilot Global Cardiac Rehabilitation Registry, Ambulante Behandlung von Covid-19 Infektionen: (ABC19 Studie), British Association of Endocrine and Thyroid Surgeons (BAETS) National Database, Speedboat Submucosal Dissection Registry (SSDR), HANA - Head and Neck Audit - Direct Data Entry, HANA - Head and Neck Audit - Upload My Data, DAHNO Data Review Portal 2014-2016 COP 4 Portal, United Kingdom Neuroradiology Interest Group Flow Diverter Registry, UK National Laparoscopic Cholecystectomy Registry, BAJIR - UK Bone and Joint Infection Registry, QIST - Quality Improvement For Surgical Teams Registry, QIST Round 2 - Quality Improvement For Surgical Teams Registry, Knee Arthroplasty Outcome Registry with SF12/SF36 Follow-up, INPIC - Invasive Neurodestructive Procedures in Cancer Pain Registry, British Association of Plastic & Reconstructive Surgeons' National Flap Surgery Registry, LACS - Large Airways Collapse with Symptoms Registry, SCTS - UK and Ireland National Thoracic Surgery Registry, British Association of Urological Surgeons (BAUS) Data and Audit System, ROPE - Registry of Prostatic Artery Embolisation, AHOR - Asian Hypospadias Outcome Registry, National Vascular Access Registry of Britain & Ireland, VSGBI - National Databases for Index Procedures, ABC Study registry to examine the outpatient treatment of COVID-19 Infections, FORECAST: Loss of a sense of smell reliable indicator of Covid-19, New Zealand National Trauma Network and Dendrite launch new national trauma registry…, Sapphire Medical Clinics and Dendrite Clinical Systems launch UK Medical Cannabis…. We were contacted by one hospital that has a local version of the database and does not have the same green colour change to indicate that the record is complete (as compared to ‘yellow for incomplete’). Bariatric News is a news and information website about the disease. Please email national-support@e-dendrite.com with your query and we will deal with your problem without a ticket. The First NBSR Report details the data fields that need to be completed to make the record go green 5. A point is added for each of the following risk factors that are present, up to a maximum of 5 points: age at surgery ≥45 years, BMI ≥50 kg m2, male gender, recorded hypertension, one or more known risk factors for deep vein thrombosis (DVT) / pulmonary embolism (PE). 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. 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. The NBSR second registry report. A dedicated data extraction form was used to collect information from each paper and the NBSR 3. Get it wrong and run the risk of life-changing complications. In particular, the data checked against the Office of National Statistics Births, Marriages and Deaths Register indicate that there were 23 deaths in 17,205 patients (0.13%) over the three years 2012/15, a decrease from the rate of 0.17% reported cumulatively to 2013/14 2. 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 ADA Websites. Operative approach (Laparoscopic, Lap converted to Open, Open, Reviews. Type Of Operation (Primary, Revision or Planned Second Stage) **** Data suppressed as low numbers to prevent potential identification of individual patients. Hospital name The main results are summarised in the table below from the data cut taken on 12 August 2016, with the 2012/15 data copied through from last year's report. Copyright © 2020 Dendrite Clinical Systems. The following links will take you to demonstration databases where you can try out the software in a safe test environment. There was 95% consent for publication from surgeons on the NBSR (101 surgeons) and the results revealed no potential statistical outliers for mortality or length of stay. 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. New operations have been added, some questions taken out, balloons have been separated and a personal dashboard created. 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). 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. Patients are now able to search for hospitals by geography using an added map function and postcode. We use the same definitions of major and minor revision surgery as for 2014/15. 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. 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. 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. Dendrite Clinical Systems has been contracted to supply a number of web-enabled data capture systems for a series of important national and international clinical databases.The following links will take you to demonstration databases where you can try out the software in a … 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. If one or more field is missing the data record will remain yellow for incomplete. 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. 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. Although mandated in the NHS provider contracts, the NBSR committee has no further role other than pointing out the apparent lack of case input. If you have forgotten your logon information, please contact Sheri Haddock by email at shaddock@nbs.com or by phone at 800-379-0155. Patient feedback can only tell you part of the story; it will tell you whether other patients, think this surgeon seems like a good person. * These data include all primary and revision surgery, without subdividing revision surgery into major and minor. The definition also includes re-operations for internal hernia (twisted bowel) that can occur after some types of surgery. Total number of revision operations (%), Number of NBSR primary operations and major revisions, HES recorded data (NBSR case ascertainment primary operations %) **. In the 3-year reporting period one hospital appeared as a potential outlier at the 99.9% alarm level. King's College Hospital, London Full ‘record owners’ for data entry are only BOMSS consultant surgeons, but they can also nominate delegated, Read on! Discharged destination. I wrote the 2nd NBSR Report in 2014. As before, we present data for each outcome variable either as graphs, bar charts or box and whiskers graphs. The NBSR includes deaths occurring due to a complication of surgery after 30 days. Comments are included interpreting the results. Richard Welbourn (Chair), Simon Dexter, Ian Finlay, James Hopkins, Omar Khan, Marcus Reddy, Peter Sedman, Peter Small, Shaw Somers. He is a member of the National Bariatric Surgery Registry data committee, with responsibility for the NBSR.co.uk website, and was an advisor on the 2012 NCEPOD enquiry into … Conclusions Over half of all bariatric procedures are carried out on women of reproductive age. Future reports may also include post-operative complications occurring within or after 30 days of the index procedure. Funding Category, Baseline comorbidity 2 Cardiac Surgery. Dendrite Clinical Systems Limited; 2011. I n my opinion, the most important part of a patient's weight loss sugery is choosing a good, safe surgeon. Title: Microsoft Word - Letter from NBSR re Dendrite support.doc Author: Richard Welbourn Created Date: 9/9/2013 2:09:33 PM Case ascertainment is recorded as primary operations in NBSR / HES recorded data (%). NBSR. It is normal practice to refer to the calculated scores in three groups: Group A (0-1 points) As of November 1, 2020, you may now renew online. Mr James Hopkins . I am past Chair of the National Bariatric Surgery Registry (NBSR) and led the surgeon-level mortality data publication as part of 'Everyone Counts Promise 2' for the NHS in bariatric surgery from 2013-16. 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. Surgery Registry (NBSR) published its individual consultant outcomes data on 2nd July 2013 for surgeons in NHS in England 1. "The NBSR is an example of what we can achieve collectively for the benefit of our patients. Due to time limitations we were not able to analyse HES data for any other potential outcome. Only fill in if you are not human. 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 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. The new 2014/15 outcomes are: 1       Case ascertainment vs Hospital Episodes Statistics (HES). 3       Primary and Revision surgery are here defined as. Zurück zum Zitat NBSR. Since the timescales involved and uncertainty about funding for the process made it possible for there to be one data cut only, on 28th November 2015, there was no opportunity to correct that hospital’s surgeons’ data for the present report, ie to ensure that all the necessary data were completed in a form that could be uploaded. Clinical Databases. Seventy-three surgeons were positive outliers at the 99.9% level ie had near-complete or complete data completion. For the 2013/14 report we took 2 data cuts, in July and September 2014. Do not enter real records in the Demonstration portals! A loop gastric bypass page is planned for Version 2 of the NBSR to accommodate this changing practice. 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 … The United Kingdom National Bariatric Surgery Registry. Outcome 2, for the first time in NBSR reporting, produces potential negative (and positive) outliers. NDDR LOGIN WINDOW Please enter your facility code, username, and password below Information. It is reassuring however that the surgeons are making it very clear that a death is recorded and that their mortality is in the public domain. Endoscopic) Dewsbury & District Hospital, West Yorkshire We also report in-hospital mortality for each hospital. Welcome to the world of NDRIN....the North Dakota Recorders Information Network. Trust. Operations such as cholecystectomy are not recorded as revisions with this definition. 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. Mr James Hopkins 10 reviews . 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. Dendrite enables collaboration between its members through file sharing, chat, forums and bespoke networks of users tailored to each member. 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. There were 2 recorded in-hospital deaths in the NBSR. We use the same methodology as for 2012/13 and 2013/14 and this is specified in the previous reports 1, 2. 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. Therefore the 2014/15 data represent an improvement overall. Please note that there are now different web addresses to use, depending on whether you are connecting from the Internet, or from within the NHS Network. Insurance claims. Password. The names of hospitals whose NBSR entries are more than 10% fewer than they should be according to Hospital Episodes Statistics (HES) (poor case ascertainment), Data completion rates for the initial in-patient record according to the proportion of records that are ‘green for complete’ for each surgeon. "The NBSR is an example of what we can achieve collectively for the benefit of our patients. Login Register . 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. 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. Username or E-mail. 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. The views, comments and opinions expressed within are not necessarily those of Dendrite Clinical Systems Ltd. or the Editorial Board. We recognise that there may be teething problems when using the new version. 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. 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. Anita Hazari UKNFR Audit Lead Consultant Plastic Surgeon. To access our secure intra-net site, you must be a current NBS Member, and possess a valid user ID and password. In a world where charlatans promise to fix the alarming obesity epidemic with a silver-bullet diet or trendy new exercise program, Robyn Toomath, a physician and realist, steps out of the fray to deliver some tough news: it’s really hard to lose weight. Further local investigation of these indicated that the patients had been re-admitted to hospital after discharge and had subsequently died within 30 days. Welcome back! Yes : Help Topic * Ticket Details. 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…. The United Kingdom National Bariatric Surgery Registry: first registry report to March 2010. Weight I am an hon Reader in Bariatric Surgery in Bristol University. Patients can be stratified for risk according to how many of these risk factors are present. Average ratings. The United Kingdom National Bariatric Surgery Registry: first registry report to March 2010. P.O. Showing all reviews « ‹ 1 2 › » Page 1 of 2 . The data presented here … 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. Member Login . 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. 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. 2019-06-20 Person. Dendrite Clinical Systems Limited; 2011. In addition, outcomes assessed in the UK National Bariatric Surgery Registry (NBSR) were added to the list 3. Please read the important information below before renewing your registration! Type 2 Diabetes and duration (where applicable) It does not provide medical advice, diagnosis or treatment. intestinal Surgeons—set up the UK NBSR as a consortium in partnership with Dendrite Clinical Systems Limited in 2008, with seed funding provided by the Association of Laparoscopic Surgeons of Great Britain & Ireland [11,12]. The surgeon is not an individual outlier since much of their NHS practice is spread across different hospitals, making the denominator larger. Box 1338 Bismarck, ND 58502-1338 ph: 701-775-7165 fax: 605-355-6961 ndsbe.executivesecretary@gmail.com Where these were used to provide additional capacity for the NBSR ( in... Before discharge your query and we will deal with your query and we will deal with your problem a! Consultants in different hospitals had one death each during the initial hospital stay before discharge and four 30-day deaths checked. Some types of surgery – initial record ‘ green for complete ’ more major revisional surgery, compared the... 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