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. 2018 Jun;28(6):1602-1610.
doi: 10.1007/s11695-017-3062-2.

A Dutch Nationwide Bariatric Quality Registry: DATO

Youri Q M Poelemeijer  1   2 , Ronald S L Liem  3 , Simon W Nienhuijs  4
Affiliations

A Dutch Nationwide Bariatric Quality Registry: DATO

Youri Q M Poelemeijer et al. Obes Surg. 2018 Jun.

Abstract

Introduction: In the Netherlands, the number of bariatric procedures increased exponentially in the 90s. To ensure and improve the quality of bariatric surgery, the nationwide Dutch Audit for Treatment of Obesity (DATO) was established in 2014. The audit was coordinated by the Dutch Institute for Clinical Auditing (DICA). This article provides a review of the aforementioned process in establishing a nationwide registry in the Netherlands.

Materials and methods: In collaboration with the DATO's scientific committee and other stakeholders, an annual list of several external quality indicators was formulated. This list consists of volume, process, and outcome indicators. In addition to the annual external indicators, the database permits individual hospitals to analyze their own data. The dashboard provides several standardized reports and detailed quality indicators, which are updated on a weekly base.

Results: Since the start, all 18 Dutch bariatric centers participated in the nationwide audit. A total of 21,941 cases were registered between 2015 and 2016. By 2016, the required variables were registered in 94.3% of all cases. A severe complicated course was seen in 2.87%, and mortality in 0.05% in 2016. The first-year follow-up shows a > 20% TWL in 86.1% of the registered cases.

Discussion: The DATO has become rapidly a mature registry. The well-organized structure of the national audit institution DICA and governmental funding were essential. However, most important were the bariatric teams themselves. The authors believe reporting the results from the registry has already contributed to more knowledge and acceptance by other health care providers.

Keywords: Bariatric surgery; Clinical auditing; DATO; DICA; Dutch Audit for Treatment of Obesity; Dutch Institute for Clinical Auditing; Nationwide; Netherlands; Obesity; Registry.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
A timeline about the DATO’s origin
Fig. 2
Fig. 2
Organisational structure of the Dutch Institute for Clinical Auditing (DICA)
Fig. 3
Fig. 3
Percentage of primary operated patients in 2016, registered in the Dutch Audit for Treatment of Obesity (DATO), with severe complications (Clavien-Dindo grade 3 or higher) within 30 days after surgery, as reported per hospital
See this image and copyright information in PMC

References

    1. Puzziferri N, Roshek TB, 3rd, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–942. doi: 10.1001/jama.2014.10706. - DOI - PMC - PubMed
    1. Brethauer SA, Aminian A, Romero-Talamas H, Batayyah E, Mackey J, Kennedy L, et al. Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese patients with type 2 diabetes mellitus. Ann Surg. 2013;258(4):628–636. - PMC - PubMed
    1. Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surg. 2014;149(3):275–287. doi: 10.1001/jamasurg.2013.3654. - DOI - PMC - PubMed
    1. Paulus GF, de Vaan LE, Verdam FJ, Bouvy ND, Ambergen TA, van Heurn LW. Bariatric surgery in morbidly obese adolescents: a systematic review and meta-analysis. Obes Surg. 2015;25(5):860–878. doi: 10.1007/s11695-015-1581-2. - DOI - PMC - PubMed
    1. Brethauer SA, Kim J, el Chaar M, Papasavas P, Eisenberg D, Rogers A, Ballem N, Kligman M, Kothari S, ASMBS Clinical Issues Committee Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11(3):489–506. doi: 10.1016/j.soard.2015.02.003. - DOI - PubMed

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