Bariatric surgery using a network and teleconferencing to serve remote patients in the Veterans Administration Health Care System

Feasibility and results

Ranjan Sudan, Mary Salter, Thomas Lynch, Danny O. Jacobs

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background Previously, Midwestern veteran patients had limited bariatric surgery access because they lived long distances from a bariatric surgery center (BSC). The creation and outcomes of a network to increase bariatric surgery access and patient satisfaction with teleconsultation are discussed. Methods Several referring Midwestern Veterans Affairs Medical Centers (VAMCs) performed pre- and postoperative management and were linked by teleconferencing and a computerized patient record system to a single BSC. Results Twenty-eight high-risk patients (older, male) residing an average distance of 324.5 miles from the BSC underwent gastric bypass. Eighty-two percent used teleconferencing for the initial surgical consultation with excellent patient satisfaction saving at least 19,000 miles and 69 travel days. Surgical outcomes were equivalent and follow-up was excellent (96.6%) compared with non-Veterans Affairs patients. Conclusions A cooperative network using teleconference and computerized records facilitated bariatric surgery in high-risk, remotely located VA patients with high patient satisfaction and without compromising surgical outcomes.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalAmerican Journal of Surgery
Volume202
Issue number1
DOIs
StatePublished - Jul 2011
Externally publishedYes

Fingerprint

Veterans Health
United States Department of Veterans Affairs
Bariatric Surgery
Delivery of Health Care
Patient Satisfaction
Veterans
Remote Consultation
Telecommunications
Gastric Bypass
Referral and Consultation

Keywords

  • Bariatric surgery
  • Obesity
  • Telemedicine
  • Veterans

ASJC Scopus subject areas

  • Surgery

Cite this

Bariatric surgery using a network and teleconferencing to serve remote patients in the Veterans Administration Health Care System : Feasibility and results. / Sudan, Ranjan; Salter, Mary; Lynch, Thomas; Jacobs, Danny O.

In: American Journal of Surgery, Vol. 202, No. 1, 07.2011, p. 71-76.

Research output: Contribution to journalArticle

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