PCORnet® Improves Decision Making for Patients with Obesity

PCORnet® Improves Decision Making for Patients with Obesity


The main focus of the PCORnet bariatric study
was to compare the three most common types of bariatric surgery or weight loss surgery
head-to-head and those are the gastric bypass, the sleeve gastrectomy, and the adjustable
gastric band, and we wanted to find out how well do these three different treatment options
stand up for key outcomes that are important to patients and to providers, such as weight
loss, improvement of their diabetes, and also long-term safety like re-operations or hospitalizations. I think one key advantage of using PCORnet
for this particular study was that we were able to bring together one of the largest
consortia of health systems that have ever been put together to examine bariatric surgery
outcomes and to look at them over a five year time frame which is relatively long term in
this space, to understand what impact these different procedures have on patients health
and on their subsequent risks, and that kind of data can be really useful for patients
and providers as they have conversations about you know is bariatric surgery a reasonable
treatment option for me and also to understand which procedure is probably the best choice
for me because they have trade-offs in the risks and benefits of the different procedures
that need to be considered and no one procedure is exactly right for every patient. The PCORnet infrastructure was really crucial
to being able to conduct the study. We had 41 different health systems contributing
data to the study which is really unprecedented in the bariatric surgery field it’s very difficult
to bring together that much data across so many different health systems in a short period
of time. We had just two years of research time to
conduct the project of all the aims around weight loss, diabetes, and safety, and PCORnet
allowed us to do that really efficiently. Get the data together in a common data format,
common data language, so that we could analyze it more rapidly and get the data out to patients
and clinicians in a timely way and hopefully transform practice more rapidly as well, so
it’s really about you know rapidly providing evidence to clinical practice to patients
and you know without PCORnet there’s really no way we could have brought 41 different
health systems together.

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