Empirical study on the construction of multidisciplinary follow-up model in bariatric and metabolic surgery

Objective To explore the empirical study on multidisciplinary follow-up model in quality control of bariatric and metabolic surgery. Methods The clinical data of 110 patients, who underwent surgery in the department of bariatric and metabolic surgery of the First Affiliated Hospital of Nanjing Medical University from January 2016 to December 2016, were retrospectively analyzed. In the first half year, the follow-up was mainly conducted by surgeons. In the second half year, a multidisciplinary follow-up group was established. These patients were divided into multidisciplinary follow-up management group (research group) and traditional management group (control group). There were 57 cases in the research group with 16 males and 41 females, and the mean age was (46.1±10.9) years. There were 53 cases in the control group with 14 males and 39 females, and the mean age was (42.2±8.3) years. The multidisciplinary follow-up mode includes bariatric surgeons, case managers, endocrinologist and dietitian; while the traditional management follow-up group only includes bariatric surgeons and case managers. Postoperative follow-up rate, patients’ satisfaction to medical services, postoperative nutritional complications, postoperative gastrointestinal complications and excess weight loss between these two groups were compared. Results The 1-year follow-up rate in the research group was 82.5%, which was significantly higher than the control group (P<0.05); the rate of excess weight loss in the research group was (83.1+16.1)%, which was significantly higher than the control group; the rate of patients' satisfaction to surgical outcomes was 93% (53/57) in the research group, which was significantly higher than the control group (73.6%, 39/53, χ2=4.410, P<0.05); the rate of nutritional complications in the research group was 5.3% (3/57), which was significantly lower than the control group (22.6%, 12/53, χ2=4.961, P<0.05). Conclusion Multidisciplinary follow-up model can adapt to the needs of multidisciplinary treatment in metabolic surgery, improve the follow-up rate, increase the rate of postoperative excess weight loss and patients’ satisfaction, and decrease postoperative complication rate. Thus, it has obvious advantages compared with the traditional management model. Key words: Obesity; Bariatric and metabolic surgery; Multidisciplinary follow-up model; Quality control