Skip to main content
Erschienen in: Obesity Surgery 4/2021

02.01.2021 | Original Contributions

A Global Survey by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) on Perceptions of Bariatric Medical Tourism (BMT) by Health Professionals: Guidelines from IFSO for BMT

verfasst von: Chetan D. Parmar, Simon J. McCluney, Nelson Rodriguez, Estuardo Behrens, Muffazal Lakdawala, Lilian Kow, Scott Shikora, Almino Ramos

Erschienen in: Obesity Surgery | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Bariatric medical tourism (BMT) is a rapidly expanding industry, with over 650 million people with obesity worldwide and total number rising by over 300% between 2003 and 2014. The overall health tourism industry is worth over $400 billion/year.

Methods

International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) conducted a global survey to analyze the details of BMT and the perceptions of bariatric health care professionals (HCP) regarding BMT.

Results

A total of 383 bariatric HCP’s with experience of 272,548 procedures responded from 65 countries. Seventy-three percent of respondents had managed BMT patients, whilst low cost of surgery was felt to be the driving factor in 77% of cases. The USA contributed the most patients travelling for BMT with 11.6%. Twenty-four percent of respondents stated that they had no access to adequate notes regarding the patient’s operation, whilst 12% felt BMT is associated with a higher mortality. Only 49% of respondents felt that IFSO guidelines were followed by the operating surgeon. Sleeve gastrectomy was the commonly offered surgery and an overall mean operation cost was $8716. Nearly 64% of respondents felt BMT needed better coordination between practitioners, whilst almost 85% of respondents supported the idea of a forum to facilitate safe BMT worldwide.

Conclusion

This IFSO survey has outlined the current BMT trends worldwide and highlighted areas of concern in the care of such patients. It has expanded our knowledge and should be used as a starting point to establish international forums to aid collaboration.
Literatur
1.
Zurück zum Zitat Dalen JE, Alpert JS. Medical tourists: incoming and outgoing. Am J Med. 2019;132(1):9–10.CrossRef Dalen JE, Alpert JS. Medical tourists: incoming and outgoing. Am J Med. 2019;132(1):9–10.CrossRef
2.
Zurück zum Zitat Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27(9):2279–89.CrossRef Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27(9):2279–89.CrossRef
5.
Zurück zum Zitat Boyd JB, McGrath MH, Maa J. Emerging trends in the outsourcing of medical and surgical care. Arch Surg. 2011;146:107–12.CrossRef Boyd JB, McGrath MH, Maa J. Emerging trends in the outsourcing of medical and surgical care. Arch Surg. 2011;146:107–12.CrossRef
6.
Zurück zum Zitat Woodhead A. Scoping medical tourism and international hospital accreditation growth. Int J Health Care Qual Assur. 2013;26(8):688–702.CrossRef Woodhead A. Scoping medical tourism and international hospital accreditation growth. Int J Health Care Qual Assur. 2013;26(8):688–702.CrossRef
7.
Zurück zum Zitat Parmar CD, Mahawar KK. One anastomosis (mini) gastric bypass is now an stablished bariatric procedure: a systematic review of 12,807 patients. Obes. 2018;28(9):2956–67. Parmar CD, Mahawar KK. One anastomosis (mini) gastric bypass is now an stablished bariatric procedure: a systematic review of 12,807 patients. Obes. 2018;28(9):2956–67.
8.
Zurück zum Zitat Parmar CD, Gan J, Stier C, et al. One anastomosis/mini gastric bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg. 2020;81:32–8.CrossRef Parmar CD, Gan J, Stier C, et al. One anastomosis/mini gastric bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg. 2020;81:32–8.CrossRef
9.
Zurück zum Zitat Kowalewski PK, Rogula TG, Lagardere AO, et al. Current practice of global bariatric tourism-survey-based study. Obes Surg. 2019;29(11):3553–9.CrossRef Kowalewski PK, Rogula TG, Lagardere AO, et al. Current practice of global bariatric tourism-survey-based study. Obes Surg. 2019;29(11):3553–9.CrossRef
10.
Zurück zum Zitat Mattoo A, Rathindran R. How health insurance inhibits trade in health care. Health Aff. 2006;25(2):358–68.CrossRef Mattoo A, Rathindran R. How health insurance inhibits trade in health care. Health Aff. 2006;25(2):358–68.CrossRef
11.
Zurück zum Zitat Lancaster J. “Surgeries, side trips for ‘Medical Tourists’: affordable care at India’s private hospitals draws growing number of foreigners,” Washington Post Foreign Service, 21 October 2004. Lancaster J. “Surgeries, side trips for ‘Medical Tourists’: affordable care at India’s private hospitals draws growing number of foreigners,” Washington Post Foreign Service, 21 October 2004.
12.
Zurück zum Zitat Handschin A, Banic A, Constantinescu M. Pulmonary embolism after plastic surgery tourism. Clin Appl Thromb Hemost. 2007;13(3):340.CrossRef Handschin A, Banic A, Constantinescu M. Pulmonary embolism after plastic surgery tourism. Clin Appl Thromb Hemost. 2007;13(3):340.CrossRef
14.
Zurück zum Zitat Lunt N, Smith R, Mannion R, Green S, Exworthy M, et al. Implications for the NHS of Inward and Outward Medical Tourism: a policy and economic analysis using literature review and mixed methods approaches. Health Services and Delivery Research Volume: 2, Issue: 2, Feb 2014. https://doi.org/10.3310/hsdr02020 Lunt N, Smith R, Mannion R, Green S, Exworthy M, et al. Implications for the NHS of Inward and Outward Medical Tourism: a policy and economic analysis using literature review and mixed methods approaches. Health Services and Delivery Research Volume: 2, Issue: 2, Feb 2014. https://​doi.​org/​10.​3310/​hsdr02020
Metadaten
Titel
A Global Survey by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) on Perceptions of Bariatric Medical Tourism (BMT) by Health Professionals: Guidelines from IFSO for BMT
verfasst von
Chetan D. Parmar
Simon J. McCluney
Nelson Rodriguez
Estuardo Behrens
Muffazal Lakdawala
Lilian Kow
Scott Shikora
Almino Ramos
Publikationsdatum
02.01.2021
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 4/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-05185-w

Weitere Artikel der Ausgabe 4/2021

Obesity Surgery 4/2021 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.