Comparative Analysis of da Vinci-Assisted and Laparoscopic Duodenal Switch Bariatric Surgical Procedures

NCT ID: NCT05575947

Last Updated: 2023-09-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1878 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-01

Study Completion Date

2022-09-22

Brief Summary

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To compare the safety and effectiveness of robotic-assisted Duodenal-Switch Bariatric Surgical Procedures (including Biliopancreatic Diversion-Duodenal-Switch/BPD-DS, Single Anastomosis- Duodeno Ileal Bypass with Sleeve/SADI-S, and One Anastomosis Duodenal Switch/OADS) with laparoscopic approaches using real world data (RWD) from the Premier Healthcare Database (PHD).

Detailed Description

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To compare the safety and effectiveness of robotic-assisted Duodenal-Switch Bariatric Surgical Procedures (including Biliopancreatic Diversion-Duodenal-Switch/BPD-DS, Single Anastomosis- Duodeno Ileal Bypass with Sleeve/SADI-S, and One Anastomosis Duodenal Switch/OADS) with laparoscopic approaches using real world data (RWD) from the Premier Healthcare Database (PHD). The study endpoints include:

Safety Related Outcomes

1. Intraoperative Complication Rates
2. Transfusion Rates
3. 30-Day Post-Operative Complication Rates\*
4. 30-Day Readmission Rates\*
5. 30-Day Reoperation Rates\*
6. 30-Day Mortality\*

Effectiveness Related Outcomes

1. Conversion Rate to Open Surgery
2. Operative Time
3. Length of Hospital Stay

Conditions

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Bariatric Surgery Candidate

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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robotic-assisted

Robotic-assisted cases converted to open will be part of the robotic cohort.

Comparison of the following safety and effectiveness related surgical outcomes across robotic-assisted and laparoscopic cohorts:

Safety Related Outcomes

1. Intraoperative Complication Rates
2. Transfusion Rates
3. 30-Day Post-Operative Complication Rates
4. 30-Day Readmission Rates
5. 30-Day Reoperation Rates
6. 30-Day Mortality

Effectiveness Related Outcomes

1. Conversion Rate to Open Surgery
2. Operative Time
3. Length of Hospital Stay

da Vinci Surgical System

Intervention Type DEVICE

da Vinci Surgical System

laparoscopic

Laparoscopic cases converted to open will be part of the laparoscopic cohort.

Comparison of the following safety and effectiveness related surgical outcomes across robotic-assisted and laparoscopic cohorts:

Safety Related Outcomes

1. Intraoperative Complication Rates
2. Transfusion Rates
3. 30-Day Post-Operative Complication Rates
4. 30-Day Readmission Rates
5. 30-Day Reoperation Rates
6. 30-Day Mortality

Effectiveness Related Outcomes

1. Conversion Rate to Open Surgery
2. Operative Time
3. Length of Hospital Stay

laparoscopic bariatric surgery

Intervention Type PROCEDURE

laparoscopic bariatric surgery

Interventions

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da Vinci Surgical System

da Vinci Surgical System

Intervention Type DEVICE

laparoscopic bariatric surgery

laparoscopic bariatric surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients who are ≥ 18 years old and had a primary laparoscopic or robotic-assisted bariatric surgery procedure with a duodenal switch (DS) defined herein as BPD-DS, SADI-S, or OADS; and,
2. Met one of the below qualifications:

* Body mass index (BMI) \> 40 kg/m2 OR
* BMI \> 35 kg/m2 and had one of the following obesity-related co-morbidities such as type II diabetes mellitus, hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease according to the US Centers of Medicare \& Medicaid Services (CMS) criteria for the use of bariatric surgery in adults

Exclusion Criteria

* Were diagnosed with cancer; or
* Underwent an outpatient DS bariatric surgical procedure; or
* Underwent an emergent DS bariatric surgical procedure; or
* Underwent a DS procedure concomitant to a different primary procedure (i.e., colon resection)
* Underwent a revisional DS bariatric surgical procedure (i.e., patient had a prior bariatric procedure within three (3) years of the DS procedure)
* Have missing operating room (OR) time data (i.e., incomplete billing record)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intuitive Surgical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Usha L Kreaden

Role: STUDY_DIRECTOR

Intuitive Surgical

Locations

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Intuitive Surgical

Sunnyvale, California, United States

Site Status

Countries

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United States

Other Identifiers

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Bariatric Surgery

Identifier Type: -

Identifier Source: org_study_id

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