Re: COE database

[Guest guest]

Are you required to use BOLD database if you are a center of excellence? If

not, how are people planning on submitting annual data to SRC? We are looking

into a new database. I know BOLD is good but our facility is providing us with

a free system.

Also, we require weight loss prior to surgery. Is anyone at a center of

excellence that does not require weight loss? One of our practitioners would

like to not require weight loss. I know it doesn't determine success but I

think it's a good way to get people to evaluate what they are eating. Any

thoughts?

Thanks,

[Guest guest]

Everyone must use BOLD as part of the agreement as COE. You can use your own database as well and can "dump" data into BOLD regularly. They are working on being able to interface with most other databases. We are a COE and do not require a particular amount of weight loss. We do ask that patients either maintain or lose some weight during the supervised weight management program. We document compliance via food journaling and making lifestyle changes. If we see drastic weight gain, patients are changed to one on one appointments with the dietiitan.jdm Janelle D. McLeod, RDGastric Bypass CoordinatorPenn State Hershey Medical Center717-531-6321 This message (including any attachments) contains information intended for a specific individual(s) and purpose that may be privileged, confidential or otherwise protected from disclosure pursuant to applicable law. Any inappropriate use, distribution or copying of the message is strictly prohibited and may subject you to criminal or civil penalty. If you have received this transmission in error, please reply to the sender indicating this error and delete the transmission from your system immediately. >>> <.D.Letendre@...> 8/14/2007 12:04 PM >>>Are you required to use BOLD database if you are a center of excellence? If not, how are people planning on submitting annual data to SRC? We are looking into a new database. I know BOLD is good but our facility is providing us with a free system.Also, we require weight loss prior to surgery. Is anyone at a center of excellence that does not require weight loss? One of our practitioners would like to not require weight loss. I know it doesn't determine success but I think it's a good way to get people to evaluate what they are eating. Any thoughts?Thanks,

[Guest guest]

On the topic of pre-op weight loss, the surgeons I work with require 5-10% in

order to shrink the liver. Also, by having a patient on the downward trend,

there is likely less of the inflammatory effect caused by obesity.

So in addition to helping increase awareness in the patient, pre-op weight loss

is also helping to decrease the risk of complications.

Sent via BlackBerry from T-Mobile

Re: COE database

Are you required to use BOLD database if you are a center of excellence? If not,

how are people planning on submitting annual data to SRC? We are looking into a

new database. I know BOLD is good but our facility is providing us with a free

system.

Also, we require weight loss prior to surgery. Is anyone at a center of

excellence that does not require weight loss? One of our practitioners would

like to not require weight loss. I know it doesn't determine success but I think

it's a good way to get people to evaluate what they are eating. Any thoughts?

Thanks,

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[Guest guest]

I am really interested in your responses on this - I am looking at building an

Access database -but need the data markers so I know I am collecting the right

information.

Thanks-

Laaser, MS RD LD

Re: COE database

Everyone must use BOLD as part of the agreement as COE. You can use

your own database as well and can " dump " data into BOLD regularly. They

are working on being able to interface with most other databases.

We are a COE and do not require a particular amount of weight loss. We

do ask that patients either maintain or lose some weight during the

supervised weight management program. We document compliance via food

journaling and making lifestyle changes. If we see drastic weight gain,

patients are changed to one on one appointments with the dietiitan.

jdm

Janelle D. McLeod, RD

Gastric Bypass Coordinator

Penn State Hershey Medical Center

717-531-6321

This message (including any attachments) contains information intended

for a specific individual(s) and purpose that may be privileged,

confidential or otherwise protected from disclosure pursuant to

applicable law. Any inappropriate use, distribution or copying of the

message is strictly prohibited and may subject you to criminal or civil

penalty. If you have received this transmission in error, please reply

to the sender indicating this error and delete the transmission from

your system immediately.

>>> <.D.Letendre@...> 8/14/2007 12:04 PM >>>

Are you required to use BOLD database if you are a center of excellence?

If not, how are people planning on submitting annual data to SRC? We are

looking into a new database. I know BOLD is good but our facility is

providing us with a free system.

Also, we require weight loss prior to surgery. Is anyone at a center of

excellence that does not require weight loss? One of our practitioners

would like to not require weight loss. I know it doesn't determine

success but I think it's a good way to get people to evaluate what they

are eating. Any thoughts?

Thanks,

The information contained in this e-mail and any accompanying documents is

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[Guest guest]

We are a COE and we have been using Lap Base for our data. We talk about adapting to BOLD one day, but is is expensive & I do not think we will do it until it is mandatory.

We DO NOT require weight loss prior to surgery (surgeries= Band, RYGB, & DS). We only ask for weight loss on the following patient types:

Liver size exceeding...??... (I forget the size/I'm at home) which is discovered on their abdominal ultrasound

If their weight exceeds 450 lbs.

BMI > 55 for males who want the DS (usually we will not do the DS for this pt population)

Or if the weight is a bit lower (say 425 lbs.), but their body habitus is such that the docs KNOW pt will be a difficult case in the OR.

I'd say < 5% of our patients have to go on the liquid diet.

Angie , MEd, RD, CDN Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1265