Einzeltreffer — DigiBib

Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process.

Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results.

Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%).

Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR.

Level of Evidence V: Report of expert committees.

Titel:	SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach.
Autor/in / Beteiligte Person:	Zappa, MA ; Iossa, A ; Busetto, L ; Chiappetta, S ; Greco, F ; Lucchese, M ; Micanti, F ; Mingrone, G ; Navarra, G ; Raffaelli, M ; De Luca, M
Link:	Full Text Finder (Volltext)
Zeitschrift:	Eating and weight disorders : EWD, Jg. 28 (2023-02-10), Heft 1, S. 5
Veröffentlichung:	2013- : Heidelberg : Springer ; <i>Original Publication</i>: Milano, Italy : Editrice Kurtis, c1996-, 2023
Medientyp:	academicJournal
ISSN:	1590-1262 (electronic)
DOI:	10.1007/s40519-023-01537-4
Schlagwort:	Adult Humans Delphi Technique Weight Loss Weight Gain Obesity surgery Bariatric Surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Corporate Authors: Delphi Expert Panel Publication Type: Journal Article Language: English [Eat Weight Disord] 2023 Feb 10; Vol. 28 (1), pp. 5. <i>Date of Electronic Publication: </i>2023 Feb 10. MeSH Terms: Obesity* / surgery ; Bariatric Surgery* ; Adult ; Humans ; Delphi Technique ; Weight Loss ; Weight Gain References: Biomed Pharmacother. 2020 Aug;128:110320. (PMID: 32502842) ; Am J Clin Nutr. 2008 Feb;87(2):362-9. (PMID: 18258626) ; Am J Clin Nutr. 2014 Jan;99(1):14-23. (PMID: 24172297) ; Curr Obes Rep. 2020 Sep;9(3):380-389. (PMID: 32607822) ; Prog Cardiovasc Dis. 2018 Jul - Aug;61(2):246-252. (PMID: 29890171) ; Obes Surg. 2013 Nov;23(11):1922-33. (PMID: 23996349) ; Rev Endocr Metab Disord. 2020 Sep;21(3):297-306. (PMID: 32734395) ; Surg Obes Relat Dis. 2017 Mar;13(3):491-500. (PMID: 27986587) ; Am J Clin Nutr. 2005 Jul;82(1 Suppl):222S-225S. (PMID: 16002825) ; Curr Obes Rep. 2017 Sep;6(3):238-245. (PMID: 28755179) ; Obes Surg. 2018 Aug;28(8):2215-2224. (PMID: 29502279) ; JAMA Netw Open. 2020 May 1;3(5):e204994. (PMID: 32407500) ; Surg Obes Relat Dis. 2020 Feb;16(2):175-247. (PMID: 31917200) ; JAMA. 2018 Oct 16;320(15):1560-1569. (PMID: 30326125) ; Diabetes Care. 2020 May;43(5):1085-1093. (PMID: 32139381) ; Diabetes Metab Syndr Obes. 2021 Feb 02;14:417-429. (PMID: 33564249) ; Clin Nutr ESPEN. 2022 Aug;50:238-246. (PMID: 35871930) ; Obes Surg. 2016 Apr;26(4):833-8. (PMID: 26297429) ; Children (Basel). 2018 Aug 29;5(9):. (PMID: 30158481) ; Clin Obes. 2019 Aug;9(4):e12323. (PMID: 31183988) ; Annu Rev Med. 2022 Jan 27;73:423-438. (PMID: 34554827) ; Obes Surg. 2020 Oct;30(10):3747-3752. (PMID: 32447635) ; Expert Rev Clin Pharmacol. 2020 Jan;13(1):53-64. (PMID: 31770497) ; Gastroenterology. 2017 May;152(7):1765-1779. (PMID: 28192104) ; Diabetes Care. 2018 Oct;41(10):2086-2095. (PMID: 30082327) ; J Intern Med. 2013 Mar;273(3):219-34. (PMID: 23163728) ; Aust N Z J Psychiatry. 2015 Oct;49(10):887-97. (PMID: 26296368) ; Diabetes Obes Metab. 2020 Oct;22(10):1742-1752. (PMID: 32424935) ; Surg Obes Relat Dis. 2018 Feb;14(2):237-244. (PMID: 29239795) ; Diabetes Care. 2017 Nov;40(11):1556-1564. (PMID: 28912305) ; Obes Surg. 2020 Dec;30(12):4852-4859. (PMID: 32748203) ; Lancet. 2009 Nov 7;374(9701):1606-16. (PMID: 19853906) ; Am J Public Health. 2015 Sep;105(9):e54-9. (PMID: 26180980) ; J Adv Nurs. 2000 Oct;32(4):1008-15. (PMID: 11095242) ; Diabetes Res Clin Pract. 2020 Dec;170:108487. (PMID: 33035599) ; Obes Surg. 2021 Jan;31(1):84-92. (PMID: 32656729) ; Obesity (Silver Spring). 2019 Jan;27(1):75-86. (PMID: 30421856) ; Surg Endosc. 2020 Jun;34(6):2332-2358. (PMID: 32328827) ; Obes Sci Pract. 2022 Jan 22;8(4):510-524. (PMID: 35949283) ; Ann Epidemiol. 2012 May;22(5):349-53. (PMID: 22305325) ; Obes Surg. 2021 Apr;31(4):1755-1766. (PMID: 33555451) ; Dig Dis Sci. 2022 May;67(5):1688-1701. (PMID: 35347535) ; Lancet. 2022 Jan 15;399(10321):259-269. (PMID: 34895470) ; Surg Obes Relat Dis. 2019 Nov;15(11):1923-1932. (PMID: 31611184) ; Obes Surg. 2014 Oct;24(10):1639-46. (PMID: 24706197) Contributed Indexing: Investigator: SF Altorio; L Angrisani; C Arcudi; F Bellini; P Bernante; R Berta; E Capristo; MG Carbonelli; G Casella; JM Casella; L Castagneto Gissey; MR Cerbone; F Ciampaglia; L Ciccoritti; A Contine; G Currò; R D'Alessio; M De Palma; D Delle Piane; N Di Benedetto; N Di Lorenzo; G Fantola; R Farnaz; M Foletto; P Forestieri; L Frittitta; E Galfrascoli; P Gentileschi; C Giardiello; P Giustacchini; MP Giusti; I Grandone; C Guidone; A Iaconelli; E Lembo; S Leanza; E Lembo; G Lezoche; C Lunardi; G Martines; B Marzano; E Paone; FS Papadia; F Perrone; L Piazza; V Pilone; P Pizzi; M Rice; A Rizzi; F Santini; G Sarro; A Schettino; N Tartaglia; M Toppino; A Usai ; Keywords: Insufficient weight loss approach; Italian Delphi consensus; Obesity pre-operative management; Obesity treatment; Weight regain approach Entry Date(s): Date Created: 20230210 Date Completed: 20230214 Latest Revision: 20230214 Update Code: 20231215 PubMed Central ID: PMC9918586

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SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach.