IFSO Consensus on Definitions and Clinical Practice Guidelines for Obesity Management-an International Delphi Study.
Anti-obesity medications
Bariatric endoscopy
Bariatric surgery
Consensus
Definitions
Delphi survey
IFSO
Medical treatment
Metabolic bariatric surgery
Obesity, Severe obesity
Outcomes
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
24 Nov 2023
24 Nov 2023
Historique:
received:
18
07
2023
accepted:
18
10
2023
revised:
13
10
2023
medline:
24
11
2023
pubmed:
24
11
2023
entrez:
24
11
2023
Statut:
aheadofprint
Résumé
This survey of international experts in obesity management was conducted to achieve consensus on standardized definitions and to identify areas of consensus and non-consensus in metabolic bariatric surgery (MBS) to assist in an algorithm of clinical practice guidelines for the management of obesity. A three-round Delphi survey with 136 statements was conducted by 43 experts in obesity management comprising 26 bariatric surgeons, 4 endoscopists, 8 endocrinologists, 2 nutritionists, 2 counsellors, an internist, and a pediatrician spanning six continents over a 2-day meeting in Hamburg, Germany. To reduce bias, voting was unanimous, and the statements were neither favorable nor unfavorable to the issue voted or evenly balanced between favorable and unfavorable. Consensus was defined as ≥ 70% inter-voter agreement. Consensus was reached on all 15 essential definitional and reporting statements, including initial suboptimal clinical response, baseline weight, recurrent weight gain, conversion, and revision surgery. Consensus was reached on 95/121 statements on the type of surgical procedures favoring Roux-en-Y gastric bypass, sleeve gastrectomy, and endoscopic sleeve gastroplasty. Moderate consensus was reached for sleeve gastrectomy single-anastomosis duodenoileostomy and none on the role of intra-gastric balloons. Consensus was reached for MBS in patients > 65 and < 18 years old, with a BMI > 50 kg/m In this survey of 43 multi-disciplinary experts, consensus was reached on standardized definitions and reporting standards applicable to the whole medical community. An algorithm for treating patients with obesity was explored utilizing a thoughtful multimodal approach.
Identifiants
pubmed: 37999891
doi: 10.1007/s11695-023-06913-8
pii: 10.1007/s11695-023-06913-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Barham K Abu Dayyeh
(BKA)
Nasreen Alfaris
(N)
Aayeed Al Qahtani
(A)
Barbara Andersen
(B)
Luigi Angrisani
(L)
Ahmad Bashir
(A)
Rachel L Batterham
(RL)
Estuardo Behrens
(E)
Mohit Bhandari
(M)
Dale Bond
(D)
Jean-Marc Chevallier
(JM)
Ricardo V Cohen
(RV)
Dror Dicker
(D)
Claudia K Fox
(CK)
Pierre Garneau
(P)
Khaled Gawdat
(K)
Ashraf Haddad
(A)
Jacqués Himpens
(J)
Thomas Inge
(T)
Marina Kurian
(M)
Silvia Leite Faria
(SL)
Guilherme Macedo
(G)
Alexander Dimitri Miras
(AD)
Violeta Moize
(V)
Francois Pattou
(F)
Luis Poggi
(L)
Jaime Ponce
(J)
Almino Ramos
(A)
Francesco Rubino
(F)
Andrés Sanchez-Pernaute
(A)
David Sarwer
(D)
Arya M Sharma
(AM)
Christine Stier
(C)
Christopher Thompson
(C)
Josep Vidal
(J)
Tarissa Beatrice Zanata Petry
(TBZ)
Informations de copyright
© 2023. The Author(s).
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