SICOB-endorsed national Delphi consensus on obesity treatment optimization : focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach
© 2023. The Author(s)..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Eating and weight disorders : EWD - 28(2023), 1 vom: 10. Feb., Seite 5 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zappa, Marco Antonio [VerfasserIn] |
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| Links: |
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| Themen: |
Insufficient weight loss approach |
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| Anmerkungen: |
Date Completed 14.02.2023 Date Revised 14.02.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s40519-023-01537-4 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352729864 |
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| 500 | |a Date Completed 14.02.2023 | ||
| 500 | |a Date Revised 14.02.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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%) | ||
| 520 | |a 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 | ||
| 520 | |a LEVEL OF EVIDENCE V: Report of expert committees | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Insufficient weight loss approach | |
| 650 | 4 | |a Italian Delphi consensus | |
| 650 | 4 | |a Obesity pre-operative management | |
| 650 | 4 | |a Obesity treatment | |
| 650 | 4 | |a Weight regain approach | |
| 700 | 1 | |a Iossa, Angelo |e verfasserin |4 aut | |
| 700 | 1 | |a Busetto, Luca |e verfasserin |4 aut | |
| 700 | 1 | |a Chiappetta, Sonja |e verfasserin |4 aut | |
| 700 | 1 | |a Greco, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Lucchese, Marcello |e verfasserin |4 aut | |
| 700 | 1 | |a Micanti, Fausta |e verfasserin |4 aut | |
| 700 | 1 | |a Mingrone, Geltrude |e verfasserin |4 aut | |
| 700 | 1 | |a Navarra, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Raffaelli, Marco |e verfasserin |4 aut | |
| 700 | 0 | |a Delphi Expert Panel |e verfasserin |4 aut | |
| 700 | 1 | |a De Luca, Maurizio |e verfasserin |4 aut | |
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| 700 | 1 | |a Angrisani, Luigi |e investigator |4 oth | |
| 700 | 1 | |a Arcudi, Claudio |e investigator |4 oth | |
| 700 | 1 | |a Bellini, Fabrizio |e investigator |4 oth | |
| 700 | 1 | |a Bernante, Paolo |e investigator |4 oth | |
| 700 | 1 | |a Berta, Rossana |e investigator |4 oth | |
| 700 | 1 | |a Capristo, Esmeralda |e investigator |4 oth | |
| 700 | 1 | |a Carbonelli, Maria Grazia |e investigator |4 oth | |
| 700 | 1 | |a Casella, Giovanni |e investigator |4 oth | |
| 700 | 1 | |a Casella, James Mariolo |e investigator |4 oth | |
| 700 | 1 | |a Castagneto Gissey, Lidia |e investigator |4 oth | |
| 700 | 1 | |a Cerbone, Maria Rosaria |e investigator |4 oth | |
| 700 | 1 | |a Ciampaglia, Franco |e investigator |4 oth | |
| 700 | 1 | |a Ciccoritti, Luigi |e investigator |4 oth | |
| 700 | 1 | |a Contine, Alessandro |e investigator |4 oth | |
| 700 | 1 | |a Currò, Giuseppe |e investigator |4 oth | |
| 700 | 1 | |a D'Alessio, Rosella |e investigator |4 oth | |
| 700 | 1 | |a De Palma, Massimiliano |e investigator |4 oth | |
| 700 | 1 | |a Delle Piane, Daniela |e investigator |4 oth | |
| 700 | 1 | |a Di Benedetto, Nino |e investigator |4 oth | |
| 700 | 1 | |a Di Lorenzo, Nicola |e investigator |4 oth | |
| 700 | 1 | |a Fantola, Giovanni |e investigator |4 oth | |
| 700 | 1 | |a Farnaz, Rahimi |e investigator |4 oth | |
| 700 | 1 | |a Foletto, Mirto |e investigator |4 oth | |
| 700 | 1 | |a Forestieri, Pietro |e investigator |4 oth | |
| 700 | 1 | |a Frittitta, Lucia |e investigator |4 oth | |
| 700 | 1 | |a Galfrascoli, Elisa |e investigator |4 oth | |
| 700 | 1 | |a Gentileschi, Paolo |e investigator |4 oth | |
| 700 | 1 | |a Giardiello, Cristiano |e investigator |4 oth | |
| 700 | 1 | |a Giustacchini, Piero |e investigator |4 oth | |
| 700 | 1 | |a Giusti, Maria Paola |e investigator |4 oth | |
| 700 | 1 | |a Grandone, Ilenia |e investigator |4 oth | |
| 700 | 1 | |a Guidone, Caterina |e investigator |4 oth | |
| 700 | 1 | |a Iaconelli, Amerigo |e investigator |4 oth | |
| 700 | 1 | |a Lembo, Erminia |e investigator |4 oth | |
| 700 | 1 | |a Leanza, Silvana |e investigator |4 oth | |
| 700 | 1 | |a Lembo, Erminia |e investigator |4 oth | |
| 700 | 1 | |a Lezoche, Giovanni |e investigator |4 oth | |
| 700 | 1 | |a Lunardi, Cesare |e investigator |4 oth | |
| 700 | 1 | |a Martines, Gennaro |e investigator |4 oth | |
| 700 | 1 | |a Marzano, Bernardo |e investigator |4 oth | |
| 700 | 1 | |a Paone, Emanuela |e investigator |4 oth | |
| 700 | 1 | |a Papadia, Francesco Saverio |e investigator |4 oth | |
| 700 | 1 | |a Perrone, Federico |e investigator |4 oth | |
| 700 | 1 | |a Piazza, Luigi |e investigator |4 oth | |
| 700 | 1 | |a Pilone, Vincenzo |e investigator |4 oth | |
| 700 | 1 | |a Pizzi, Pietro |e investigator |4 oth | |
| 700 | 1 | |a Rice, Mark |e investigator |4 oth | |
| 700 | 1 | |a Rizzi, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Santini, Ferruccio |e investigator |4 oth | |
| 700 | 1 | |a Sarro, Giuliano |e investigator |4 oth | |
| 700 | 1 | |a Schettino, Angelo |e investigator |4 oth | |
| 700 | 1 | |a Tartaglia, Nicola |e investigator |4 oth | |
| 700 | 1 | |a Toppino, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Usai, Antonella |e investigator |4 oth | |
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