SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach
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Published:2023-02-10
Issue:1
Volume:28
Page:
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ISSN:1590-1262
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Container-title:Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
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language:en
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Short-container-title:Eat Weight Disord
Author:
Zappa Marco Antonio, Iossa AngeloORCID, Busetto Luca, Chiappetta Sonja, Greco Francesco, Lucchese Marcello, Micanti Fausta, Mingrone Geltrude, Navarra Giuseppe, Raffaelli Marco, Altorio Settimio Fabrizio, Angrisani Luigi, Arcudi Claudio, Bellini Fabrizio, Bernante Paolo, Berta Rossana, Capristo Esmeralda, Carbonelli Maria Grazia, Casella Giovanni, Casella James Mariolo, Castagneto Gissey Lidia, Cerbone Maria Rosaria, Ciampaglia Franco, Ciccoritti Luigi, Contine Alessandro, Currò Giuseppe, D’Alessio Rosella, De Palma Massimiliano, Delle Piane Daniela, Di Benedetto Nino, Di Lorenzo Nicola, Fantola Giovanni, Farnaz Rahimi, Foletto Mirto, Forestieri Pietro, Frittitta Lucia, Galfrascoli Elisa, Gentileschi Paolo, Giardiello Cristiano, Giustacchini Piero, Giusti Maria Paola, Grandone Ilenia, Guidone Caterina, Iaconelli Amerigo, Lembo Erminia, Leanza Silvana, Lembo Erminia, Lezoche Giovanni, Lunardi Cesare, Martines Gennaro, Marzano Bernardo, Paone Emanuela, Papadia Francesco Saverio, Perrone Federico, Piazza Luigi, Pilone Vincenzo, Pizzi Pietro, Rice Mark, Rizzi Andrea, Santini Ferruccio, Sarro Giuliano, Schettino Angelo, Tartaglia Nicola, Toppino Mauro, Usai Antonella, De Luca Maurizio,
Abstract
AbstractPurposeOverweight 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.MethodsEleven 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.Results54 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%).ConclusionThe 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 VReport of expert committees.
Funder
Ethos Università degli Studi di Roma La Sapienza
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Clinical Psychology
Cited by
1 articles.
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