IFSO Consensus on Definitions and Clinical Practice Guidelines for Obesity Management—an International Delphi Study
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Published:2023-11-24
Issue:1
Volume:34
Page:30-42
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ISSN:0960-8923
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Container-title:Obesity Surgery
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language:en
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Short-container-title:OBES SURG
Author:
Salminen PaulinaORCID, Kow Lilian, Aminian Ali, Kaplan Lee M., Nimeri Abdelrahman, Prager Gerhard, Behrens Estuardo, White Kevin P., Shikora Scott, Dayyeh Barham K. Abu, Alfaris Nasreen, Al Qahtani Aayeed, Andersen Barbara, Angrisani Luigi, Bashir Ahmad, Batterham Rachel L., Behrens Estuardo, Bhandari Mohit, Bond Dale, Chevallier Jean-Marc, Cohen Ricardo V., Dicker Dror, Fox Claudia K., Garneau Pierre, Gawdat Khaled, Haddad Ashraf, Himpens Jacqués, Inge Thomas, Kurian Marina, Faria Silvia Leite, Macedo Guilherme, Miras Alexander Dimitri, Moize Violeta, Pattou Francois, Poggi Luis, Ponce Jaime, Ramos Almino, Rubino Francesco, Sanchez-Pernaute Andrés, Sarwer David, Sharma Arya M., Stier Christine, Thompson Christopher, Vidal Josep, Petry Tarissa Beatrice Zanata,
Abstract
Abstract
Introduction
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.
Methods
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.
Results
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/m2, and with various obesity-related complications such as type 2 diabetes, liver, and kidney disease.
Conclusions
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.
Graphical Abstract
Funder
University of Turku
Publisher
Springer Science and Business Media LLC
Subject
Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism,Surgery
Reference34 articles.
1. WOF. World Obesity Federation, World Obesity Atlas 2023 https://data.worldobesity.org/publications/WOF-Obesity-Atlas-V5.pdf. 2. NCD-Risk-Factor-Collaboration. Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants. Lancet. 2020;396(10261):1511–1524. 3. Abdullah A, Peeters A, de Courten M, et al. The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies. Diabetes Res Clin Pract. 2010;89(3):309–19. 4. Powell-Wiley TM, Poirier P, Burke LE, et al. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2021;143(21):e984–1010. 5. Peromaa-Haavisto P, Tuomilehto H, Kossi J, et al. Prevalence of obstructive sleep apnoea among patients admitted for bariatric surgery. a prospective multicentre trial. Obes Surg. 2016;26(7):1384–90.
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