PurposeOverweight 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.

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach / Marco Antonio, Zappa; Angelo, Iossa; Luca, Busetto; Sonja, Chiappetta; Francesco, Greco; Marcello, Lucchese; Fausta, Micanti; Geltrude, Mingrone; Giuseppe, Navarra; Marco, Raffaelli; Luca, De; Settimio Fabrizio Altorio, Maurizio; Angrisani, Luigi; Arcudi, Claudio; Bellini, Fabrizio; Bernante, Paolo; Berta, Rossana; Capristo, Esmeralda; Grazia Carbonelli, Maria; Casella, Giovanni; Mariolo Casella, James; Castagneto Gissey, Lidia; Rosaria Cerbone, Maria; 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; Paola Giusti, Maria; Grandone, Ilenia; Guidone, Caterina; Iaconelli, Amerigo; Lembo, Erminia; Leanza, Silvana; Lembo, Erminia; Lezoche, Giovanni; Lunardi, Cesare; Martines, Gennaro; Marzano, Bernardo; Paone, Emanuela; Saverio Papadia, Francesco; Perrone, Federico; Piazza, Luigi; Pilone, Vincenzo; Pizzi, Pietro; Rice, Mark; Rizzi, Andrea; Santini, Ferruccio; Sarro, Giuliano; Schettino, Angelo; Tartaglia, Nicola; Toppino, Mauro; Usai, Antonella. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - 28:1(2023), p. 5. [10.1007/s40519-023-01537-4]

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

Giovanni Lezoche
Membro del Collaboration Group
;
2023-01-01

Abstract

PurposeOverweight 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.
2023
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/313767
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