Critical review of bariatric surgery, medically supervised diets, and behavioural interventions for weight management in adults
@article{Beaulac2017CriticalRO, title={Critical review of bariatric surgery, medically supervised diets, and behavioural interventions for weight management in adults}, author={Julie Beaulac and Daniella Sandre}, journal={Perspectives in Public Health}, year={2017}, volume={137}, pages={162 - 172} }
Aims: Patient selection of weight management treatment option is often guided by a variety of factors. Currently, there is no comprehensive tool to facilitate informed decision-making for patients and clinicians. This article aims to synthesise evidence on the treatment effectiveness, health benefits, risks, and patient experiences of treatment options presently available at the Weight Management Clinic at The Ottawa Hospital (TOH), as a first step towards developing a decision aid. Methods…
18 Citations
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Education and continuing professional development programs regarding bariatric surgery are needed to improve PCP knowledge and capacity to manage patients with obesity.
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New evidence is presented suggesting that reductions in BMI after bariatric surgery may be associated with decreasing the number of visits for PF and may contribute to symptomatic improvement.
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Based on published mean weight gain data and conservative cost/day estimates, residential treatment is associated with higher cost/pound, and both higher cost and lower likelihood of weight restoration for most patients.
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Survey of perceptions and educational needs of primary care providers regarding management of patients with class II and III obesity in Ontario, Canada
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The majority of PCPs believe there is a need for additional education about MSWLI for patients with class II/III obesity, and 22.2% of respondents were hesitant to refer patients for bariatric surgery due to concerns about postoperative surgical complications and risks associated with surgery.
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VSG is less effective to lastingly suppress body weight and improve glycemic control compared with RYGB in mice, and the run towards replacing RyGB with VSG is premature and should await carefully controlled randomized long-term trials with VSg and RY GB.
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A complex condition like obesity requires that multiple components be addressed, and that both patients and multiple disciplines are involved in developing solutions, so implementing cycles of continuous improvement to deal with complexity offers an effective way todeal with complex, changing multisystem problems like obesity.
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