An Assessment of Patient Behavioral Requirements Pre- and Post-Surgery at Accredited Weight Loss Surgical Centers

Peacock, Jessica C.; Zizzi, Sam

doi:10.1007/s11695-011-0366-5

Cited by 29 publications

(13 citation statements)

References 29 publications

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“…However, primary care-based programs adhered most closely to these criteria, which is encouraging, since this is where most Canadians access the health care system. Furthermore, as others have shown [30], there was a lack of physical activity counselling in the surgical programs. This is surprising since it appears that exercise may help weight loss after the surgery [31-33] and that physical activity favors weight maintenance [34-36].…”

Section: Discussionmentioning

confidence: 99%

Weight management in Canada: an environmental scan of health services for adults with obesity

Fortin

Brown

Ball

et al. 2014

BMC Health Serv Res

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BackgroundObesity in Canada is a growing concern, but little is known about the available services for managing obesity in adults. Our objectives were to (a) survey and describe programs dedicated to weight management and (b) evaluate program adherence to established recommendations for care.MethodsWe conducted an online environmental scan in 2011 to identify adult weight management services throughout Canada. We examined the degree to which programs adhered to the 2006 Canadian Clinical Practice Guidelines on the Management and Prevention of Obesity in Adults and Children (CCPGO) and the analysis criteria developed by the Association pour la Santé Publique du Québec (ASPQ).ResultsA total of 83 non-surgical (34 community-based, 42 primary care-based, 7 hospital-based) and 33 surgical programs were identified. All programs encouraged patient self-management. However, few non-surgical programs adhered to the CCPGO recommendations for assessment and intervention, and there was a general lack of screening for eating disorders, depression and other psychiatric diseases across all programs. Concordance with the ASPQ criteria was best among primary care-based programs, but less common in other settings with deficits most frequently revealed in multidisciplinary health assessment/management and physical activity counselling.ConclusionsWith more than 60% of Canadians overweight or obese, our findings highlight that availability of weight management services is far outstripped by need. Our observation that evidence-based recommendations are applied inconsistently across the country validates the need for knowledge translation of effective health services for managing obesity in adults.

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Section: Discussionmentioning

confidence: 99%

Weight management in Canada: an environmental scan of health services for adults with obesity

Fortin

Brown

Ball

et al. 2014

BMC Health Serv Res

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“…More comprehensive evaluations assess the bariatric surgery knowledge, weight history, eating and physical activity habits, potential obstacles, and resources that may influence postoperative outcomes (203 [EL 2, PCS]; 204 [EL 4, CPG]). Approximately 90% of bariatric surgery programs require their surgical candidates to undergo a mental health evaluation preoperatively (207 [EL 3, SS]; 208 [EL 3]). A substantial proportion of bariatric surgery candidates present themselves in an overly favorable light during the psychological evaluation (209 [EL 3, SS]), and there is low congruence between clinically derived and research-based diagnoses (210 [EL 3, SS]), which may impact accurate assessment.…”

Section: Evidence Basementioning

confidence: 99%

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

et al. 2013

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The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE- TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

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“…More comprehensive evaluations assess the bariatric surgery knowledge, weight history, eating and physical activity habits, potential obstacles, and resources that may influence postoperative outcomes (203 [EL 2, PCS]; 204 [EL 4, CPG]). Approximately 90% of bariatric surgery programs require their surgical candidates to undergo a mental health evaluation preoperatively (207 [EL 3, SS]; 208 [EL 3]). A substantial proportion of bariatric surgery candidates present themselves in an overly favorable light during the psychological evaluation (209 [EL 3, SS]), and there is low congruence between clinically derived and research‐based diagnoses (210 [EL 3, SS]), which may impact accurate assessment.…”

Section: Evidence Basementioning

confidence: 99%

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

Mechanick

Youdim

Jones

et al. 2013

Obesity

1,074

372

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The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE-TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

show abstract

An Assessment of Patient Behavioral Requirements Pre- and Post-Surgery at Accredited Weight Loss Surgical Centers

Cited by 29 publications

References 29 publications

Weight management in Canada: an environmental scan of health services for adults with obesity

Weight management in Canada: an environmental scan of health services for adults with obesity

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

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