Barriers to bariatric surgery: Factors influencing progression to bariatric surgery in a U.S. metropolitan area

Efficacy and Safety of Endoscopic Sleeve Gastroplasty: A Systematic Review and Meta-Analysis

“…Bariatric surgery is the gold standard for management of moderate to severe obesity; however, only 1%-2% of eligible patients undergo surgery each year. [3][4][5][6] Thus, a large proportion of obese patients who are nonresponsive to lifestyle and pharmacologic interventions are inadequately treated. 3 Endoscopic bariatric therapies have emerged as a novel method to fill this void.…”

“…[3][4][5][6] Thus, a large proportion of obese patients who are nonresponsive to lifestyle and pharmacologic interventions are inadequately treated. 3 Endoscopic bariatric therapies have emerged as a novel method to fill this void. 7 For endoscopic therapies to fulfil the unmet clinical need, there remains a requirement for not only an effective and safe therapy, but also one appealing to patients and clinicians.…”

Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: A systematic review

“…14 RE-AIM has been applied to policies 15,16 and community-based multilevel interventions, 17 and to studies focused on reducing health disparities. 18 The dimensions of the framework are as follows: (1) Reach (the absolute number, proportion and representativeness of individuals who are willing to participate); (2) Effectiveness (impact of an intervention on outcomes, including potential negative effects, quality of life, and economic outcomes); (3) Adoption (absolute number, proportion, representativeness of settings and intervention agents willing to initiate a program); (4) Implementation (intervention agents' fidelity to various elements of an intervention's protocol including consistency of delivery as intended, intervention time and cost); and (5) Maintenance (extent to which a program/policy becomes institutionalized or part of the routine organizational practices and policies, but also has individuallevel outcomes). While generally the dimensions of 'Reach' and 'Effectiveness' apply to individuals, and 'Adoption', 'Implementation' and 'Maintenance' to a setting/system, all five of the dimensions have applicability to the dissemination and implementation of eHealth interventions among individuals who are considering MBS or who have already completed the procedure ( Figure 1).…”

“…To achieve maximum weight loss and prevent weight regain, patients must increase physical activity, decrease sedentary behaviors, and adhere to dietary recommendations including vitamin/micronutrient intake in particular. 5 Unfortunately, these patients often face numerous challenges (e.g. transportation, socioeconomic, geographical, social support issues) that prevent them from seeking further assistance or support to improve and prolong weight loss outcomes.…”

“…transportation, socioeconomic, geographical, social support issues) that prevent them from seeking further assistance or support to improve and prolong weight loss outcomes. 5 Current studies document the promising effects of use of mobile and online technologies (eHealth), including wearable devices for improving health outcomes among those with obesity and diabetes (common precondition for MBS) by eliminating geographic, time and transportation barriers. 5 Post-MBS weight loss maintenance interventions that are accessible, cost-effective and scalable are not only desirable, but have the potential for both deep and wide impact on health outcomes.…”