Development of the International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) Grade-Based Guidelines on the Surgical Treatment of Obesity Using Multimodal Strategies: Design and Methodological Aspects.
| Title: | Development of the International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) Grade-Based Guidelines on the Surgical Treatment of Obesity Using Multimodal Strategies: Design and Methodological Aspects. |
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| Authors: | De Luca M; Department of General, Emergency and Metabolic Surgery, Rovigo Hospital, 45100 Rovigo, Italy.; Belluzzi A; Department of General, Emergency and Metabolic Surgery, Rovigo Hospital, 45100 Rovigo, Italy.; Salminen P; Department of Surgery, University of Turku, 20014 Turku, Finland.; Bueter M; Department of Surgery and Transplantation, University Hospital Zurich, University of Zurich, 8006 Zurich, Switzerland.; Pujol-Rafols J; HM Delfos, 08023 Barcelona, Spain.; Sakran N; Department of General Surgery, Holy Family Hospital, Nazareth 1601001, Israel.; The Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan 5290002, Israel.; Stier C; Department of Surgery, Bariatric Endoscopy, Medical Faculty Mannheim, Heidelberg University, 69167 Heidelberg, Germany.; Taskin HE; Department of Surgery, Cerrahpasa Medical Faculty, Istanbul University, 34320 Istanbul, Turkey.; Chiappetta S; Bariatric and Metabolic Surgery Unit, Department of General and Laparoscopic Surgery, Ospedale Evangelico Betania, 80147 Naples, Italy.; Carrano FM; Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.; Di Lorenzo N; Department of Surgical Sciences, University of Tor Vergata, 00133 Rome, Italy.; Nienhuijs S; Department of Surgery and Gastroenterology, Catharina Hospital, 5623 Eindhoven, The Netherlands.; Puy RV; Endocrine-Metabolic and Bariatric Surgery Unit, Vall Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.; Stenberg E; Department of Surgery, Faculty of Medicine and Health, Örebro University, 70182 Örebro, Sweden.; Emous M; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center, 8934 Leeuwarden, The Netherlands.; Prager G; Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, 1090 Vienna, Austria.; Himpens J; Delta CHIREC Hospital (Belgian Registry), 1160 Brussels, Belgium.; Felsenreich DM; Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, 1090 Vienna, Austria.; Iannelli A; Digestive Surgery and Liver Transplantation Unit, Université Côte d'Azur, 06103 Nice, France.; Parmar C; Department of Surgery, Whittington Hospital, University College, London N19 5NF, UK.; Copaescu C; Department of Surgery, Ponderas Academic Hospital, 014142 Bucharest, Romania.; Fried M; OB Klinika-Center for Treatment of Obesity and Metabolic Disorders, 1300 Prague, Czech Republic.; Ruiz-Úcar E; General and Digestive Surgery Department, Fuenlabrada University Hospital, Rey Juan Carlos University, 28942 Madrid, Spain.; Cohen RV; The Center for Obesity and Diabetes, Hospital Alemao Oswaldo Cruz, Sao Paulo 01323-20, Brazil.; Olmi S; San Marco Hospital GSD, 24046 Zingonia, Italy.; Angrisani L; Public Health Department, School of Medicine, University Federico II of Naples, 80138 Naples, Italy.; Ribeiro R; Centro Multidisciplinar Do Tratamento da Obesidade, Hospital Lusíadas Amadora e Lisboa, 2724-002 Amadora, Portugal.; Bandini G; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.; Scoccimarro D; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.; Ragghianti B; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.; Monami M; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy. |
| Corporate Authors: | Panel for the IFSO-EC on the Surgical Treatment of Obesity Using Multimodal Strategies |
| Source: | Journal of clinical medicine [J Clin Med] 2024 Aug 28; Vol. 13 (17). Date of Electronic Publication: 2024 Aug 28. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| Abstract: | Background: The prevalence of obesity is already a worldwide health concern. The development of straightforward guidelines regarding the whole available armamentarium (i.e., medical, endoscopic, and surgical interventions in conjunction with a guidance program) is paramount to offering the best multimodal approach to patients with obesity. Methods: The International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) identified a panel of experts to develop the present guidelines. The panel formulated a series of clinical questions (based on the patient, intervention, comparison, and outcome conceptual framework), which have been voted on and approved. A GRADE methodology will be applied to assess the quality of evidence and formulate recommendations employed to minimize selection and information biases. This approach aims to enhance the reliability and validity of recommendations, promoting greater adherence to the best available evidence. Results: These guidelines are intended for adult patients with a body mass index (BMI) ≥ 30 kg/m2 who are candidates for metabolic bariatric surgery (MBS). The expert panel responsible for developing these guidelines comprised 25 panelists (92% were bariatric surgeons) and 3 evidence reviewers, with an average age of 50.1 ± 10.2 years. The panel focused on 3 key questions regarding the combined use of structured lifestyle interventions, approved obesity management medications, and endoscopic weight loss procedures with MBS. Conclusions: The complexity of obesity as a chronic disease requires a comprehensive knowledge of all the available and feasible therapeutic options. The IFSO-EC society felt the urgent need to develop methodologically valid guidelines to give a full picture and awareness of the possible surgical and non-surgical therapeutic strategies employed with a multimodal approach. |
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| Contributed Indexing: | Keywords: endoscopic weight loss procedures; guidelines; lifestyle interventions; metabolic bariatric surgery; obesity; obesity management medications; obesity-related medical conditions |
| Entry Date(s): | Date Created: 20240914 Latest Revision: 20240916 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11396011 |
| DOI: | 10.3390/jcm13175106 |
| PMID: | 39274320 |
| Database: | MEDLINE |
Journal Article