METHODS: Eleven 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.
RESULTS: 54 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%).
CONCLUSIONS: The 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.
METHODS: Report of expert committees.
方法:11位主要意见领袖(KOL)确定了22项主要需要澄清和辩论的声明。探索的途径是:(1)减肥/代谢手术(BMS)的患者候选人的管理;(2)不符合BMS条件的患者的管理;(3)短期(2年)体重恢复(WR)或体重下降不足(IWL)的患者的管理;(4)中期(5年)WR的患者的管理;(5)药物与BMS之间的联系作为WR预防。问卷通过一个在线平台分发给65名国家专家,结果匿名。
结果:65位受邀小组成员中有54位(83%)做出了回应。18/22声明(82%)达成了积极共识;而2项声明达成否定共识(s20.4;s21.5)和未达成共识(s11.5,s17),分别为(9%)。
结论:Delphi结果强调了一线跨学科管理的重要性,大的预处理检查,并就如何正确管理术后IWL/WR建立共同意见。
方法:专家委员会报告。