Abstract：
OBJECTIVE: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process.
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.
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.
摘要：
目标：超重和肥胖影响60%的成年人，每年在全世界造成超过120万人死亡。打击涉及不同的专家数字和多个是批准的武器。意大利减肥外科学会（SICOB）认可的本次调查的目的是通过Delphi程序就肥胖治疗优化达成全国共识。
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。
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。
