SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

M. A. Zappa; A. Iossa; L. Busetto; S. Chiappetta; F. Greco; M. Lucchese; F. Micanti; Geltrude Mingrone; G. Navarra; Marco Raffaelli; S. F. Altorio; L. Angrisani; C. Arcudi; F. Bellini; P. Bernante; R. Berta; Esmeralda Capristo; M. G. Carbonelli; G. Casella; J. M. Casella; Gissey L. Castagneto; M. R. Cerbone; F. Ciampaglia; L. Ciccoritti; A. Contine; G. Curro; R. D'Alessio; Palma M. De; Piane D. Delle; Benedetto N. Di; Lorenzo N. Di; G. Fantola; R. Farnaz; M. Foletto; P. Forestieri; L. Frittitta; E. Galfrascoli; P. Gentileschi; C. Giardiello; P. Giustacchini; M. P. Giusti; I. Grandone; C. Guidone; A. Iaconelli; E. Lembo; S. Leanza; E. Lembo; G. Lezoche; C. Lunardi; G. Martines; B. Marzano; E. Paone; F. S. Papadia; F. Perrone; L. Piazza; V. Pilone; P. Pizzi; M. Rice; A. Rizzi; F. Santini; G. Sarro; A. Schettino; N. Tartaglia; M. Toppino; A. Usai; Luca M. De

doi:10.1007/s40519-023-01537-4

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

M. A. Zappa, A. Iossa^*, L. Busetto, S. Chiappetta, F. Greco, M. Lucchese, F. Micanti, Geltrude Mingrone, G. Navarra, Marco Raffaelli, S. F. Altorio, L. Angrisani, C. Arcudi, F. Bellini, P. Bernante, R. Berta, Esmeralda Capristo, M. G. Carbonelli, G. Casella, J. M. CasellaGissey L. Castagneto, M. R. Cerbone, F. Ciampaglia, L. Ciccoritti, A. Contine, G. Curro, R. D'Alessio, Palma M. De, Piane D. Delle, Benedetto N. Di, Lorenzo N. Di, G. Fantola, R. Farnaz, M. Foletto, P. Forestieri, L. Frittitta, E. Galfrascoli, P. Gentileschi, C. Giardiello, P. Giustacchini, M. P. Giusti, I. Grandone, C. Guidone, A. Iaconelli, E. Lembo, S. Leanza, E. Lembo, G. Lezoche, C. Lunardi, G. Martines, B. Marzano, E. Paone, F. S. Papadia, F. Perrone, L. Piazza, V. Pilone, P. Pizzi, M. Rice, A. Rizzi, F. Santini, G. Sarro, A. Schettino, N. Tartaglia, M. Toppino, A. Usai, Luca M. De

^*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivista › Articolo in rivista

Abstract

Purpose: 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%). Conclusion: 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. Level of evidence V: Report of expert committees.

Lingua originale	English
pagine (da-a)	1-5
Numero di pagine	5
Rivista	Eating and Weight Disorders
Volume	28
Numero di pubblicazione	1
DOI	https://doi.org/10.1007/s40519-023-01537-4
Stato di pubblicazione	Pubblicato - 2023

All Science Journal Classification (ASJC) codes

Clinical Psychology
Psychiatry and Mental health

Keywords

Insufficient weight loss approach
Italian Delphi consensus
Obesity pre-operative management
Obesity treatment
Weight regain approach

OSS delle Nazioni Unite

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10.1007/s40519-023-01537-4

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Zappa, M. A., Iossa, A., Busetto, L., Chiappetta, S., Greco, F., Lucchese, M., Micanti, F., Mingrone, G., Navarra, G., Raffaelli, M., Altorio, S. F., Angrisani, L., Arcudi, C., Bellini, F., Bernante, P., Berta, R., Capristo, E., Carbonelli, M. G., Casella, G., ... De, L. M. (2023). SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach. Eating and Weight Disorders, 28(1), 1-5. https://doi.org/10.1007/s40519-023-01537-4

@article{e755957ffe1e4ac89d1466fc3a908a6a,

title = "SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach",

abstract = "Purpose: 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%). Conclusion: 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. Level of evidence V: Report of expert committees.",

keywords = "Insufficient weight loss approach, Italian Delphi consensus, Obesity pre-operative management, Obesity treatment, Weight regain approach, Insufficient weight loss approach, Italian Delphi consensus, Obesity pre-operative management, Obesity treatment, Weight regain approach",

author = "Zappa, {M. A.} and A. Iossa and L. Busetto and S. Chiappetta and F. Greco and M. Lucchese and F. Micanti and Geltrude Mingrone and G. Navarra and Marco Raffaelli and Altorio, {S. F.} and L. Angrisani and C. Arcudi and F. Bellini and P. Bernante and R. Berta and Esmeralda Capristo and Carbonelli, {M. G.} and G. Casella and Casella, {J. M.} and Castagneto, {Gissey L.} and Cerbone, {M. R.} and F. Ciampaglia and L. Ciccoritti and A. Contine and G. Curro and R. D'Alessio and De, {Palma M.} and Delle, {Piane D.} and Di, {Benedetto N.} and Di, {Lorenzo N.} and G. Fantola and R. Farnaz and M. Foletto and P. Forestieri and L. Frittitta and E. Galfrascoli and P. Gentileschi and C. Giardiello and P. Giustacchini and Giusti, {M. P.} and I. Grandone and C. Guidone and A. Iaconelli and E. Lembo and S. Leanza and E. Lembo and G. Lezoche and C. Lunardi and G. Martines and B. Marzano and E. Paone and Papadia, {F. S.} and F. Perrone and L. Piazza and V. Pilone and P. Pizzi and M. Rice and A. Rizzi and F. Santini and G. Sarro and A. Schettino and N. Tartaglia and M. Toppino and A. Usai and De, {Luca M.}",

year = "2023",

doi = "10.1007/s40519-023-01537-4",

language = "English",

volume = "28",

pages = "1--5",

journal = "Eating and Weight Disorders",

issn = "1124-4909",

publisher = "Springer International Publishing AG",

number = "1",

}

Zappa, MA, Iossa, A, Busetto, L, Chiappetta, S, Greco, F, Lucchese, M, Micanti, F, Mingrone, G, Navarra, G, Raffaelli, M, Altorio, SF, Angrisani, L, Arcudi, C, Bellini, F, Bernante, P, Berta, R, Capristo, E, Carbonelli, MG, Casella, G, Casella, JM, Castagneto, GL, Cerbone, MR, Ciampaglia, F, Ciccoritti, L, Contine, A, Curro, G, D'Alessio, R, De, PM, Delle, PD, Di, BN, Di, LN, Fantola, G, Farnaz, R, Foletto, M, Forestieri, P, Frittitta, L, Galfrascoli, E, Gentileschi, P, Giardiello, C, Giustacchini, P, Giusti, MP, Grandone, I, Guidone, C, Iaconelli, A, Lembo, E, Leanza, S, Lembo, E, Lezoche, G, Lunardi, C, Martines, G, Marzano, B, Paone, E, Papadia, FS, Perrone, F, Piazza, L, Pilone, V, Pizzi, P, Rice, M, Rizzi, A, Santini, F, Sarro, G, Schettino, A, Tartaglia, N, Toppino, M, Usai, A & De, LM 2023, 'SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach', Eating and Weight Disorders, vol. 28, n. 1, pagg. 1-5. https://doi.org/10.1007/s40519-023-01537-4

TY - JOUR

T1 - SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

AU - Zappa, M. A.

AU - Iossa, A.

AU - Busetto, L.

AU - Chiappetta, S.

AU - Greco, F.

AU - Lucchese, M.

AU - Micanti, F.

AU - Mingrone, Geltrude

AU - Navarra, G.

AU - Raffaelli, Marco

AU - Altorio, S. F.

AU - Angrisani, L.

AU - Arcudi, C.

AU - Bellini, F.

AU - Bernante, P.

AU - Berta, R.

AU - Capristo, Esmeralda

AU - Carbonelli, M. G.

AU - Casella, G.

AU - Casella, J. M.

AU - Castagneto, Gissey L.

AU - Cerbone, M. R.

AU - Ciampaglia, F.

AU - Ciccoritti, L.

AU - Contine, A.

AU - Curro, G.

AU - D'Alessio, R.

AU - De, Palma M.

AU - Delle, Piane D.

AU - Di, Benedetto N.

AU - Di, Lorenzo N.

AU - Fantola, G.

AU - Farnaz, R.

AU - Foletto, M.

AU - Forestieri, P.

AU - Frittitta, L.

AU - Galfrascoli, E.

AU - Gentileschi, P.

AU - Giardiello, C.

AU - Giustacchini, P.

AU - Giusti, M. P.

AU - Grandone, I.

AU - Guidone, C.

AU - Iaconelli, A.

AU - Lembo, E.

AU - Leanza, S.

AU - Lembo, E.

AU - Lezoche, G.

AU - Lunardi, C.

AU - Martines, G.

AU - Marzano, B.

AU - Paone, E.

AU - Papadia, F. S.

AU - Perrone, F.

AU - Piazza, L.

AU - Pilone, V.

AU - Pizzi, P.

AU - Rice, M.

AU - Rizzi, A.

AU - Santini, F.

AU - Sarro, G.

AU - Schettino, A.

AU - Tartaglia, N.

AU - Toppino, M.

AU - Usai, A.

AU - De, Luca M.

PY - 2023

Y1 - 2023

N2 - Purpose: 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%). Conclusion: 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. Level of evidence V: Report of expert committees.

AB - Purpose: 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%). Conclusion: 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. Level of evidence V: Report of expert committees.

KW - Insufficient weight loss approach

KW - Italian Delphi consensus

KW - Obesity pre-operative management

KW - Obesity treatment

KW - Weight regain approach

KW - Insufficient weight loss approach

KW - Italian Delphi consensus

KW - Obesity pre-operative management

KW - Obesity treatment

KW - Weight regain approach

UR - https://publicatt.unicatt.it/handle/10807/227978

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UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85147893562&origin=inward

U2 - 10.1007/s40519-023-01537-4

DO - 10.1007/s40519-023-01537-4

M3 - Article

SN - 1124-4909

VL - 28

SP - 1

EP - 5

JO - Eating and Weight Disorders

JF - Eating and Weight Disorders

IS - 1

ER -

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

Abstract

All Science Journal Classification (ASJC) codes

Keywords

OSS delle Nazioni Unite

Accesso al documento

Altri file e collegamenti

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