Best practice updates for multidisciplinary care in weight loss surgery.
The objective of this study is to update evidence-based best practice guidelines for multidisciplinary care of weight loss surgery (WLS) patients. We performed systematic search of English-language literature on WLS, patient selection, and medical, multidisciplinary, and nutritional care published between April 2004 and May 2007 in MEDLINE and the Cochrane Library. Key words were used to narrow the search for a selective review of abstracts, retrieval of full articles, and grading of evidence according to systems used in established evidence-based models. A total of 150 papers were retrieved from the literature search and 112 were reviewed in detail. We made evidence-based best practice recommendations from the most recent literature on multidisciplinary care of WLS patients. New recommendations were developed in the areas of patient selection, medical evaluation, and treatment. Regular updates of evidence-based recommendations for best practices in multidisciplinary care are required to address changes in patient demographics and levels of obesity. Key factors in patient safety include comprehensive preoperative medical evaluation, patient education, appropriate perioperative care, and long-term follow-up.
Apovian
Caroline M
CM
Department of Endocrinology, Diabetes, and Nutrition, Boston University Medical Center, Boston, Massachusetts, USA. caroline.apovian@bmc.org
Cummings
Sue
S
Anderson
Wendy
W
Borud
Loren
L
Boyer
Kelly
K
Day
Kristina
K
Hatchigian
Edward
E
Hodges
Barbara
B
Patti
Mary E
ME
Pettus
Mark
M
Perna
Frank
F
Rooks
Daniel
D
Saltzman
Edward
E
Skoropowski
June
J
Tantillo
Michael B
MB
Thomason
Phyllis
P
D050110:Bariatric Surgery / Q000592:standards*; D003327:Coronary Disease / Q000453:epidemiology; D019317:Evidence-Based Medicine / Q000592:standards; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care / Q000592:standards; D008107:Liver Diseases / Q000453:epidemiology; D009765:Obesity / Q000150:complications / Q000601:surgery; D010348:Patient Care Team / Q000592:standards*; D010353:Patient Education as Topic; D018579:Patient Selection; D018570:Risk Assessment; D012307:Risk Factors