title: [Patients' paths to a designated reference center for severe obesity: the example of the Montpellier Regional Hospital Center].
abstract: Bariatric surgery is booming in France and there is increasing interest in developing new surgical techniques. It is essential to manage such surgery in a multidisciplinary fashion: rigorous coordination is required along with adaptability to the local care available. Organization into centers of excellence is encouraged, and good communication between the hospital medicosurgical team and the private practitioners are highly recommended. Multidisciplinary meetings for therapeutic decisions are invaluable because they allow the direct exchange of information between the hospital staff and private practitioners. The selection of one member of the hospital team as liaison for each patient can facilitate the organization of postsurgical follow up Long-term follow-up of these patients is mandatory but often very difficult to maintain beyond one year. Organized coordination between hospital and private practitioners should improve this follow-up.
authors.affiliation: Service d'endocrinologie, CHRU Montpellier, F-34295 Montpellier Cedex, France. mariebaccaradinet@live.fr
authors.forename: Marie
authors.initials: M
authors.lastname: Baccara-Dinet
authors.forename: Michèle
authors.initials: M
authors.lastname: Bonnin
authors.forename: David
authors.initials: D
authors.lastname: Nocca
authors.forename: Charles
authors.initials: C
authors.lastname: de Seguin des Hons
authors.forename: Patrick
authors.initials: P
authors.lastname: Lefebvre
authors.forename: Brigitte
authors.initials: B
authors.lastname: Daynes
authors.forename: Eric
authors.initials: E
authors.lastname: Renard
authors.forename: Geneviève
authors.initials: G
authors.lastname: Robles
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Fabre
authors.forename: Jacques
authors.initials: J
authors.lastname: Bringer
mesh_terms: D050110:Bariatric Surgery; D019091:Critical Pathways; D005602:France; D006761:Hospitals; D006801:Humans; D009765:Obesity / Q000601:surgery*; D012017:Referral and Consultation; D012720:Severity of Illness Index