title: Guidelines for the follow-up of patients undergoing bariatric surgery.
abstract: Bariatric surgery can facilitate weight loss and improvement in medical comorbidities. It has a profound impact on nutrition, and patients need access to follow-up and aftercare. NICE CG189 Obesity emphasized the importance of a minimum of 2 years follow-up in the bariatric surgical service and recommended that following discharge from the surgical service, there should be annual monitoring as part of a shared care model of chronic disease management. NHS England Obesity Clinical Reference Group commissioned a multi-professional subgroup, which included patient representatives, to develop bariatric surgery follow-up guidelines. Terms of reference and scope were agreed upon. The group members took responsibility for different sections of the guidelines depending on their areas of expertise and experience. The quality of the evidence was rated and strength graded. Four different shared care models were proposed, taking into account the variation in access to bariatric surgical services and specialist teams across the country. The common features include annual review, ability for a GP to refer back to specialist centre, submission of follow-up data to the national data base to NBSR. Clinical commissioning groups need to ensure that a shared care model is implemented as patient safety and long-term follow-up are important.
authors.affiliation: Obesity Clinic, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: O'Kane
authors.affiliation: Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
authors.forename: Helen M
authors.initials: HM
authors.lastname: Parretti
authors.affiliation: Fakenham Weight Management Service, North Norfolk Clinical Commissioning Group, Fakenham, UK.|University of East Anglia, Norwich, UK.
authors.forename: Carly A
authors.initials: CA
authors.lastname: Hughes
authors.affiliation: Department of Clinical Biochemistry & Bariatrics, Homerton University Hospital NHS Trust, London, UK.
authors.forename: Manisha
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of surgery, Northumbria Healthcare NHS Trust, North Shields, UK.
authors.forename: Sean
authors.initials: S
authors.lastname: Woodcock
authors.affiliation: Bariatric Services, Homerton University Hospital NHS Trust, London, UK.
authors.forename: Tamara
authors.initials: T
authors.lastname: Puplampu
authors.affiliation: Department of Medicine, Imperial College London, London, UK.|Department of Life Sciences, Brunel University London, Uxbridge, UK.
authors.forename: Alexandra I
authors.initials: AI
authors.lastname: Blakemore
authors.forename: Kenneth
authors.initials: K
authors.lastname: Clare
authors.forename: Iris
authors.initials: I
authors.lastname: MacMillan
authors.affiliation: Health Education, Kent Surrey and Sussex, England, UK.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Joyce
authors.affiliation: Public Health, North West Specialised Commissioning Team, Warrington, UK.
authors.forename: Su
authors.initials: S
authors.lastname: Sethi
authors.affiliation: Obesity Clinic, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Julian H
authors.initials: JH
authors.lastname: Barth
mesh_terms: D000359:Aftercare / Q000379:methods* / Q000523:psychology; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods; D015519:Bone Density; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2; D050171:Dyslipidemias / Q000188:drug therapy; D005260:Female; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008297:Male; D008603:Mental Health; D009767:Obesity, Morbid / Q000601:surgery*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D014807:Vitamin D / Q000008:administration & dosage / Q000494:pharmacology
chemical_list: D002317:Cardiovascular Agents; D000960:Hypolipidemic Agents; D014807:Vitamin D
keywords: Bariatric surgery; follow-up; obesity; shared care models