Development of the Italian Clinical Practice Guidelines on Bariatric and Metabolic Surgery: Design and Methodological Aspects

被引：18

作者：

De Luca, Maurizio ^{[1
]}

Zappa, Marco Antonio ^{[2
]}

Zese, Monica ^{[1
]}

Bardi, Ugo ^{[3
]}

Carbonelli, Maria Grazia ^{[4
]}

Carrano, Francesco Maria ^{[5
]}

Casella, Giovanni ^{[6
]}

Chianelli, Marco ^{[7
]}

Chiappetta, Sonja ^{[8
]}

Iossa, Angelo ^{[9
]}

Martinino, Alessandro ^{[10
]}

Micanti, Fausta ^{[11
]}

Navarra, Giuseppe ^{[12
]}

Piatto, Giacomo ^{[13
]}

Raffaelli, Marco ^{[14
]}

Romano, Eugenia ^{[15
]}

Rugolotto, Simone ^{[1
]}

Serra, Roberto ^{[16
]}

Soricelli, Emanuele ^{[17
]}

Vitiello, Antonio ^{[18
]}

Schiavo, Luigi ^{[19
]}

Zani, Iris Caterina Maria ^{[20
]}

Bandini, Giulia ^{[21
,22
]}

Mannucci, Edoardo ^{[21
,22
]}

Ragghianti, Benedetta ^{[21
,22
]}

Monami, Matteo ^{[21
,22
]}

机构：

[1] Rovigo Hosp, I-45030 Rovigo, Italy

[2] ASST Fatebenefratelli Sacco, I-20157 Milan, Italy

[3] Casa Cura Privata Salus, I-84091 Salerno, Italy

[4] AO San Camillo Forlanini, I-00152 Rome, Italy

[5] Univ Roma Tor Vergata, Dept Surg, Minimally Invas Unit, I-00173 Rome, Italy

[6] Sapienza Univ Rome, Dept Surg Sci, AOU Policlin Umberto I, I-00161 Rome, Italy

[7] Osped Regina Apostolorum Roma, I-00041 Rome, Italy

[8] Osped Evangel Betania Napoli, I-80147 Naples, Italy

[9] Sapienza Polo Pontino, Dipartimento Sci Biotecnol Medico Chirurg, I-04100 Latina, Italy

[10] Univ Illinois, Dept Surg, Div Transplantat, Chicago, IL 60607 USA

[11] Univ Federico II Napoli, I-80138 Naples, Italy

[12] Policlin Univ G Martino Messina, I-98124 Messina, Italy

[13] Osped Montebelluna, I-31044 Montebelluna, Italy

[14] Univ Cattolica Sacro Cuore Roma, Fdn Policlin Univ Agostino Gemelli IRCCS, I-00168 Rome, Italy

[15] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, London WC2R 2LS, England

[16] Policlin Casa Cura Abano Terme, I-35031 Abano Terme, Italy

[17] Osped Santa Maria Nuova Firenze, I-50122 Florence, Italy

[18] Univ Napoli Federico II, Dept Adv Biomed Sci, I-80138 Naples, Italy

[19] Univ Salerno, Dept Med & Surg, I-84084 Fisciano, Italy

[20] Amici Obesi ONLUS Milano, I-20128 Milan, Italy

[21] Azienda Osped Univ Careggi, Diabet Agcy, I-50134 Florence, Italy

[22] Univ Florence, I-50134 Florence, Italy

来源：

NUTRIENTS | 2023年 / 15卷 / 01期

关键词：

obesity; metabolic; bariatric surgery (MBS); type 2 diabetes (T2D); arterial hypertension (AHI); dyslipidemia (DL); obstructive sleep apnea (OSA); gastroesophageal reflux disease (GERD); guidelines; MEDICAL THERAPY;

D O I：

10.3390/nu15010189

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Development of the Italian clinical practice guidelines on bariatric and metabolic surgery, as well as design and methodological aspects. Background: Obesity and its complications are a growing problem in many countries. Italian Society of Bariatric and Metabolic Surgery for Obesity (Societa Italiana di Chirurgia dell'Obesita e delle Malattie Metaboliche-SICOB) developed the first Italian guidelines for the treatment of obesity. Methods: The creation of SICOB Guidelines is based on an extended work made by a panel of 24 members and a coordinator. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide the aims, reference population, and target health professionals. Clinical questions have been created using the PICO (Patient, Intervention, Comparison, Outcome) conceptual framework. The definition of questions used the two-step web-based Delphi method, made by repeated rounds of questionnaires and a consensus opinion from the panel. Results: The panel proposed 37 questions. A consensus was immediately reached for 33 (89.2%), with 31 approved, two rejected and three which did not reach an immediate consensus. The further discussion allowed a consensus with one approved and two rejected. Conclusions: The areas covered by the clinical questions included indications of metabolic/bariatric surgery, types of surgery, and surgical management. The choice of a surgical or a non-surgical approach has been debated for the determination of the therapeutic strategy and the correct indications.

引用

页数：19

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