Development of the International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) Grade-Based Guidelines on the Surgical Treatment of Obesity Using Multimodal Strategies : Design and Methodological Aspects
De Luca, Maurizio (Ospedale di Rovigo (Itàlia))
Belluzzi, Amanda (Ospedale di Rovigo (Itàlia))
Salminen, Paulina (University of Turku (Finlàndia))
Bueter, Marco (Department of Surgery and Transplantation, University Hospital Zurich, University of Zurich)
Pujol-Rafols, Juan (HM Delfos)
Sakran, Nasser (The Azrieli Faculty of Medicine, Bar-Ilan University, Israel)
Stier, Christine (Heidelberg University)
Taskin, Halit Eren (Istanbul University)
Chiappetta, Sonja (Ospedale Evangelico Betania (Nàpols, Itàlia))
Carrano, Francesco Maria (Sant'Andrea Hospital, Sapienza University)
Di Lorenzo, Nicola (Department of Surgical Sciences, University of Tor Vergata)
Nienhuijs, Simon (Department of Surgery and Gastroenterology, Catharina Hospital, (Eindhoven, The Netherlands))
Vilallonga, Ramon (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Stenberg, Erik (Örebro University, Sweden)
Emous, Marloes (Center for Obesity Northern-Netherlands (CON))
Prager, Gerhard (Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna)
Himpens, Jacques (Delta CHIREC Hospital, Brussels, Belgium)
Felsenreich, Daniel Moritz (Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna)
Iannelli, Antonio (Université Côte d'Azur, France)
Parmar, Chetan (Whittington Hospital, University College, London)
Copaescu, Catalin (Ponderas Academic Hospital Regina Maria (Bucarest, Romania))
Fried, Martin (OB Klinika-Center for Treatment of Obesity and Metabolic Disorders, Prague, Czech Republic)
Ruiz-Úcar, Elena (Universidad Rey Juan Carlos)
Cohen, Ricardo V. (The Center for Obesity and Diabetes, Hospital Alemao Oswaldo Cruz, Sao Paulo, Brazil)
Olmi, Stefano (San Marco Hospital GSD, Zingonia, Italy)
Angrisani, Luigi (Università degli Studi di Napoli Federico II)
Ribeiro, Rui (Hospital Lusíadas Amadora e Lisboa)
Bandini, Giulia (Università degli Studi di Firenze)
Scoccimarro, Daniele (Università degli Studi di Firenze)
Ragghianti, Benedetta (Università degli Studi di Firenze)
Monami, Matteo (Università degli Studi di Firenze)
Universitat Autònoma de Barcelona. Departament de Cirurgia

Fecha:	2024
Resumen:	Background : The prevalence of obesity is already a worldwide health concern. The development of straightforward guidelines regarding the whole available armamentarium (i. e. , medical, endoscopic, and surgical interventions in conjunction with a guidance program) is paramount to offering the best multimodal approach to patients with obesity. Methods : The International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) identified a panel of experts to develop the present guidelines. The panel formulated a series of clinical questions (based on the patient, intervention, comparison, and outcome conceptual framework), which have been voted on and approved. A GRADE methodology will be applied to assess the quality of evidence and formulate recommendations employed to minimize selection and information biases. This approach aims to enhance the reliability and validity of recommendations, promoting greater adherence to the best available evidence. Results : These guidelines are intended for adult patients with a body mass index (BMI) ≥ 30 kg/m 2 who are candidates for metabolic bariatric surgery (MBS). The expert panel responsible for developing these guidelines comprised 25 panelists (92% were bariatric surgeons) and 3 evidence reviewers, with an average age of 50. 1 ± 10. 2 years. The panel focused on 3 key questions regarding the combined use of structured lifestyle interventions, approved obesity management medications, and endoscopic weight loss procedures with MBS. Conclusions : The complexity of obesity as a chronic disease requires a comprehensive knowledge of all the available and feasible therapeutic options. The IFSO-EC society felt the urgent need to develop methodologically valid guidelines to give a full picture and awareness of the possible surgical and non-surgical therapeutic strategies employed with a multimodal approach.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Obesity ; Metabolic bariatric surgery ; Obesity-related medical conditions ; Obesity management medications ; Lifestyle interventions ; Endoscopic weight loss procedures ; Guidelines
Publicado en:	Journal of clinical medicine, Vol. 13 n. 17 (august 2024) , ISSN 2077-0383

DOI: 10.3390/jcm13175106
PMID: 39274320

11 p, 412.2 KB

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