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

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 mul...

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Autores: De Luca, Maurizio, Belluzzi, Amanda, Salminen, Paulina, Bueter, Marco, Pujol-Rafols, Juan, Sakran, Nasser|||0000-0002-6658-8981, Stier, Christine|||0000-0002-7508-7775, Taskin, Halit Eren, Chiappetta, Sonja|||0000-0002-1964-416X, Carrano, Francesco Maria|||0000-0003-1189-9907, Di Lorenzo, Nicola|||0000-0003-3370-4912, Nienhuijs, Simon|||0000-0002-0104-9477, Vilallonga, Ramon|||0000-0001-9333-2765, Stenberg, Erik, Emous, Marloes|||0000-0002-2223-3687, Prager, Gerhard, Himpens, Jacques, Felsenreich, Daniel Moritz|||0000-0002-5229-5096, Iannelli, Antonio, Parmar, Chetan|||0000-0002-1238-6524, Copaescu, Catalin|||0000-0002-7270-0706, Fried, Martin, Ruiz-Úcar, Elena|||0000-0002-4303-7714, Cohen, Ricardo V., Olmi, Stefano|||0000-0002-8307-3402, Angrisani, Luigi, Ribeiro, Rui|||0000-0003-4150-2325, Bandini, Giulia|||0000-0002-2076-7319, Scoccimarro, Daniele, Ragghianti, Benedetta, Monami, Matteo|||0000-0001-9349-828X
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:303158
Acceso en línea:https://ddd.uab.cat/record/303158
https://dx.doi.org/urn:doi:10.3390/jcm13175106
Access Level:acceso abierto
Palabra clave:Obesity
Metabolic bariatric surgery
Obesity-related medical conditions
Obesity management medications
Lifestyle interventions
Endoscopic weight loss procedures
Guidelines
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spelling 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 StrategiesDesign and Methodological AspectsDe Luca, MaurizioBelluzzi, AmandaSalminen, PaulinaBueter, MarcoPujol-Rafols, JuanSakran, Nasser|||0000-0002-6658-8981Stier, Christine|||0000-0002-7508-7775Taskin, Halit ErenChiappetta, Sonja|||0000-0002-1964-416XCarrano, Francesco Maria|||0000-0003-1189-9907Di Lorenzo, Nicola|||0000-0003-3370-4912Nienhuijs, Simon|||0000-0002-0104-9477Vilallonga, Ramon|||0000-0001-9333-2765Stenberg, ErikEmous, Marloes|||0000-0002-2223-3687Prager, GerhardHimpens, JacquesFelsenreich, Daniel Moritz|||0000-0002-5229-5096Iannelli, AntonioParmar, Chetan|||0000-0002-1238-6524Copaescu, Catalin|||0000-0002-7270-0706Fried, MartinRuiz-Úcar, Elena|||0000-0002-4303-7714Cohen, Ricardo V.Olmi, Stefano|||0000-0002-8307-3402Angrisani, LuigiRibeiro, Rui|||0000-0003-4150-2325Bandini, Giulia|||0000-0002-2076-7319Scoccimarro, DanieleRagghianti, BenedettaMonami, Matteo|||0000-0001-9349-828XObesityMetabolic bariatric surgeryObesity-related medical conditionsObesity management medicationsLifestyle interventionsEndoscopic weight loss proceduresGuidelinesBackground : 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.Universitat Autònoma de Barcelona. Departament de Cirurgia 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/303158https://dx.doi.org/urn:doi:10.3390/jcm13175106reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3031582026-06-06T12:50:31Z
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
De Luca, Maurizio
Obesity
Metabolic bariatric surgery
Obesity-related medical conditions
Obesity management medications
Lifestyle interventions
Endoscopic weight loss procedures
Guidelines
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv De Luca, Maurizio
Belluzzi, Amanda
Salminen, Paulina
Bueter, Marco
Pujol-Rafols, Juan
Sakran, Nasser|||0000-0002-6658-8981
Stier, Christine|||0000-0002-7508-7775
Taskin, Halit Eren
Chiappetta, Sonja|||0000-0002-1964-416X
Carrano, Francesco Maria|||0000-0003-1189-9907
Di Lorenzo, Nicola|||0000-0003-3370-4912
Nienhuijs, Simon|||0000-0002-0104-9477
Vilallonga, Ramon|||0000-0001-9333-2765
Stenberg, Erik
Emous, Marloes|||0000-0002-2223-3687
Prager, Gerhard
Himpens, Jacques
Felsenreich, Daniel Moritz|||0000-0002-5229-5096
Iannelli, Antonio
Parmar, Chetan|||0000-0002-1238-6524
Copaescu, Catalin|||0000-0002-7270-0706
Fried, Martin
Ruiz-Úcar, Elena|||0000-0002-4303-7714
Cohen, Ricardo V.
Olmi, Stefano|||0000-0002-8307-3402
Angrisani, Luigi
Ribeiro, Rui|||0000-0003-4150-2325
Bandini, Giulia|||0000-0002-2076-7319
Scoccimarro, Daniele
Ragghianti, Benedetta
Monami, Matteo|||0000-0001-9349-828X
author De Luca, Maurizio
author_facet De Luca, Maurizio
Belluzzi, Amanda
Salminen, Paulina
Bueter, Marco
Pujol-Rafols, Juan
Sakran, Nasser|||0000-0002-6658-8981
Stier, Christine|||0000-0002-7508-7775
Taskin, Halit Eren
Chiappetta, Sonja|||0000-0002-1964-416X
Carrano, Francesco Maria|||0000-0003-1189-9907
Di Lorenzo, Nicola|||0000-0003-3370-4912
Nienhuijs, Simon|||0000-0002-0104-9477
Vilallonga, Ramon|||0000-0001-9333-2765
Stenberg, Erik
Emous, Marloes|||0000-0002-2223-3687
Prager, Gerhard
Himpens, Jacques
Felsenreich, Daniel Moritz|||0000-0002-5229-5096
Iannelli, Antonio
Parmar, Chetan|||0000-0002-1238-6524
Copaescu, Catalin|||0000-0002-7270-0706
Fried, Martin
Ruiz-Úcar, Elena|||0000-0002-4303-7714
Cohen, Ricardo V.
Olmi, Stefano|||0000-0002-8307-3402
Angrisani, Luigi
Ribeiro, Rui|||0000-0003-4150-2325
Bandini, Giulia|||0000-0002-2076-7319
Scoccimarro, Daniele
Ragghianti, Benedetta
Monami, Matteo|||0000-0001-9349-828X
author_role author
author2 Belluzzi, Amanda
Salminen, Paulina
Bueter, Marco
Pujol-Rafols, Juan
Sakran, Nasser|||0000-0002-6658-8981
Stier, Christine|||0000-0002-7508-7775
Taskin, Halit Eren
Chiappetta, Sonja|||0000-0002-1964-416X
Carrano, Francesco Maria|||0000-0003-1189-9907
Di Lorenzo, Nicola|||0000-0003-3370-4912
Nienhuijs, Simon|||0000-0002-0104-9477
Vilallonga, Ramon|||0000-0001-9333-2765
Stenberg, Erik
Emous, Marloes|||0000-0002-2223-3687
Prager, Gerhard
Himpens, Jacques
Felsenreich, Daniel Moritz|||0000-0002-5229-5096
Iannelli, Antonio
Parmar, Chetan|||0000-0002-1238-6524
Copaescu, Catalin|||0000-0002-7270-0706
Fried, Martin
Ruiz-Úcar, Elena|||0000-0002-4303-7714
Cohen, Ricardo V.
Olmi, Stefano|||0000-0002-8307-3402
Angrisani, Luigi
Ribeiro, Rui|||0000-0003-4150-2325
Bandini, Giulia|||0000-0002-2076-7319
Scoccimarro, Daniele
Ragghianti, Benedetta
Monami, Matteo|||0000-0001-9349-828X
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona. Departament de Cirurgia
dc.subject.none.fl_str_mv Obesity
Metabolic bariatric surgery
Obesity-related medical conditions
Obesity management medications
Lifestyle interventions
Endoscopic weight loss procedures
Guidelines
topic Obesity
Metabolic bariatric surgery
Obesity-related medical conditions
Obesity management medications
Lifestyle interventions
Endoscopic weight loss procedures
Guidelines
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/303158
https://dx.doi.org/urn:doi:10.3390/jcm13175106
url https://ddd.uab.cat/record/303158
https://dx.doi.org/urn:doi:10.3390/jcm13175106
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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