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Criteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeons

2017-04Journal article Open access
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dc.contributor.authorMahawar, K
dc.contributor.authorBorg, CM
dc.contributor.authorAgarwal, S
dc.contributor.authorRibeiro, R
dc.contributor.authorDe Luca, M
dc.contributor.authorSmall, PK
dc.date.accessioned2017-09-15T15:32:15Z
dc.date.available2017-09-15T15:32:15Z
dc.date.issued2017-04
dc.description.abstractBACKGROUND: There is currently no consensus on the criteria for inclusion of new bariatric procedures into routine clinical practice. This study canvasses bariatric surgeons in an attempt to define these criteria. METHODS: Bariatric Surgeons from around the world were invited to participate in a questionnaire-based survey on SurveyMonkey ®. RESULTS: 396 bariatric surgeons, 337 International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) members, took the survey. Five clinical studies conducted under the strict monitoring of an Institutional Review Board would satisfy most surgeons (67.7 %, n = 266). When asked regarding the number of patients in these studies, a cumulative number of 500 patients would satisfy 64.5 % (n = 255) of the surgeons. Most respondents regarded endorsement by their national society and IFSO as 'very important' or 'extremely important'. An overwhelming 74.4 % (n = 294) felt that every new procedure should undergo a randomized comparison against one of the established alternatives like Roux-en-Y Gastric Bypass or Sleeve Gastrectomy. CONCLUSION: Evaluation of a new bariatric procedure in at least 5 adequately supervised clinical studies (four of which must be randomized comparisons with one of the existing alternatives) reporting at least 5 years results on a minimum of 500 patients would satisfy majority of bariatric surgeons for the inclusion of a new bariatric procedure into clinical practice. The findings of this survey are simply aimed at starting a discussion on this topic and cannot be used to influence the ground reality until an international consensus can be reached amongst experts.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Surg. 2017 Apr;27(4):873-880pt_PT
dc.identifier.doi10.1007/s11695-016-2398-3pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2753
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectCHLC CIRpt_PT
dc.subjectBariatric Surgery/methodspt_PT
dc.subjectBariatric Surgery/utilizationpt_PT
dc.subjectChoice Behaviorpt_PT
dc.subjectGastrectomy/methodspt_PT
dc.subjectGastrectomy/utilizationpt_PT
dc.subjectGastric Bypass/methodspt_PT
dc.subjectGastric Bypass/utilization
dc.subjectGeography
dc.subjectLaparoscopy/methods
dc.subjectLaparoscopy/utilization
dc.subjectObesity/surgery
dc.subjectObesity, Morbid/epidemiology
dc.subjectObesity, Morbid/surgery
dc.subjectPatient Selection
dc.subjectPractice Patterns, Physicians'/statistics & numerical data
dc.subjectSurgeons/statistics & numerical data
dc.subjectSurveys and Questionnaires
dc.subjectTherapies, Investigational/methods
dc.subjectTherapies, Investigational/utilization
dc.titleCriteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeonspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage880pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage873pt_PT
oaire.citation.titleObesity Surgerypt_PT
oaire.citation.volume27pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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