SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

Marco Antonio Zappa; Angelo Iossa; Luca Busetto; Sonja Chiappetta; Francesco Greco; Marcello Lucchese; Fausta Micanti; Geltrude Mingrone; Giuseppe Navarra; Marco Raffaelli; Settimio Fabrizio Altorio; Luigi Angrisani; Claudio Arcudi; Fabrizio Bellini; Paolo Bernante; Rossana Berta; Esmeralda Capristo; Maria Grazia Carbonelli; Giovanni Casella; James Mariolo Casella; Lidia Castagneto Gissey; Maria Rosaria Cerbone; Franco Ciampaglia; Luigi Ciccoritti; Alessandro Contine; Giuseppe Currò; Rosella D’Alessio; Massimiliano De Palma; Daniela Delle Piane; Nino Di Benedetto; Nicola Di Lorenzo; Giovanni Fantola; Rahimi Farnaz; Mirto Foletto; Pietro Forestieri; Lucia Frittitta; Elisa Galfrascoli; Paolo Gentileschi; Cristiano Giardiello; Piero Giustacchini; Maria Paola Giusti; Ilenia Grandone; Caterina Guidone; Amerigo Iaconelli; Erminia Lembo; Silvana Leanza; Erminia Lembo; Giovanni Lezoche; Cesare Lunardi; Gennaro Martines; Bernardo Marzano; Emanuela Paone; Francesco Saverio Papadia; Federico Perrone; Luigi Piazza; Vincenzo Pilone; Pietro Pizzi; Mark Rice; Andrea Rizzi; Ferruccio Santini; Giuliano Sarro; Angelo Schettino; Nicola Tartaglia; Mauro Toppino; Piero Maria Toppino; Antonella Usai; Alessandro Usai; Maurizio De Luca; Marianna De Luca

doi:10.1007/s40519-023-01537-4

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

Marco Antonio Zappa, Angelo Iossa, Luca Busetto, Sonja Chiappetta, Francesco Greco, Marcello Lucchese, Fausta Micanti, Geltrude Mingrone, Giuseppe Navarra, Marco Raffaelli, Settimio Fabrizio Altorio, Luigi Angrisani, Claudio Arcudi, Fabrizio Bellini, Paolo Bernante, Rossana Berta, Esmeralda Capristo, Maria Grazia Carbonelli, Giovanni Casella, James Mariolo CasellaLidia Castagneto Gissey, Maria Rosaria Cerbone, Franco Ciampaglia, Luigi Ciccoritti, Alessandro Contine, Giuseppe Currò, Rosella D’Alessio, Massimiliano De Palma, Daniela Delle Piane, Nino Di Benedetto, Nicola Di Lorenzo, Giovanni Fantola, Rahimi Farnaz, Mirto Foletto, Pietro Forestieri, Lucia Frittitta, Elisa Galfrascoli, Paolo Gentileschi, Cristiano Giardiello, Piero Giustacchini, Maria Paola Giusti, Ilenia Grandone, Caterina Guidone, Amerigo Iaconelli, Erminia Lembo, Silvana Leanza, Erminia Lembo, Giovanni Lezoche, Cesare Lunardi, Gennaro Martines, Bernardo Marzano, Emanuela Paone, Francesco Saverio Papadia, Federico Perrone, Luigi Piazza, Vincenzo Pilone, Pietro Pizzi, Mark Rice, Andrea Rizzi, Ferruccio Santini, Giuliano Sarro, Angelo Schettino, Nicola Tartaglia, Mauro Toppino, Piero Maria Toppino, Antonella Usai, Alessandro Usai, Maurizio De Luca, Marianna De Luca

Risultato della ricerca: Contributo in rivista › Articolo in rivista

Abstract

Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees.

Lingua originale	English
pagine (da-a)	1-5
Numero di pagine	5
Rivista	Eating and Weight Disorders
Volume	28
DOI	https://doi.org/10.1007/s40519-023-01537-4
Stato di pubblicazione	Pubblicato - 2023

Keywords

Insufficient weight loss approach
Italian Delphi consensus
Obesity pre-operative management
Obesity treatment
Weight regain approach

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10.1007/s40519-023-01537-4

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Zappa, M. A., Iossa, A., Busetto, L., Chiappetta, S., Greco, F., Lucchese, M., Micanti, F., Mingrone, G., Navarra, G., Raffaelli, M., Altorio, S. F., Angrisani, L., Arcudi, C., Bellini, F., Bernante, P., Berta, R., Capristo, E., Carbonelli, M. G., Casella, G., ... De Luca, M. (2023). SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach. Eating and Weight Disorders, 28, 1-5. https://doi.org/10.1007/s40519-023-01537-4

@article{e755957ffe1e4ac89d1466fc3a908a6a,

title = "SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach",

abstract = "Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees.",

keywords = "Insufficient weight loss approach, Italian Delphi consensus, Obesity pre-operative management, Obesity treatment, Weight regain approach, Insufficient weight loss approach, Italian Delphi consensus, Obesity pre-operative management, Obesity treatment, Weight regain approach",

author = "Zappa, {Marco Antonio} and Angelo Iossa and Luca Busetto and Sonja Chiappetta and Francesco Greco and Marcello Lucchese and Fausta Micanti and Geltrude Mingrone and Giuseppe Navarra and Marco Raffaelli and Altorio, {Settimio Fabrizio} and Luigi Angrisani and Claudio Arcudi and Fabrizio Bellini and Paolo Bernante and Rossana Berta and Esmeralda Capristo and Carbonelli, {Maria Grazia} and Giovanni Casella and Casella, {James Mariolo} and {Castagneto Gissey}, Lidia and Cerbone, {Maria Rosaria} and Franco Ciampaglia and Luigi Ciccoritti and Alessandro Contine and Giuseppe Curr{\`o} and Rosella D{\textquoteright}Alessio and {De Palma}, Massimiliano and {Delle Piane}, Daniela and {Di Benedetto}, Nino and {Di Lorenzo}, Nicola and Giovanni Fantola and Rahimi Farnaz and Mirto Foletto and Pietro Forestieri and Lucia Frittitta and Elisa Galfrascoli and Paolo Gentileschi and Cristiano Giardiello and Piero Giustacchini and Giusti, {Maria Paola} and Ilenia Grandone and Caterina Guidone and Amerigo Iaconelli and Erminia Lembo and Silvana Leanza and Erminia Lembo and Giovanni Lezoche and Cesare Lunardi and Gennaro Martines and Bernardo Marzano and Emanuela Paone and Papadia, {Francesco Saverio} and Federico Perrone and Luigi Piazza and Vincenzo Pilone and Pietro Pizzi and Mark Rice and Andrea Rizzi and Ferruccio Santini and Giuliano Sarro and Angelo Schettino and Nicola Tartaglia and Mauro Toppino and Toppino, {Piero Maria} and Antonella Usai and Alessandro Usai and {De Luca}, Maurizio and {De Luca}, Marianna",

year = "2023",

doi = "10.1007/s40519-023-01537-4",

language = "English",

volume = "28",

pages = "1--5",

journal = "Eating and Weight Disorders",

issn = "1124-4909",

publisher = "Springer International Publishing AG",

}

Zappa, MA, Iossa, A, Busetto, L, Chiappetta, S, Greco, F, Lucchese, M, Micanti, F, Mingrone, G, Navarra, G, Raffaelli, M, Altorio, SF, Angrisani, L, Arcudi, C, Bellini, F, Bernante, P, Berta, R, Capristo, E, Carbonelli, MG, Casella, G, Casella, JM, Castagneto Gissey, L, Cerbone, MR, Ciampaglia, F, Ciccoritti, L, Contine, A, Currò, G, D’Alessio, R, De Palma, M, Delle Piane, D, Di Benedetto, N, Di Lorenzo, N, Fantola, G, Farnaz, R, Foletto, M, Forestieri, P, Frittitta, L, Galfrascoli, E, Gentileschi, P, Giardiello, C, Giustacchini, P, Giusti, MP, Grandone, I, Guidone, C, Iaconelli, A, Lembo, E, Leanza, S, Lembo, E, Lezoche, G, Lunardi, C, Martines, G, Marzano, B, Paone, E, Papadia, FS, Perrone, F, Piazza, L, Pilone, V, Pizzi, P, Rice, M, Rizzi, A, Santini, F, Sarro, G, Schettino, A, Tartaglia, N, Toppino, M, Toppino, PM, Usai, A, Usai, A, De Luca, M & De Luca, M 2023, 'SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach', Eating and Weight Disorders, vol. 28, pagg. 1-5. https://doi.org/10.1007/s40519-023-01537-4

TY - JOUR

T1 - SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

AU - Zappa, Marco Antonio

AU - Iossa, Angelo

AU - Busetto, Luca

AU - Chiappetta, Sonja

AU - Greco, Francesco

AU - Lucchese, Marcello

AU - Micanti, Fausta

AU - Mingrone, Geltrude

AU - Navarra, Giuseppe

AU - Raffaelli, Marco

AU - Altorio, Settimio Fabrizio

AU - Angrisani, Luigi

AU - Arcudi, Claudio

AU - Bellini, Fabrizio

AU - Bernante, Paolo

AU - Berta, Rossana

AU - Capristo, Esmeralda

AU - Carbonelli, Maria Grazia

AU - Casella, Giovanni

AU - Casella, James Mariolo

AU - Castagneto Gissey, Lidia

AU - Cerbone, Maria Rosaria

AU - Ciampaglia, Franco

AU - Ciccoritti, Luigi

AU - Contine, Alessandro

AU - Currò, Giuseppe

AU - D’Alessio, Rosella

AU - De Palma, Massimiliano

AU - Delle Piane, Daniela

AU - Di Benedetto, Nino

AU - Di Lorenzo, Nicola

AU - Fantola, Giovanni

AU - Farnaz, Rahimi

AU - Foletto, Mirto

AU - Forestieri, Pietro

AU - Frittitta, Lucia

AU - Galfrascoli, Elisa

AU - Gentileschi, Paolo

AU - Giardiello, Cristiano

AU - Giustacchini, Piero

AU - Giusti, Maria Paola

AU - Grandone, Ilenia

AU - Guidone, Caterina

AU - Iaconelli, Amerigo

AU - Lembo, Erminia

AU - Leanza, Silvana

AU - Lembo, Erminia

AU - Lezoche, Giovanni

AU - Lunardi, Cesare

AU - Martines, Gennaro

AU - Marzano, Bernardo

AU - Paone, Emanuela

AU - Papadia, Francesco Saverio

AU - Perrone, Federico

AU - Piazza, Luigi

AU - Pilone, Vincenzo

AU - Pizzi, Pietro

AU - Rice, Mark

AU - Rizzi, Andrea

AU - Santini, Ferruccio

AU - Sarro, Giuliano

AU - Schettino, Angelo

AU - Tartaglia, Nicola

AU - Toppino, Mauro

AU - Toppino, Piero Maria

AU - Usai, Antonella

AU - Usai, Alessandro

AU - De Luca, Maurizio

AU - De Luca, Marianna

PY - 2023

Y1 - 2023

N2 - Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees.

AB - Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees.

KW - Insufficient weight loss approach

KW - Italian Delphi consensus

KW - Obesity pre-operative management

KW - Obesity treatment

KW - Weight regain approach

KW - Insufficient weight loss approach

KW - Italian Delphi consensus

KW - Obesity pre-operative management

KW - Obesity treatment

KW - Weight regain approach

UR - http://hdl.handle.net/10807/227978

U2 - 10.1007/s40519-023-01537-4

DO - 10.1007/s40519-023-01537-4

M3 - Article

SN - 1124-4909

VL - 28

SP - 1

EP - 5

JO - Eating and Weight Disorders

JF - Eating and Weight Disorders

ER -

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

Abstract

Keywords

OSS delle Nazioni Unite

Accesso al documento

Altri file e collegamenti

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