Evidence map›Paper›PMID 37999891›Full record

ArticleObesity surgery2024

IFSO Consensus on Definitions and Clinical Practice Guidelines for Obesity Management-an International Delphi Study.

Paulina Salminen, Lilian Kow, Ali Aminian, Lee M Kaplan, Abdelrahman Nimeri, Gerhard Prager, Estuardo Behrens, Kevin P White, Scott Shikora, IFSO Experts Panel

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 7 pooled it
53.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 7 syntheses or guidelines pooled it, 168 citations in OpenAlex.

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77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 20 institutions in 18 countries.

Paulina SalminenDepartment of Surgery, University of Turku, Turku, Finland. paulina.salminen@tyks.fi.ORCID 0000-0001-6435-9264
Lilian KowDepartment of Surgery, Flinders University, Adelaide, SA, Australia.
Ali AminianDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, Cleveland, OH, USA.
Lee M KaplanSection On Obesity Medicine, Geisel School of Medicine at Darthmouth, Hanover, NH, USA.
Abdelrahman NimeriDivision of General & GI Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.
Gerhard PragerDivision of Visceral Surgery, Vienna Medical University, Vienna, Austria.
Estuardo BehrensNew Life Center, Guatemala City, Guatemala.
Kevin P WhiteScienceRight International Health Research, London, ON, Canada.
Scott ShikoraDivision of General & GI Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.
IFSO Experts Panel
Brigham and Women's Hospital · USAin Shams University · EGCHI Memorial Medical Group · USHartford Hospital · USHospital Alemão Oswaldo Cruz · BRInserm · FRJordan Hospital · JOKing Fahd Medical City · SALurie Children's Hospital · USTel Aviv University · ILUniversidad Complutense de Madrid · ESUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Alberta · CAUniversity of Ulster · GBCleveland Clinic · USDartmouth College · USFlinders University · AUHospital de São João · PTIndo Korea Science and Technology · INKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis survey of international experts in obesity management was conducted to achieve consensus on standardized definitions and to identify areas of consensus and non-consensus in metabolic bariatric surgery (MBS) to assist in an algorithm of clinical practice guidelines for the management of obesity.

methodsA three-round Delphi survey with 136 statements was conducted by 43 experts in obesity management comprising 26 bariatric surgeons, 4 endoscopists, 8 endocrinologists, 2 nutritionists, 2 counsellors, an internist, and a pediatrician spanning six continents over a 2-day meeting in Hamburg, Germany. To reduce bias, voting was unanimous, and the statements were neither favorable nor unfavorable to the issue voted or evenly balanced between favorable and unfavorable. Consensus was defined as ≥ 70% inter-voter agreement.

resultsConsensus was reached on all 15 essential definitional and reporting statements, including initial suboptimal clinical response, baseline weight, recurrent weight gain, conversion, and revision surgery. Consensus was reached on 95/121 statements on the type of surgical procedures favoring Roux-en-Y gastric bypass, sleeve gastrectomy, and endoscopic sleeve gastroplasty. Moderate consensus was reached for sleeve gastrectomy single-anastomosis duodenoileostomy and none on the role of intra-gastric balloons. Consensus was reached for MBS in patients > 65 and < 18 years old, with a BMI > 50 kg/m

conclusionsIn this survey of 43 multi-disciplinary experts, consensus was reached on standardized definitions and reporting standards applicable to the whole medical community. An algorithm for treating patients with obesity was explored utilizing a thoughtful multimodal approach.

Indexed as

Obesity ManagementObesity, MorbidAdolescentAgedBariatric SurgeryConsensusDelphi TechniqueDiabetes Mellitus, Type 2GastrectomyGastric BypassHumansObesityPractice Guidelines as TopicAnti-obesity medicationsBariatric endoscopyBariatric surgeryConsensusDefinitionsDelphi surveyIFSOMedical treatmentMetabolic bariatric surgeryObesity, Severe obesityOutcomes

Identifiers

PMID37999891
PMCPMC10781804
OpenAlexW4388965956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.