Referral sources to a weight management program - Relation to outcome
Referral sources to a weight management program - Relation to outcome
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DOI：
10.1046/j.1525-1497.2002.11028.x
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发表时间：
2002-08-01
影响因子：
5.7
通讯作者：
O'Neil, PM
中科院分区：
文献类型：
--
作者：
Binks, M;O'Neil, PM
目的：比较医生推荐体重管理患者与自我推荐患者的特点和结果。回顾2年期间所有参与体重控制项目的个体的临床记录，并在连续的治疗阶段进行随访（即，入组、完成和结果）。单位：医学院体重管理中心。参与者：一个连续的样本（N = 1392）超重和肥胖的来电者被分类为医生发起（N = 345），媒体（N = 653），或个人（N = 394）转介。最初咨询的参与者（n = 571）年龄为41.7 +/- 12.8岁，体重为113.9 +/- 36.1 kg，体重指数（BMI）为40.3 +/- 11.3 kg/m(2)（数据以平均标准差表示）。干预措施：低热量饮食和极低热量饮食计划。主要结局指标：性别比较、初次咨询的出席率、体重指数、动机、合并症。入学率和完成率，以及体重减轻。结果：与其他转诊来源的来电者相比，医生转诊包括更多的少数男性（25.2%），并且更有可能参加首次会诊(63.5%
OBJECTIVE: To examine the characteristics and outcomes of physician-referred weight management patients relative to self-referred patients.DESIGN. Review of clinic records of all individuals contacting a weight control program during a 2-year period with follow-up throughout consecutive levels of treatment (i.e., enrollment, completion, and outcome).SETTING: Medical school weight management center.PARTICIPANTS: A consecutive sample (N = 1,392) of overweight and obese callers was categorized as physician-initiated (n = 345), media (n = 653), or personal (n = 394) referrals. Attendees at initial consultation (n = 571) were age 41.7 +/- 12.8 years, weight 113.9 +/- 36.1 kilograms, and body mass index (BMI) 40.3 +/- 11.3 kg/m(2) (data expressed as mean standard deviation).INTERVENTIONS: Low-calorie-diet and very-low-calorie-diet programs.MAIN OUTCOME MEASURES: Gender comparisons, attendance at Initial consultation, body mass index, motivation, comorbidities. enrollment and completion rates, and weight loss.RESULTS: Compared to callers from other referral sources, physician referrals Included a larger minority of males (25.2%) and were more likely to attend an initial consultation (63.5%; P