Updated Evidence-based Recommendations for Best Practices in Weight Loss Surgery
Updated Evidence-based Recommendations for Best Practices in Weight Loss Surgery
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DOI：
10.1038/oby.2008.572
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发表时间：
2009-05-01
期刊：
影响因子：
6.9
通讯作者：
Hutter, Matthew M.
中科院分区：
文献类型：
--
作者：
Blackburn, George L.;Hu, Frank B.;Hutter, Matthew M.
EDITORIAL third party coverage, and the management of innovation. The Endoscopic Interventions group (27) reports on an emerging field at the frontier of minimally invasive WLS. With up to 1 in 10 US adults a potential candidate for WLS (28), these findings are of particular relevance. The reach of this Lehman Center report, like that of its predecessor (13), will extend beyond the covers of this journal. It will be submitted to the Agency for Healthcare Research and Quality (AHRQ)(29) for abstracting. It will form the basis for the second International Patient Safety in Weight Loss Surgery, a Harvard Medical School CME program for surgeons, anesthesiologists, internists, and other healthcare professionals. It will be presented to the Public Health Council, the Massachusetts Department of Public Health’s regulatory body (30).The first Lehman Center report set the standard of care for WLS in Massachusetts and beyond, but much has changed since its development in 2004. The body of knowledge contained in the literature has increased substantially in size and quality. The growing need for effective treatment has prompted new or revised WLS procedures (eg, biliopancreatic diversion and sleeve gastrectomy). And numerous efforts are underway to advance investigational approaches, such as interventional endoscopy (27) and implantable gastric stimulation (31). Other changes have been brought about by the actions of professional societies and credentialing bodies. Since 2004, accreditation programs have been launched by the American Society for Metabolic and Bariatric Surgery/Surgical Review Corporation (ASMBS/SRC)(32) and the American College of Surgeons (ACS)(33). These efforts are sanctioned by the Centers for Medicare and Medicaid Services (34), which will only cover WLS carried out in facilities that meet standards of excellence established by these organizations. Such advances notwithstanding, the field of WLS is maturing in fits and starts. As the US population becomes older, and increasingly obese (1), the government is stepping up efforts to standardize data collection and track short-and long-term WLS outcomes (35). At the same time, some health insurance companies have moved to restrict or deny coverage based on incomplete, inaccurate, or biased information (36). We expect these updated recommendations to counter such measures and advance efforts to deliver safe and equitable best practice care. This report from the Expert Panel on WLS has been requested and funded by the Betsy Lehman Center for Patient Safety and Medical
