Guidelines for the follow-up of patients undergoing bariatric surgery
Guidelines for the follow-up of patients undergoing bariatric surgery
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DOI：
10.1111/cob.12145
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发表时间：
2016-06-01
期刊：
影响因子：
3.3
通讯作者：
Barth, Julian H.
中科院分区：
文献类型：
--
作者：
O'Kane, Mary;Parretti, Helen M.;Barth, Julian H.
减肥手术可以促进体重减轻和改善医疗合并症。它对营养有深远的影响，患者需要获得随访和善后护理。NICE CG189肥胖强调了在减肥手术服务中至少2年随访的重要性，并建议在手术服务出院后，应进行年度监测，作为慢性病管理共享护理模式的一部分。NHS英格兰肥胖临床参考小组委托了一个包括患者代表在内的多专业小组来制定减肥手术后续指南。职权范围和范围已达成一致。小组成员根据他们的专业领域和经验负责指导方针的不同部分。对证据的质量和强度进行了评定。考虑到全国各地获得减肥手术服务和专家团队的差异，提出了四种不同的共享护理模式。共同的特点包括年度审查，全科医生能够转回专家中心，向国家数据库提交后续数据给NBSR。临床委托小组需要确保实施共享护理模式，因为患者安全和长期随访非常重要。
Bariatric surgery can facilitate weight loss and improvement in medical comorbidities. It has a profound impact on nutrition, and patients need access to follow-up and aftercare. NICE CG189 Obesity emphasized the importance of a minimum of 2 years follow-up in the bariatric surgical service and recommended that following discharge from the surgical service, there should be annual monitoring as part of a shared care model of chronic disease management. NHS England Obesity Clinical Reference Group commissioned a multi-professional subgroup, which included patient representatives, to develop bariatric surgery follow-up guidelines. Terms of reference and scope were agreed upon. The group members took responsibility for different sections of the guidelines depending on their areas of expertise and experience. The quality of the evidence was rated and strength graded. Four different shared care models were proposed, taking into account the variation in access to bariatric surgical services and specialist teams across the country. The common features include annual review, ability for a GP to refer back to specialist centre, submission of follow-up data to the national data base to NBSR. Clinical commissioning groups need to ensure that a shared care model is implemented as patient safety and long-term follow-up are important.