Best practice guidelines in pediatric/adolescent weight loss surgery
Best practice guidelines in pediatric/adolescent weight loss surgery
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DOI：
10.1038/oby.2005.37
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发表时间：
2005-02-01
期刊：
影响因子：
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通讯作者：
Tarnoff, M
中科院分区：
文献类型：
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作者：
Apovian, CM;Baker, C;Tarnoff, M
目的：建立循证指南的最佳做法在儿科/青少年减肥surgery（WLS）.Research Methods and Procedures：我们进行了一个系统的搜索英文文献在MEDLINE上WLS进行儿童和青少年。关键词用于缩小选择性综述摘要的范围。提取数据，并根据基于已建立的循证模型的分级系统分配证据类别。确定并审查了1980年至2004年期间发表的8个相关病例系列。这些数据补充了专家意见和文献WLS在adultes.Results：建议集中在病人的安全，减少医疗差错，系统改进，资格认证，和未来的研究。我们制定了循证标准的资格，评估，治疗和后续行动;建议手术的基础上，最好的证据;并建立了最低限度的指导方针要求的数据collection.Discussion：缺乏足够的数据和知识的差距被列为谨慎的重要原因。生理状态，患者及其家属的全面筛查，以及所需的教育和咨询被确定为评估手术资格的关键因素。数据收集和同行审查也被确定为提供最佳做法护理的重要问题。
Objective: To establish evidence-based guidelines for best practices in pediatric/adolescent weight loss surgery (WLS).Research Methods and Procedures: We carried out a systematic search of English-language literature in MEDLINE on WLS performed on children and adolescents. Key words were used to narrow the field for a selective review of abstracts. Data were extracted, and evidence categories were assigned according to a grading system based on established evidence-based models. Eight pertinent case series, published between 1980 and 2004, were identified and reviewed. These data were supplemented with expert opinions and literature on WLS in adults.Results: Recommendations focused on patient safety, reduction of medical errors, systems improvements, credentialing, and future research. We developed evidence-based criteria for eligibility, assessment, treatment, and follow-up; recommended surgical procedures based on the best available evidence; and established minimum guideline requirements for data collection.Discussion: Lack of adequate data and gaps in knowledge were cited as important reasons for caution. Physiological status, comprehensive screening of patients and their families, and required education and counseling were identified as key factors in assessing eligibility for surgery. Data collection and peer review were also identified as important issues in the delivery of best practice care.