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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Physician knowledge about and perceptions of obesity management
Terry Ann Glauser1, Nancy Roepke1, Boris Stevenin2
1CE Outcomes, LLC, 107 Frankfurt Circle, Birmingham, AL 35211, United States.
Physician knowledge gaps regarding obesity pathophysiology and treatment efficacy persist. Many primary care physicians, endocrinologists, and cardiologists lack understanding of obesity medication and surgical outcomes.
Area of Science:
- Medical Science
- Public Health
Background:
- Obesity affects approximately 35% of US adults, representing a significant public health challenge.
- Understanding physician knowledge and practice patterns is crucial for improving obesity management.
Purpose of the Study:
- To assess the knowledge and practice patterns of primary care physicians (PCPs), endocrinologists (ENDOs), cardiologists (CARDs), and bariatricians (BARIs) concerning obesity management.
Main Methods:
- A case vignette survey was emailed and faxed to 1625 US-based physicians in February 2013.
- Results were analyzed using PASW Statistics 18.
Main Results:
- Respondents (100 PCPs, 100 ENDOs, 70 CARDs, 30 BARIs) generally viewed obesity as a disease but attributed it to lack of self-control.
- Familiarity with obesity guidelines was low, with no consensus on initiating weight-loss medication.
- Physicians often overestimated pharmacotherapy weight loss and underestimated surgical weight loss, except for bariatricians.
Conclusions:
- Physicians demonstrated knowledge gaps in obesity guidelines and pathophysiology.
- There was a general lack of understanding regarding the efficacy, safety, and mechanism of action of obesity medications.
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