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The First Modified Delphi Consensus Statement for Resuming Bariatric and Metabolic Surgery in the COVID-19 Times
Sjaak Pouwels1, Islam Omar2, Sandeep Aggarwal3
1Department of Intensive Care Medicine, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands.
Obesity Surgery
|August 3, 2020
Summary
Global bariatric surgeons reached consensus on resuming bariatric and metabolic surgery (BMS) during the COVID-19 pandemic. Key recommendations provide a framework for safe service resumption and future research.
Area of Science:
- Surgery
- Public Health
- Infectious Diseases
Background:
- The Coronavirus Disease-2019 (COVID-19) pandemic significantly impacted healthcare services globally.
- Resuming elective procedures like Bariatric and Metabolic Surgery (BMS) required careful planning and expert consensus.
Purpose of the Study:
- To achieve global expert consensus on the safe resumption of Bariatric and Metabolic Surgery (BMS) during the COVID-19 pandemic.
- To develop a framework for multidisciplinary teams managing BMS services.
Main Methods:
- A modified Delphi consensus-building protocol was employed.
- Forty-four internationally recognized bariatric surgeons participated in two consensus rounds.
- Consensus was defined as agreement among ≥70.0% of experts on 111 proposed statements.
Main Results:
- Thirty-eight key recommendations for resuming BMS during the pandemic were established.
- The consensus addressed critical aspects of patient selection, perioperative management, and resource allocation.
Conclusions:
- This global consensus statement offers essential guidance for the safe restart of BMS services.
- The findings can inform clinical practice and direct future research priorities in the context of pandemics.
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