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DELTO Study: Delphi Consensus on Long-Term Textbook Outcome After Metabolic Bariatric Surgery.

Ellen A M Kuipers1,2, Lindsy van der Laan3,4, Mirjam A Kaijser5

  • 1Ziekenhuis Groep Twente, Almelo, Netherlands.

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|January 18, 2025
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Summary
This summary is machine-generated.

A new Core Outcome Set (COS) was developed for long-term (≥5 years) metabolic bariatric surgery (MBS) outcomes. This standardized approach ensures comprehensive patient assessment and improved MBS care evaluation.

Keywords:
ComplicationsCore Outcome SetDelphi methodLong-term outcomeMetabolic Bariatric SurgeryQuality of lifeRemission of comorbiditiesWeight loss

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Area of Science:

  • Bariatric Surgery Outcomes
  • Core Outcome Sets
  • Health Services Research

Background:

  • Metabolic bariatric surgery (MBS) requires standardized long-term outcome assessment.
  • Existing outcome measures may not capture the full spectrum of post-MBS recovery.
  • A comprehensive Core Outcome Set (COS) is needed for evaluating outcomes ≥5 years after MBS.

Purpose of the Study:

  • To develop a consensus-based Core Outcome Set (COS) for assessing long-term outcomes following metabolic bariatric surgery (MBS).
  • To establish a standardized framework for measuring and benchmarking MBS care effectiveness.

Main Methods:

  • A three-phase Delphi methodology was employed.
  • Literature review and expert input identified initial outcome items.
  • Online Delphi surveys with Dutch MBS healthcare professionals (n=31) achieved 75% consensus over three rounds.
  • Final COS validated at a national conference.

Main Results:

  • A 31-member expert panel participated in the Delphi process.
  • High participant retention across three Delphi rounds (77-90%).
  • The validated COS includes domains on short-term outcome, weight loss, comorbidity remission, quality of life, micronutrient status, lifestyle, psychopathology, long-term complications, and preoperative indication.

Conclusions:

  • The developed COS provides a multidimensional framework for evaluating long-term MBS outcomes.
  • This COS will enhance the measurement and benchmarking of MBS care.
  • Implementation of the COS promotes a more holistic assessment of patient recovery and surgical success.