代谢手术的障碍以及如何解决这些障碍
Martine Laville1, Maud Robert2, Bérénice Segrestin1
1CarMen Laboratory, INSERM, INRA, INSA Lyon, Université Claude Bernard Lyon 1, 69495 Pierre-Bénite, France; Department of Endocrinology, Diabetes and Nutrition, Hôpital Lyon Sud, Hospices Civils de Lyon, 69495 Pierre-Bénite, France; Fédération Hospitalo-Universitaire DOIT, Centre Intégré de L'Obésité de Lyon, Hospices Civils de Lyon, Pierre Bénite, France.
Metabolism: clinical and experimental
|December 22, 2023
概括
减肥手术对肥胖有显著的益处,包括减肥和改善生活质量. 代谢手术可以有效治疗2型糖尿病,但患者和医生的障碍限制了其采用.
科学领域:
- 内分泌学 在内分泌学.
- 代谢手术 代谢手术
- 肥胖医学 肥胖医学
背景情况:
- 腹部外科手术促进可持续的减肥,增强移动性,改善肥胖患者的生活质量和预期寿命.
- 代谢性手术,一种源自减肥手术疗效的概念,可以实现2型糖尿病缓解或长期血糖控制,补充对微型和宏观血管并发症的医疗治疗.
研究的目的:
- 审查和识别有助于代谢手术合格患者转诊率较低的障碍.
- 提供糖尿病医生,全科医生和患者的见解,以告知基于证据的,以患者为中心的治疗计划.
主要方法:
- 文献综述,重点关注代谢手术转诊障碍.
- 分析关键利益相关者的观点:糖尿病医生,全科医生和患者.
主要成果:
- 尽管证明有好处,但很少有符合条件的患者接受减肥/代谢手术.
- 关键障碍包括强效抗糖尿病药物的可用性,医疗专业知识的缺乏,以及患者对手术并发症的担忧.
结论:
- 解决已识别的障碍对于增加对肥胖和2型糖尿病管理的代谢手术的利用至关重要.
- 通过以患者为导向的方法促进知情决策,可以为符合条件的个人优化医疗计划.
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