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关于为代谢和减肥手术做好患者准备的国际德尔菲共识
Danielle R Clyde1,2, Reza Adib3, Sarfaraz Baig4
1Royal Infirmary of Edinburgh, Edinburgh, UK.
Clinical obesity
|December 14, 2024
概括
全球专家就代谢和腹部外科手术 (MBS) 术后管理的关键方面达成共识. 这项研究为标准化实践和改善全球肥胖治疗患者护理提供了建议.
科学领域:
- 肥胖医学 肥胖医学
- 外科胃肠道外科手术
- 公共卫生 公共卫生
背景情况:
- 全球肥胖率正在上升,代谢和减肥手术 (MBS) 成为严重肥胖管理的关键.
- 目前对MBS的国际资格标准的变化会影响患者护理和医疗资源分配.
- 最近的指导方针旨在标准化MBS的指示,但临床变异性仍然存在,需要专家的共识.
研究的目的:
- 建立全球专家对代谢和腹部外科手术 (MBS) 术后管理的共识.
- 确定有关MBS患者选择和护理协议的专家之间的共识和分歧领域.
- 为全球MBS制定标准化,基于证据的指导方针提供信息.
主要方法:
- 一个经过修改的Delphi研究,涉及来自各种减肥学会的45名国际MBS专家.
- 采用了两轮的德尔菲协议,收集和完善169个陈述的专家意见.
- 对于与多学科团队组成,患者选择,手术前检测和转诊途径相关的陈述,定义和测量了共识.
主要成果:
- 在评估的陈述中,达成共识的比例为53.3% (90分之169).
- 协议的关键领域包括多学科团队的组成,特定的患者选择标准,必要的手术前测试和优化的转诊途径.
- 该研究强调了全面的手术前评估和医疗保健专业人员对MBS的综合参与的不可或缺的作用.
结论:
- 专家们就代谢和腹部外科手术中术后管理的重要方面达成共识.
- 这些发现强调需要标准化,全面的手术前评估和多学科团队集成.
- 这项研究为开发统一的协议提供了关键的见解,以优化结果并指导全球MBS的未来研究.
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