相关实验视频
Updated: Jan 28, 2026

05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
957
纳维塔肥胖共识工具:用于临床和患者报告结果评估的多维框架
Gabriel Mercadal-Orfila1,2, Josep Lluch-Taltavull3, Guillem Cuatrecasas4,5,6
1Pharmacy Department, Hospital Mateu Orfila, Mahon, Spain.
Frontiers in endocrinology
|January 26, 2026
概括
纳维塔肥胖共识工具 (NAVETA Obesity Consensus Tool) 在西班牙使用患者报告的结果和临床数据标准化肥胖护理评估. 该框架支持个性化管理和基于价值的医疗保健,以改善患者的治疗结果.
科学领域:
- 肥胖研究和管理.
- 医疗服务研究 医疗服务研究
- 基于价值的医疗保健
背景情况:
- 肥胖是一种复杂的,复发性疾病,严重影响生活质量.
- 患者报告的结果测量 (PROM) 和患者报告的经验测量 (PREM) 在肥胖护理中的系统整合是有限的,特别是在西班牙.
- 现有的护理模式往往无法捕捉肥胖的多维性质及其对患者的影响.
研究的目的:
- 开发NAVETA肥胖共识工具,用于评估肥胖个人的标准化框架.
- 将验证的PROM,PREM和临床指标整合到数字化,基于价值的医疗保健 (VBHC) 模型中.
- 在西班牙医疗保健系统中建立基于共识的多维肥胖评估方法.
主要方法:
- 一个多学科专家小组 (内分泌学,营养学,外科,药学,心理学) 使用了经过修改的Delphi过程.
- 方法包括系统的文献审查,候选措施的专家评分和代反.
- 与国家患者协会合作,评估了可行性,有效性和患者相关性.
主要成果:
- 该NAVETA工具整合了临床/生理变量 (临床,手术,药物,营养行为) 和十个验证的西班牙PROM/PREM.
- 关键的评估维度包括生活质量,心理健康,睡眠,坚持,满意度,歧视,耻辱和患者体验.
- 该框架将患者报告的数据与客观的临床指标相结合,用于全面评估.
结论:
- 纳维塔肥胖共识工具是第一个基于共识,以患者为中心的框架,用于在西班牙肥胖护理中进行标准化结果评估.
- 它为个性化后续,现实世界数据生成和基准测试提供了基础.
- 这一倡议推动了基于准确性和价值的肥胖管理,支持了基于结果的全国登记.
相关概念视频
Drug Dosing: Obese Patients
242
In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
242
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
263
Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
263
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
176
Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
176
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Obesity
1.3K
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
1.3K
Angina III: Clinical Manifestations and Assessment
225
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
225

