Connect with us

Health

New guidelines for bariatric surgery are a ‘critical reset’

 


The new statement calls for two metabolisms and bariatric surgery The society recommends, among other updates, expanding eligibility for bariatric surgery to include individuals with a body mass index (BMI) below current thresholds.

The statement recommends a BMI ≥ 35 kg/m as the threshold for metabolic and bariatric surgery.2regardless of complications.

In contrast, health care providers, hospitals and insurance companies now use a BMI threshold of 40 kg/m or higher.2or ≥ 35 kg/m2 Obesity-related comorbidities (such as high blood pressure Define patients eligible for metabolic and bariatric surgery based on criteria established in 1991 consensus statement by the US National Institutes of Health (NIH).

Today, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation of Surgeons issued a joint statement. obesity and Metabolic Disorders (IFSO) is updating its indications for surgery to reflect advances in this field over the past 30 years.

“In light of the significant advances in understanding the disease of obesity, its management in general, and metabolic and bariatric surgery in particular, the leaders of ASMBS and IFSO, representing 72 national societies, have convened to produce the following joint statement: “The currently available scientific information on metabolic and bariatric surgery and its indications has been studied,” the authors of the document wrote.

The statement was made today at the International Obesity Congress (ICO) 2022 in Melbourne, Australia. publish online in the journal Surgery for obesity and related disorders When bariatric surgery.

Long time no see, It’s time to remove barriers

According to ASMBS and IFSO presidents, this reset of thresholds for eligibility for metabolic and bariatric surgery has been long overdue.

“The 1991 NIH Consensus Statement on Bariatric Surgery served a worthy purpose for some time, but after over 30 years of hundreds of high-quality studies, including randomized clinical trials, it no longer serves a purpose. It does not reflect best practice and lacks relevance for today’s modern procedures and patient numbers,” said Teresa LaMasters, MD, president of ASMBS, in a press release.

“It’s time to change mindsets and practices for patients. It’s long overdue,” she noted.

“The ASMBS/IFSO guidelines provide an important reset when it comes to treating obesity,” added Scott Sikora, M.D., IFSO President.

“Insurers, policy makers, health care providers, and patients must take great care to remove the barriers and outdated mindsets that prevent access to one of the safest, most effective, and most researched surgeries in health care. You have to work to remove it.

The authors of the document stated that when the 1991 consensus statement was issued, the primary bariatric procedures were the no longer performed vertical band gastroplasty and Roux-en-Y gastric bypass (RYGB). I’m explaining. 90% of global operations.

Over the past three decades, based on clinical experience and research studies, our understanding of obesity and metabolic and bariatric surgery has improved significantly, and long-term studies have consistently demonstrated superior weight loss with surgery compared with non-surgical treatments. has been proven.

Major new recommendations

Below are some of the major new recommendations.

BMI≧35kg/m2: Given the existence of high-quality scientific data on the safety, efficacy and cost-effectiveness of metabolic and bariatric surgery to improve survival and quality of life in patients with BMI ≥ 35 kg/m,2Surgery should be strongly recommended in these patients regardless of the presence or absence of overt obesity-related complications.

BMI 30-34.9kg/m2: Metabolic and bariatric surgery should be considered for individuals with metabolic disease and a BMI between 30 and 34.9 kg/m.2 Those who do not achieve substantial or permanent weight loss or improvement of comorbidities using non-surgical methods.

BMI≧30kg/m2 When type 2 diabetes: Metabolic and bariatric surgery is recommended for these patients.

Lower BMI thresholds in Asians: The prevalence of diabetes and cardiovascular disease is higher in Asians with lower BMI than in non-Asians. In Asians, BMI ≥ 25 kg/m2 Patients with BMI ≥ 27.5 kg/m suggestive of clinical obesity2 Metabolic and bariatric surgery should be provided.

Properly Selected Children and Youth: Children and adolescents with a BMI >120% of the 95th percentile and major comorbidities or a BMI >140% of the 95th percentile should be considered for metabolic and bariatric surgery after evaluation by a multidisciplinary team at a specialty center. I have.

Bridge to other treatments: Metabolic and bariatric surgery is an effective treatment for clinically severe obesity in patients requiring other surgeries such as hip or knee replacement surgery. Abdominal hernia Repair, or organ transplantation.

senior citizen: There is no upper age limit for metabolic and bariatric surgery. However, elderly patients should be evaluated with caution. Frailty is associated not only with age but independently with a higher incidence of postoperative complications.

ICO 2022. Announced on October 21, 2022.

Surg Obes Relat DisPublished October 21, 2022. full text

Follow us for diabetes and endocrinology news twitter When Facebook.

Sources

1/ https://Google.com/

2/ https://www.medscape.com/viewarticle/982827

The mention sources can contact us to remove/changing this article

What Are The Main Benefits Of Comparing Car Insurance Quotes Online

LOS ANGELES, CA / ACCESSWIRE / June 24, 2020, / Compare-autoinsurance.Org has launched a new blog post that presents the main benefits of comparing multiple car insurance quotes. For more info and free online quotes, please visit https://compare-autoinsurance.Org/the-advantages-of-comparing-prices-with-car-insurance-quotes-online/ The modern society has numerous technological advantages. One important advantage is the speed at which information is sent and received. With the help of the internet, the shopping habits of many persons have drastically changed. The car insurance industry hasn't remained untouched by these changes. On the internet, drivers can compare insurance prices and find out which sellers have the best offers. View photos The advantages of comparing online car insurance quotes are the following: Online quotes can be obtained from anywhere and at any time. Unlike physical insurance agencies, websites don't have a specific schedule and they are available at any time. Drivers that have busy working schedules, can compare quotes from anywhere and at any time, even at midnight. Multiple choices. Almost all insurance providers, no matter if they are well-known brands or just local insurers, have an online presence. Online quotes will allow policyholders the chance to discover multiple insurance companies and check their prices. Drivers are no longer required to get quotes from just a few known insurance companies. Also, local and regional insurers can provide lower insurance rates for the same services. Accurate insurance estimates. Online quotes can only be accurate if the customers provide accurate and real info about their car models and driving history. Lying about past driving incidents can make the price estimates to be lower, but when dealing with an insurance company lying to them is useless. Usually, insurance companies will do research about a potential customer before granting him coverage. Online quotes can be sorted easily. Although drivers are recommended to not choose a policy just based on its price, drivers can easily sort quotes by insurance price. Using brokerage websites will allow drivers to get quotes from multiple insurers, thus making the comparison faster and easier. For additional info, money-saving tips, and free car insurance quotes, visit https://compare-autoinsurance.Org/ Compare-autoinsurance.Org is an online provider of life, home, health, and auto insurance quotes. This website is unique because it does not simply stick to one kind of insurance provider, but brings the clients the best deals from many different online insurance carriers. In this way, clients have access to offers from multiple carriers all in one place: this website. On this site, customers have access to quotes for insurance plans from various agencies, such as local or nationwide agencies, brand names insurance companies, etc. "Online quotes can easily help drivers obtain better car insurance deals. All they have to do is to complete an online form with accurate and real info, then compare prices", said Russell Rabichev, Marketing Director of Internet Marketing Company. CONTACT: Company Name: Internet Marketing CompanyPerson for contact Name: Gurgu CPhone Number: (818) 359-3898Email: [email protected]: https://compare-autoinsurance.Org/ SOURCE: Compare-autoinsurance.Org View source version on accesswire.Com:https://www.Accesswire.Com/595055/What-Are-The-Main-Benefits-Of-Comparing-Car-Insurance-Quotes-Online View photos

ExBUlletin

to request, modification Contact us at Here or [email protected]