학술논문
Development of the Italian Clinical Practice Guidelines on Bariatric and Metabolic Surgery: Design and Methodological Aspects
Document Type
article
Author
Maurizio De Luca; Marco Antonio Zappa; Monica Zese; Ugo Bardi; Maria Grazia Carbonelli; Francesco Maria Carrano; Giovanni Casella; Marco Chianelli; Sonja Chiappetta; Angelo Iossa; Alessandro Martinino; Fausta Micanti; Giuseppe Navarra; Giacomo Piatto; Marco Raffaelli; Eugenia Romano; Simone Rugolotto; Roberto Serra; Emanuele Soricelli; Antonio Vitiello; Luigi Schiavo; Iris Caterina Maria Zani; Giulia Bandini; Edoardo Mannucci; Benedetta Ragghianti; Matteo Monami
Source
Nutrients, Vol 15, Iss 1, p 189 (2022)
Subject
Language
English
ISSN
2072-6643
Abstract
Development of the Italian clinical practice guidelines on bariatric and metabolic surgery, as well as design and methodological aspects. Background: Obesity and its complications are a growing problem in many countries. Italian Society of Bariatric and Metabolic Surgery for Obesity (Società Italiana di Chirurgia dell’Obesità e delle Malattie Metaboliche—SICOB) developed the first Italian guidelines for the treatment of obesity. Methods: The creation of SICOB Guidelines is based on an extended work made by a panel of 24 members and a coordinator. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide the aims, reference population, and target health professionals. Clinical questions have been created using the PICO (Patient, Intervention, Comparison, Outcome) conceptual framework. The definition of questions used the two-step web-based Delphi method, made by repeated rounds of questionnaires and a consensus opinion from the panel. Results: The panel proposed 37 questions. A consensus was immediately reached for 33 (89.2%), with 31 approved, two rejected and three which did not reach an immediate consensus. The further discussion allowed a consensus with one approved and two rejected. Conclusions: The areas covered by the clinical questions included indications of metabolic/bariatric surgery, types of surgery, and surgical management. The choice of a surgical or a non-surgical approach has been debated for the determination of the therapeutic strategy and the correct indications.