期刊
OBESITY SURGERY
卷 31, 期 10, 页码 4607-4611出版社
SPRINGER
DOI: 10.1007/s11695-021-05580-x
关键词
Bariatric surgery; Excess weight loss metric; EWL; Total weight loss metric; TWL; Alterable weight loss; AWL; Outcome; Weight loss; DSMBS; Weight regain
类别
The prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based, as the suggested outcome metric of percentage excess weight loss (%EWL) is inaccurate and error-sensitive. The Dutch Society for Metabolic and Bariatric Surgery recommends stopping the use of %EWL and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to promote this evidence-based recommendation.
Prevailing recommendations on reporting weight loss after bariatric and metabolic surgery are not evidence-based. They promote the outcome metric percentage excess weight loss (%EWL), sometimes indicated as percentage excess body mass index loss (%EBMIL). Many studies proved that this popular outcome measure, in contrast to other weight loss metrics, is inaccurate and error-sensitive when comparing weight loss within and between studies. It is inappropriate for assessing poor weight loss response and weight regain as well. The percentage (total) weight loss metric is the best alternative. The Dutch Society for Metabolic and Bariatric Surgery (DSMBS) recommends to stop using the %EWL (or %EBMIL) metric as primary outcome measure in all cases and calls on the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to propagate this evidence-based recommendation.
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