期刊
OBESITY RESEARCH
卷 13, 期 2, 页码 227-233出版社
NORTH AMER ASSOC STUDY OBESITY
DOI: 10.1038/oby.2005.31
关键词
evidence-based; guidelines; gastric bypass; surgery
资金
- NIDDK NIH HHS [P30DK46200] Funding Source: Medline
Objective: To establish evidence-based guidelines for best practices for surgical care in weight loss surgery (WLS). Research Methods and Procedures: We carried out a systematic search of English-language literature on WLS in MEDLINE and the Cochrane Library. Key words were used to narrow the field for a selective review of abstracts. Data extraction was performed, and evidence categories were assigned according to a grading system based on established evidence-based models. Results: We assessed types of WLS, recommended guidelines for appropriateness, developed strategies for medical error reduction, established criteria for credentialing of systems and practitioners, and specified research needed for the future. Discussion: Surgeon training, credentialing, and type of surgery performed were identified as key factors in patient safety. Other important issues in the delivery of best practice care included appropriate patient selection; use of a multidisciplinary treatment team; facility staffing, equipment, and administrative support; and early recognition and proper management of complications.
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