Bariatric treatments for adult obesity - Institute of Health Economics

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Partially reported: The study types, as designated by a level of evidence hierarchy category, arementioned in the concluding section (includes discussion) or statement of the review, but notthe quality of the studies.Not reported: The methodological quality of the included studies is not mentioned in theconcluding section (includes discussion) or statement of the review.Quality subsection 6: Conclusions supported by resultsYes: The conclusions drawn by the authors of the review we re supported by theevidence presented in the results section.Unclear: Some, but not all, of the conclusions drawn by the authors of the reviewwere supported by the evidence presented in the results section.No: The conclusions drawn by the authors of the review were not supported bythe evidence presented in the results section.Conflict of interest and fundingConflict of interestReported: A statement of conflict of interest (if any) is provided.Partially reported: A conflict of interest is mentioned but details are not provided.Not reported: A statement of conflict of interest (if any) is not provided.Sources of fundingReported:Funding sources are mentioned. The review was developed without external funding (for example, authors employed by auniversity or volunteered time to produce a Cochrane Review).Partially reported: External funding is mentioned but details are not provided.Not reported: Funding sources are not mentioned.Optional Quality Rating SystemThe quality of systematic reviews can be assessed according to how well their methods exclude biasand confounding by examining the search strategy used, how the data extraction, quality assessmentof the included studies, and data analysis/synthesis were conducted, and whether the conclusions ofthe review match the results. Thus, the quality of the review can be rated numerically with respect tothe six quality subsections (grey boxes above), as follows.Good—six criteria met, or five criteria met and one criterion ‘unclear.’Average—one criterion not met, or one criterion not met and one criterion ‘unclear,’ or twocriteria ‘unclear.’Poor—at least two criteria not met.Bariatric treatments for adult obesity 118
N.B. For a criterion to have been ‘met,’ it must be scored as ‘yes’ (). For meta-analyses, the twoapplicable quality subsections (5c and 5d) are counted as a single quality criterion. Therefore, to meetthe fifth quality criterion for meta-analyses both 5c and 5d must be scored as ‘yes’ ().Referencesa. Fishbain D, Cutler RB, Rosomoff HL, Rosomoff RS. What is the quality of the implementedmeta-analytic procedures in chronic pain treatment meta-analyses? Clinical Journal of Pain2000;16(1):73-85.b. Aggressive Research Intelligence Facility – University of Birmingham. ARIF Critical AppraisalChecklist. Available from: www.bham.ac.uk/arif/ca.process.htm (accessed 19 February 2002).c. University of Alberta. Evidence Based Medicine Tool Kit. University of Alberta. Available from:www.med.ualberta.ca/ebm/main.htm (accessed 1 November 2000).d. Greenhalgh T. How to read a paper. Papers that summarise other papers (systematic reviews andmeta-analysis). BMJ 1997;315:672-5.Bariatric treatments for adult obesity 119
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Alberta STE ReportBariatric treatme
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Alberta STE ReportBariatric treatme
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EXECUTIVE SUMMARYSocial and System
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Three surgical procedures—adjusta
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Costs of Bariatric Surgery and Pote
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Regulatory status .................
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TABLES AND FIGURESSection One: Soci
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ABBREVIATIONSAll abbreviations that
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LYMmMAMDMUHCNANHLBINHSNICENIHNNHNPH
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Bariatric physician: a licensed Doc
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High-density lipoprotein (HDL): a f
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Very-low-calorie diet (VLCD): a die
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Additional Internet searches were c
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This report addresses obesity in ad
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Many systemic factors have been ide
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Severe obesity is associated with d
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eport their height and under-report
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Also using self-reported data from
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An examination of overall obesity d
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Table S.2 presents the associationa
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• have multiple focal points and
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The main problem in any weight mana
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food, and a negative body image. As
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directly causes death. 61 To the ex
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The addition of a selected pharmaco
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lack of formal training in nutritio
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slightly more likely to have prescr
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selection criteria, have facilities
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Barriers to using appropriate baria
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Overview of adult obesityOver the p
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the need for regular physical activ
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phenylpropanolamine/25. Sibutramine
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Complianceand AdherenceDemand andut
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Aetna Clinical PolicyBulletinswww.a
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Overweight 123,821 172,971 157,623
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REFERENCES1. 2006 Canadian clinical
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34. Gostin LO. Fast and supersized:
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69. Klarenbach S, Padwal R, Wiebe N
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105. Hill JO, Thompson H, Wyatt H.
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141. Ross R, Bradshaw AJ. The futur
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172. Arkinson J, Ji H, Fallah S, Pe
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This section will address a set of
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dietary therapy is to reduce total
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Additional benefits of exercise ove
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Page 100 and 101: Description of the Included Systema
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Page 106 and 107: Table T.7: Effects of behavioural t
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Page 118 and 119: approximately 3 to 5 kilograms. For
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Page 122 and 123: Examining whether use of any of the
Page 124 and 125: Evidence from placebo-controlled cl
Page 126 and 127: colorectal or gastroesophageal or f
Page 128 and 129: Web of ScienceISI Interface License
Page 130 and 131: AMA Clinical PracticeGuidelineswww.
Page 132 and 133: critical appraisal of the included
Page 134 and 135: APPENDIX T.B: EXCLUDED STUDIESTable
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Page 140 and 141: Quality subsection 5a:Study quality
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Page 174 and 175: Maciejewski et al., 2005 65Avenell
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Page 178 and 179: Table T.G.4: Effects of bariatric s
Page 180 and 181: 18. Cerulli J, Lomaestro BM, Malone
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Page 184 and 185: SECTION THREE: ECONOMIC EVALUATIONC
Page 186 and 187: Definition of bariatric surgical pa
Page 188 and 189: etween surgical interventions, the
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Weight management program (WMP) ver
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groups. Compared with standard care
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Results from Analysis of Provincial
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DiscussionThe objectives of the eco
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surgical suites, and so on. The bud
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APPENDIX E.A: LITERATURE SEARCH SUM
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CRD Databases(DARE, HTA & NHS EED)h
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Web of ScienceISI Interface License
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NEOS Librarywww.library.ualberta.ca
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Table E.A.2: Evidence table of revi
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ResultHealth outcomesCostsMarginal
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CostsMarginal analysisThe cost anal
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Time Horizon/discount rateCurrency/
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Objectivestudy perspective: society
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S4Economic burden of obesityMean co
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15. Lacey LA, Wolf A, O'shea D, Ern
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Author Contribution StatementsPaula
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