Bariatric treatments for adult obesity - Institute of Health Economics

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APPENDIX E.A: LITERATURE SEARCH SUMMARY: BARIATRICSERVICES – EFFECTIVENESSThe IHE Research Librarian conducted the literature search for publications published between2000 and April 8, 2010. The search was further limited to human studies and publications oneconomic studies. Explain any other limits. The search was developed and carried out prior to thestudy selection process. In addition to the strategy outlined below, reference lists of retrieved articleswere reviewed for potential studies.Table E.A.1: Search strategyDatabaseThe Cochrane Database ofSystematic Reviewswww.thecochranelibrary.comMEDLINE (includes in-processand non-MEDLINE citations)OVID Licensed ResourceEdition ordatesearched Search Terms ††2000 – 2010Issue 32000 –April 8, 2010#1 (obes* OR superobes*):ti,ab,kw, from 2000 to 2010#2 (diet OR lifestyle OR "life style" OR exercise OR walkingOR behavioural OR behavioral OR cognitive OR psychologicalOR modification):ti#3 "weight loss" OR "weight reduction" OR "weightmanagement" OR "physical activity":ti,ab,kw#4 (sibutramine OR orlistat OR "appetite suppressants" OR"antiobesity agents" OR counseling OR "cognitive therapy" OR"behavioral therapy" OR psychotherapy OR counseling OR"patient education"):ti,ab,kw#5 (surger* or "gastric band" or "gastric bypass" or "lap band"or lagb):ti#6 (#1 AND ( #2 OR #3 OR #4 OR #5 ))#7 (child not adult):ti#8 (#6 AND NOT #7)#9 (cost* OR economic* OR expenditures OR fiscal ORpharmacoeconomic):ti,ab,kw#10 (#9 AND #8)8 Results1. exp obesity/2. (superobes* or obes* or bariatric* or weight).ti.3. 1 or 24. (unplanned weight or unintended weight or involuntaryweight or antipsychotic or schizophreni* or bipolar orParkinson* or Alzheimer* or smoking or dementia or bulimi* oranorexi* or urinary incontinence or ui or pelvic floor or asthmaor adhd or attention-deficit or apnea or cancer or colorectal orgastroesophageal or fatty liver of osteoarthritis or arthritis orurologic* or mood disorders or birth weight or diarrhea orkidney or gallstone*).m_titl.5. 3 not 46. exp Bariatrics/7. surger*.ti.8. gastric bypass.ti.9. roux en y.ti.Bariatric treatments for adult obesity 178
10. biliopancreatic diversion*.ti.11. gastric band*.ti.12. lap band*.ti.13. lagb.ti.14. anastomosis, roux-en-y/ or biliopancreatic diversion/ orgastrectomy/15. gastrectom*.ti.16. intragastric balloon*.ti.17. Weight Loss/18. Anti-Obesity Agents/19. Appetite Depressants/20. diethylpropion/ or phenmetrazine/ or phentermine/ orphenylpropanolamine/21. Sibutramine.tw.22. (reductil or meridia or sibutrex).tw.23. Orlistat.tw.24. (xenical or alli or tetrahydrolipstatin).tw.25. diet therapy/ or diet, carbohydrate-restricted/ or diet fads/or diet, fat-restricted/ or diet, reducing/26. diet.ti.27. Exercise/28. Exercise Therapy/29. exercise.ti.30. Physical Fitness/31. lifestyle.ti.32. life style.ti.33. physical activity.ti.34. walking.ti.35. Behavior Therapy/36. Cognitive Therapy/37. Psychotherapy/38. Psychotherapy, Group/39. Counseling/40. counseling.ti.41. behavio?ral.ti.42. weight management.ti.43. psychological.ti.44. Patient Education as Topic/45. Health Education/46. modification.ti.47. or/6-4648. limit 47 to "all child (0 to 18 years)"49. limit 48 to "all adult (19 plus years)"50. 47 not (48 not 49)51. limit 50 to animals52. 50 not 51Bariatric treatments for adult obesity 179
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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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medications that inhibit intestinal
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Rimonabant may be considered for pa
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Long-term complications are specifi
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Devices used for bariatric surgeryH
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Description of the Included Systema
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AEs for sibutramineAs compared to a
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Evidence on Efficacy/EffectivenessW
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Table T.7: Effects of behavioural t
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SurgeryDescription of the included
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follow-up time was 3 years. Results
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group as compared to the VBG group.
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The authors identified many methodo
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The investigators pointed out that
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approximately 3 to 5 kilograms. For
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for studies with a mean age of part
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Examining whether use of any of the
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Evidence from placebo-controlled cl
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colorectal or gastroesophageal or f
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Web of ScienceISI Interface License
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AMA Clinical PracticeGuidelineswww.
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critical appraisal of the included
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APPENDIX T.B: EXCLUDED STUDIESTable
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Padwal R, Li SK, Lau DC. Long-term
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Quality subsection 1: At least MEDL
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Quality subsection 5a:Study quality
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Partially reported: The study types
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Table T.C.1: Results of quality ass
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Table T.C.1: Results of quality ass
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APPENDIX T.D: CHARACTERISTICS OF SY
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Table T.D.1: Characteristics of the
Page 152 and 153: Table T.D.1: Characteristics of the
Page 154 and 155: Table T.D.2: Characteristics of the
Page 156 and 157: APPENDIX T.E: EVIDENCE TABLE ON SAF
Page 158 and 159: Serious surgical complicationsSurgi
Page 160 and 161: LSGmMAMDNAnssORQoLRCTRDRRRYGBSBPTGV
Page 162 and 163: Table T.F.1-2: Weight loss - Behavi
Page 164 and 165: Table T.F.1-4: Weight loss - Surger
Page 166 and 167: Table T.F.2: Quality of life (QoL)
Page 168 and 169: Curioni & Lourenco 2005 58Cholester
Page 170 and 171: Table T.F.3-3: Risk factors/comorbi
Page 172 and 173: Table T.F.3-5: Long-term effects of
Page 174 and 175: Maciejewski et al., 2005 65Avenell
Page 176 and 177: Table T.G.2: Effects of bariatric s
Page 178 and 179: Table T.G.4: Effects of bariatric s
Page 180 and 181: 18. Cerulli J, Lomaestro BM, Malone
Page 182 and 183: 50. Health Canada Drug Product Data
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
Page 190 and 191: concluded that adding orlistat to L
Page 192 and 193: Weight management program (WMP) ver
Page 194 and 195: groups. Compared with standard care
Page 196 and 197: Results from Analysis of Provincial
Page 198 and 199: DiscussionThe objectives of the eco
Page 200 and 201: surgical suites, and so on. The bud
Page 204 and 205: CRD Databases(DARE, HTA & NHS EED)h
Page 206 and 207: Web of ScienceISI Interface License
Page 208 and 209: NEOS Librarywww.library.ualberta.ca
Page 210 and 211: Table E.A.2: Evidence table of revi
Page 212 and 213: ResultHealth outcomesCostsMarginal
Page 214 and 215: CostsMarginal analysisThe cost anal
Page 216 and 217: Time Horizon/discount rateCurrency/
Page 218 and 219: Objectivestudy perspective: society
Page 224 and 225: S4Economic burden of obesityMean co
Page 226 and 227: 15. Lacey LA, Wolf A, O'shea D, Ern
Page 228 and 229: Author Contribution StatementsPaula
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