Bariatric treatments for adult obesity - Institute of Health Economics

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phenylpropanolamine/25. Sibutramine.tw.26. (reductil or meridia or sibutrex).tw.27. Orlistat.tw.28. (xenical or alli or tetrahydrolipstatin).tw.29. diet therapy/ or diet, carbohydrate-restricted/ or diet fads/ or diet,fat-restricted/ or diet, reducing/30. diet.ti.31. Exercise/32. Exercise Therapy/33. exercise.ti.34. Physical Fitness/35. lifestyle.ti.36. life style.ti.37. physical activity.ti.38. walking.ti.39. Behavior Therapy/40. Cognitive Therapy/41. Psychotherapy/42. Psychotherapy, Group/43. Counseling/44. counseling.ti.45. behavio?ral.ti.46. weight management.ti.47. Patient Education as Topic/48. Health Education/49. modification.ti.50. (obes* adj3 intervention*).ti.51. or/14-5052. exp Canada/53. (Canad* or BC or British Columbi* or Ontario or Alberta* orSaskatchewan or Manitoba* or Quebec* or Newfoundland or Yukonor NWT or Nunavut or Prince Edward Island or Nova Scotia* orNew Brunswick or Toronto or Ottawa or Montreal or Halifax orEdmonton or Calgary or Vancouver).tw.54. (Canad* or BC or British Columbi* or Ontario or Alberta* orSaskatchewan or Manitoba* or Quebec* or Newfoundland or Yukonor NWT or Nunavut or Prince Edward Island or Nova Scotia* orNew Brunswick or Toronto or Ottawa or Montreal or Halifax orEdmonton or Calgary or Vancouver).in.55. or/52-5456. (obes* or superobes*).ti.57. 1 or 2 or 56Bariatric treatments for adult obesity 42
EPIGuidelines andmanagementQuality of Life58. *Obesity, Morbid/ep [Epidemiology]59. *"Obesity"/ep [Epidemiology]60. 58 or 5961. (incidence or prevalence or epidemiolog* or burden).ti.62. incidence/ or prevalence/63. demography/ or age distribution/ or sex distribution/64. population groups/ or exp american native continental ancestrygroup/ or exp ethnic groups/65. Minority Groups/66. population surveillance/ or sentinel surveillance/67. epidemiologic methods/68. income/69. poverty/70. social class/71. social conditions/72. exp social environment/73. (sociodemographic* or social demographic*).tw.74. or/61-7375. 57 and 7476. 60 or 7577. limit 76 to yr="2005 - 2010"78. ((child* or adolescent or youth or pediatric or school*) not adult*).ti.79. 77 not 7880. limit 79 to english language81. 80 and 5582. limit 57 to english language83. limit 82 to yr="2005 - 2010"84. limit 83 to "all child (0 to 18 years)"85. limit 84 to "all adult (19 plus years)"86. 83 not (84 not 85)87. limit 86 to animals88. 86 not 8789. management.ti.90. standard of care.ti.91. practice guideline/92. 89 or 90 or 9193. 55 and 88 and 9294. "Quality of Life"/95. Quality-Adjusted Life Years/96. (quality of life or well-being or wellbeing or qol or hrqol or hrql orquality adjusted life year* or QALY or self-rated health).mp.97. 94 or 95 or 96Bariatric treatments for adult obesity 43
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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
Page 16 and 17: ABBREVIATIONSAll abbreviations that
Page 18 and 19: LYMmMAMDMUHCNANHLBINHSNICENIHNNHNPH
Page 20 and 21: Bariatric physician: a licensed Doc
Page 22 and 23: High-density lipoprotein (HDL): a f
Page 24 and 25: Very-low-calorie diet (VLCD): a die
Page 26 and 27: Additional Internet searches were c
Page 28 and 29: This report addresses obesity in ad
Page 30 and 31: Many systemic factors have been ide
Page 32 and 33: Severe obesity is associated with d
Page 34 and 35: eport their height and under-report
Page 36 and 37: Also using self-reported data from
Page 38 and 39: An examination of overall obesity d
Page 40 and 41: Table S.2 presents the associationa
Page 42 and 43: • have multiple focal points and
Page 45 and 46: The main problem in any weight mana
Page 47: food, and a negative body image. As
Page 50 and 51: directly causes death. 61 To the ex
Page 52 and 53: The addition of a selected pharmaco
Page 54 and 55: lack of formal training in nutritio
Page 56 and 57: slightly more likely to have prescr
Page 58 and 59: selection criteria, have facilities
Page 60 and 61: Barriers to using appropriate baria
Page 62 and 63: Overview of adult obesityOver the p
Page 64 and 65: the need for regular physical activ
Page 68 and 69: Complianceand AdherenceDemand andut
Page 70 and 71: Aetna Clinical PolicyBulletinswww.a
Page 72 and 73: Overweight 123,821 172,971 157,623
Page 74 and 75: REFERENCES1. 2006 Canadian clinical
Page 76 and 77: 34. Gostin LO. Fast and supersized:
Page 78 and 79: 69. Klarenbach S, Padwal R, Wiebe N
Page 80 and 81: 105. Hill JO, Thompson H, Wyatt H.
Page 82 and 83: 141. Ross R, Bradshaw AJ. The futur
Page 84 and 85: 172. Arkinson J, Ji H, Fallah S, Pe
Page 86 and 87: This section will address a set of
Page 88 and 89: dietary therapy is to reduce total
Page 90 and 91: Additional benefits of exercise ove
Page 92 and 93: medications that inhibit intestinal
Page 94 and 95: Rimonabant may be considered for pa
Page 96 and 97: Long-term complications are specifi
Page 98 and 99: Devices used for bariatric surgeryH
Page 100 and 101: Description of the Included Systema
Page 102 and 103: AEs for sibutramineAs compared to a
Page 104 and 105: Evidence on Efficacy/EffectivenessW
Page 106 and 107: Table T.7: Effects of behavioural t
Page 108 and 109: SurgeryDescription of the included
Page 110 and 111: follow-up time was 3 years. Results
Page 112 and 113: group as compared to the VBG group.
Page 114 and 115: 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
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APPENDIX T.E: EVIDENCE TABLE ON SAF
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Serious surgical complicationsSurgi
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LSGmMAMDNAnssORQoLRCTRDRRRYGBSBPTGV
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Table T.F.1-2: Weight loss - Behavi
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Table T.F.1-4: Weight loss - Surger
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Table T.F.2: Quality of life (QoL)
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Curioni & Lourenco 2005 58Cholester
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Table T.F.3-3: Risk factors/comorbi
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Table T.F.3-5: Long-term effects of
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Maciejewski et al., 2005 65Avenell
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Table T.G.2: Effects of bariatric s
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Table T.G.4: Effects of bariatric s
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18. Cerulli J, Lomaestro BM, Malone
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50. Health Canada Drug Product Data
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SECTION THREE: ECONOMIC EVALUATIONC
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Definition of bariatric surgical pa
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etween surgical interventions, the
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concluded that adding orlistat to L
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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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