69. Klarenbach S, Padwal R, Wiebe N, Hazel M, Birch D, Manns B, et al. <strong>Bariatric</strong> surgery <strong>for</strong> severe<strong>obesity</strong>: systematic review and economic evaluation. Ottawa, ON: Canadian Agency <strong>for</strong> Drugs andTechnologies in <strong>Health</strong> (CADTH), 2010. Report No.: April 2010.70. Shikora SA, Kruger RS, Jr., Blackburn GL, Fallon JA, Harvey AM, Johnson EQ, et al. Bestpractices in policy and access (coding and reimbursement) <strong>for</strong> weight loss surgery. Obesity2009;17(5):918-23.71. Greenberg I, Sogg S, Perna M. Behavioral and psychological care in weight loss surgery: bestpractice update. Obesity 2009;17(5):880-4.72. Jones GL, Sutton A. Quality <strong>of</strong> life in obese postmenopausal women. Menopause International2008;14(1):26-32.73. Norris L. Psychiatric issues in bariatric surgery. Psychiatric Clinics <strong>of</strong> North America2007;30(4):717-38.74. Greenberg I, Perna F, Kaplan M, Sullivan MA. Behavioral and psychological factors in theassessment and treatment <strong>of</strong> <strong>obesity</strong> surgery patients. Obesity Research 2005;13(2):244-9.75. Puhl RM, Heuer CA. The stigma <strong>of</strong> <strong>obesity</strong>: a review and update. Obesity 2009;17(5):941-64.76. Leff DR, Heath D. Surgery <strong>for</strong> <strong>obesity</strong> in <strong>adult</strong>hood. BMJ 2009;339:b3402.77. Ford ES, Mokdad AH. Epidemiology <strong>of</strong> <strong>obesity</strong> in the Western Hemisphere. Journal <strong>of</strong>Clinical Endocrinology & Metabolism 2008;93(11 Suppl 1):S1-S8.78. Henrickson HC, Ashton KR, Windover AK, Heinberg LJ. Psychological considerations <strong>for</strong>bariatric surgery among older <strong>adult</strong>s. Obesity Surgery 2009;19(2):211-6.79. Christou NV, Efthimiou E. <strong>Bariatric</strong> surgery waiting times in Canada. Canadian Journal <strong>of</strong>Surgery 2009;52(3):229-34.80. Obesity – 2008. Available at: www.ama.com.au/node/3033 (accessed 2 March 2010).81. Katzmarzyk PT, Mason C. Prevalence <strong>of</strong> class I, II and III <strong>obesity</strong> in Canada. CMAJ2006;17;174(2):156-7.82. Monkhouse SJ, Morgan JD, Bates SE, Norton SA. An overview <strong>of</strong> the management <strong>of</strong>morbid <strong>obesity</strong>. Postgraduate Medical Journal 2009;85(1010):678-81.83. James AS, Leone L, Katz ML, McNeill LH, Campbell MK. Multiple health behaviors amongoverweight, class I obese, and class II obese persons. Ethnicity & Disease 2008;18(2):157-62.84. Gallagher CS, Gates J. Obesity: changing the face <strong>of</strong> geriatric care. Ostomy Wound Management1940;52(10):36-8.85. Jensen GL. Obesity and functional decline: epidemiology and geriatric consequences. Clinicsin Geriatric Medicine 2005;21(4):677-87.86. Kakoulidis TP, Karringer A, Gloaguen T, Arvidsson D. Initial results with sleevegastrectomy <strong>for</strong> patients with class I <strong>obesity</strong> (BMI 30-35 kg/m2). Surgery <strong>for</strong> Obesity & RelatedDiseases 2009;5(4):425-8.<strong>Bariatric</strong> <strong>treatments</strong> <strong>for</strong> <strong>adult</strong> <strong>obesity</strong> 54
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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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- Page 34 and 35: eport their height and under-report
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- 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
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- Page 50 and 51: directly causes death. 61 To the ex
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- Page 54 and 55: lack of formal training in nutritio
- Page 56 and 57: slightly more likely to have prescr
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- Page 62 and 63: Overview of adult obesityOver the p
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- Page 74 and 75: REFERENCES1. 2006 Canadian clinical
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- Page 80 and 81: 105. Hill JO, Thompson H, Wyatt H.
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- Page 86 and 87: This section will address a set of
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- Page 100 and 101: Description of the Included Systema
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- Page 110 and 111: follow-up time was 3 years. Results
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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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Table T.D.1: Characteristics of the
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Table T.D.2: 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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ResultHealth outcomesCostsMarginal
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ResultHealth outcomesCostsMarginal
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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