Bariatric treatments for adult obesity - Institute of Health Economics

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141. Ross R, Bradshaw AJ. The future of obesity reduction: beyond weight loss. Nature ReviewsEndocrinology 2009;5(6):319-25.142. Summaries for patients. Treating obesity: laparoscopic gastric banding versus a nonsurgicalweight loss program. [Original report in Ann Intern Med. 2006 May 2;144(9):625-33; PMID:16670131]. Annals of Internal Medicine 2006;144(9):I12.143. Colquitt J, Clegg A, Loveman E, Royle P, Sidhu MK. Surgery for morbid obesity. [Review][136 refs] [Update in Cochrane Database Syst Rev. 2009;(2):CD003641; PMID: 19370590][Update of Cochrane Database Syst Rev. 2003;(2):CD003641; PMID: 12804481]. CochraneDatabase of Systematic Reviews 2005;(4):CD003641.144. Thompson E. What to look for when referring to an obesity management program.Lippincott's Case Management 2010;11(5):271-6.145. Strychar I, Lavoie ME, Messier L, Karelis AD, Doucet E, Prud'homme D, et al.Anthropometric, metabolic, psychosocial, and dietary characteristics of overweight/obesepostmenopausal women with a history of weight cycling: a MONET (Montreal Ottawa NewEmerging Team) study. Journal of the American Dietetic Association 2009;109(4):718-24.146. Sidorov JE, Fitzner K. Obesity disease management opportunities and barriers. Obesity2006;14(4):645-9.147. Briscoe JS, Berry JA. Barriers to weight loss counselling. Journal of Nurse Practitioners2009;5(3):161-7.148. Caulfield T. Obesity, legal duties, and the family physician. Canadian Family Physician2003;53(7):1129-30.149. Vallis TM, Currie B, Lawlor D, Ransom T. Healthcare professional bias against the obese:how do we know if we have a problem? Canadian Journal of Diabetes 2007;31(4):365-70.150. Forman-Hoffman V, Little A, Wahls T. Barriers to obesity management: a pilot study ofprimary care clinicians. BMC Family Practice 2006;7:35.151. Ferrante JM, Piasecki AK, Ohman-Strickland PA, Crabtree BF. Family physicians' practicesand attitudes regarding care of extremely obese patients. Obesity 2009;17(9):1710-6.152. Ruelaz AR, Diefenbach P, Simon B, Lanto A, Arterburn D, Shekelle PG. Perceived barriersto weight management in primary care—perspectives of patients and providers. [Erratumappears in J Gen Intern Med. 2007 Aug;22(8):1223] Journal of General Internal Medicine2007;22(4):518-22.153. Ferguson C, Langwith C, Muldoon A, Leonard J. Improving obesity management in adult primarycare. Washington, DC: 2010.154. Flodgren G, Deane K, Dickinson HO, Kirk S, Alberti H, Beyer FR, et al. Interventions tochange the behaviour of health professionals and the organisation of care to promote weightreduction in overweight and obese people. Cochrane Database of Systematic Reviews 2010;(3). Art.No. CD000984. DOI 10.1002/14651858.CD000984.pub2.155. Phelan S, Nallari M, Darroch GE, Wing RR. What do physicians recommend to theiroverweight and obese patients? Journal of the American Board of Family Medicine 2009;22(2):115-22.Bariatric treatments for adult obesity 58
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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
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 66 and 67: phenylpropanolamine/25. Sibutramine
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 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
Page 116 and 117: The investigators pointed out that
Page 118 and 119: approximately 3 to 5 kilograms. For
Page 120 and 121: for studies with a mean age of part
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.
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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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