About: Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery

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About: Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery
Creator	Alberti, George Amiel, Stephanie Arterburn, David Batterham, Rachel Bornstein, Stefan Chamseddine, Ghassan Cohen, Ricardo Cummings, David Dixon, John Eckel, Robert Hopkins, David Le Roux, Carel Mcgowan, Barbara Mechanick, Jeffrey Mingrone, Geltrude Pan, An Patel, Ameet Pattou, François Prato, Stefano Rubino, Francesco Schauer, Philip Vidal, Josep Zimmet, Paul
source	Elsevier; Medline; PMC
abstract	The coronavirus disease 2019 pandemic is wreaking havoc on society, especially health-care systems, including disrupting bariatric and metabolic surgery. The current limitations on accessibility to non-urgent care undermine postoperative monitoring of patients who have undergone such operations. Furthermore, like most elective surgery, new bariatric and metabolic procedures are being postponed worldwide during the pandemic. When the outbreak abates, a backlog of people seeking these operations will exist. Hence, surgical candidates face prolonged delays of beneficial treatment. Because of the progressive nature of obesity and diabetes, delaying surgery increases risks for morbidity and mortality, thus requiring strategies to mitigate harm. The risk of harm, however, varies among patients, depending on the type and severity of their comorbidities. A triaging strategy is therefore needed. The traditional weight-centric patient-selection criteria do not favour cases based on actual clinical needs. In this Personal View, experts from the Diabetes Surgery Summit consensus conference series provide guidance for the management of patients while surgery is delayed and for postoperative surveillance. We also offer a strategy to prioritise bariatric and metabolic surgery candidates on the basis of the diseases that are most likely to be ameliorated postoperatively. Although our system will be particularly germane in the immediate future, it also provides a framework for long-term clinically meaningful prioritisation.
has issue date	2020-05-07(xsd:dateTime)
bibo:doi	10.1016/s2213-8587(20)30157-1
bibo:pmid	32386567
has license	no-cc
sha1sum (hex)	7b6919f0f44c54392145c3458e7f13c31fcc319d
schema:url	https://doi.org/10.1016/s2213-8587%2820%2930157-1
resource representing a document's title	Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery
has PubMed Central identifier	PMC7252156
has PubMed identifier	32386567
schema:publication	Lancet Diabetes Endocrinol
resource representing a document's body	covid:7b6919f0f44c54392145c3458e7f13c31fcc319d#body_text
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