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Published in: Obesity Surgery 6/2018

01-06-2018 | Original Contributions

General Practitioners and Bariatric Surgery in France: Are They Ready to Face the Challenge?

Authors: Francesco Martini, Andrea Lazzati, Sylvie Fritsch, Arnaud Liagre, Antonio Iannelli, Luca Paolino

Published in: Obesity Surgery | Issue 6/2018

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Abstract

Purpose

The epidemic of obesity has determined an important rise in popularity for bariatric surgery (BS) in France. The role of general practitioners (GPs) in the decision-making process of candidates to BS as well as in their life-long follow-up after surgery is therefore destined to grow up. The aim of this survey was to provide a picture of the actual knowledge of GPs about BS.

Methods

The link to an e-questionnaire composed of 20 multiple choice questions was sent to all the 101 Departmental Councils of the French Medical Board, accompanied by a letter explaining the objectives of the study. Councils were asked to distribute the e-questionnaire to GPs in their department.

Results

A total of 2224 GPs were solicited by e-mail in six departments and 288 surveys were completed, representing a 12.9% response rate. A proportion as high as 97.2% of GPs reported taking care of at least one patient operated on for BS and 88.5% declared having referred at least one patient for BS. Nevertheless, a considerable proportion of GPs declared not to have sufficient knowledge to manage BS patients. Moreover, 86.1% wished to receive more education and 83.7% declared to be available for participating in follow-up.

Conclusion

Academic institutions, scientific societies, and all physicians involved in obesity care should actively participate in the correction of the educational gap of GPs in order to obtain an effective help in the complex challenge of facing the obesity epidemic.
Literature
1.
go back to reference Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1–253. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1–253.
2.
go back to reference ObEPI 2012: Enquête épidémiologique nationale sur le surpoids. ROCHE IKH ed. 2012. ObEPI 2012: Enquête épidémiologique nationale sur le surpoids. ROCHE IKH ed. 2012.
4.
go back to reference Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014:CD003641. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014:CD003641.
6.
go back to reference Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13:1–190. 215-357, iii-ivCrossRefPubMed Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13:1–190. 215-357, iii-ivCrossRefPubMed
7.
go back to reference NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115:956–61.CrossRef NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115:956–61.CrossRef
12.
go back to reference Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, Navaneethan SD, Singh RP, Pothier CE, Nissen SE, Kashyap SR, STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes—5-year outcomes. N Engl J Med 2017;376:641–651, 7, DOI: https://doi.org/10.1056/NEJMoa1600869. Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, Navaneethan SD, Singh RP, Pothier CE, Nissen SE, Kashyap SR, STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes—5-year outcomes. N Engl J Med 2017;376:641–651, 7, DOI: https://​doi.​org/​10.​1056/​NEJMoa1600869.
23.
go back to reference Thuan JF, Avignon A. Obesity management: attitudes and practices of French general practitioners in a region of France. Int J Obes. 2005;29:1100–6.CrossRef Thuan JF, Avignon A. Obesity management: attitudes and practices of French general practitioners in a region of France. Int J Obes. 2005;29:1100–6.CrossRef
Metadata
Title
General Practitioners and Bariatric Surgery in France: Are They Ready to Face the Challenge?
Authors
Francesco Martini
Andrea Lazzati
Sylvie Fritsch
Arnaud Liagre
Antonio Iannelli
Luca Paolino
Publication date
01-06-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-3090-y

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