The objective of this evidence brief is to synthesize the literature on the comparative effectiveness of surgical and nonsurgical treatments for obesity and the barriers to obtaining bariatric surgery among super obese adults. The ESP Coordinating Center investigators and representatives of the SOTA committee worked together to identify the population, comparator, outcome, timing, setting, and study design characteristics of interest. The SOTA committee approved the following key questions and eligibility criteria to guide this review:
Key Question 1: What are the patient, provider, or system-level barriers to obtaining bariatric surgery in super obese adults?
Key Question 2: In super obese adults, what is the comparative effectiveness of bariatric surgery versus nonsurgical treatments (eg, dietary changes, lifestyle interventions, medications, usual care)?
Key Question 3: In super obese adults, what is the comparative effectiveness of different bariatric surgery treatments?
Peterson K, Anderson J, Boundy E, et al. Rapid Evidence Review of Bariatric Surgery in Super Obesity (BMI >= 50 kg/m2).
Journal of General Internal Medicine. 2017;32(Suppl 1):56-64. DOI: 10.1007/s11606-016-3950-5.
Gunnar W. Bariatric Surgery Provided by the Veterans Health Administration: Current State and a Look to the Future. Journal of General Internal Medicine April 2017, Volume 32, (Suppl 1): 4-5.
Atkins D. Improving Weight Management among Veterans. Journal of General Internal Medicine April 2017, Volume 32, (Suppl 1): 1-3.