Kuipers Ellen A M, van der Laan Lindsy, Kaijser Mirjam A, Timmerman Josien G, Veeger Nic, van Beek André P, Emous Marloes, van Det Marc J
Ziekenhuis Groep Twente, Almelo, Netherlands.
University of Twente, Enschede, Netherlands.
Obes Surg. 2025 Feb;35(2):535-543. doi: 10.1007/s11695-024-07587-6. Epub 2025 Jan 18.
This study aimed to create a comprehensive Core Outcome Set (COS) for assessing the long-term outcome (≥ 5 years) after Metabolic Bariatric Surgery (MBS), through the use of the Delphi method.
The study utilized a three-phase approach. In Phase 1, a long list of items was identified through a literature review and expert input, forming the basis for an online Delphi survey. In Phase 2, Dutch healthcare professionals involved in MBS care, defined as having at least 1 year of experience in routine follow-up or managing issues arising during follow-up, rated the importance of these items over three Delphi rounds using a 5-point Likert scale. Participants had the option to suggest additional items. Consensus was defined as 75% agreement among panelists. In Phase 3, the final COS was validated at a national conference.
Thirty-one professionals participated in the first Delphi round. Of these, 28 (90%) completed the second round, and 24 (77%) completed the third round. The final COS, validated by 18 healthcare professionals, included various domains: short-term textbook outcome, weight loss, remission of comorbidities, quality of life, micronutrient deficiencies, lifestyle, psychopathology, long-term complications, and preoperative indication.
The final COS offers a multidimensional approach to evaluate long-term outcomes after MBS. This COS is expected to enhance the measurement and benchmarking of MBS care, providing a more holistic view of patient outcomes.
本研究旨在通过德尔菲法创建一个综合核心结局集（COS），用于评估代谢性减肥手术（MBS）后≥5年的长期结局。
本研究采用三阶段方法。在第1阶段，通过文献综述和专家意见确定了一长串项目，为在线德尔菲调查奠定基础。在第2阶段，参与MBS护理的荷兰医疗保健专业人员（定义为在常规随访或处理随访期间出现的问题方面至少有1年经验）使用5点李克特量表在三轮德尔菲调查中对这些项目的重要性进行评分。参与者可以选择提出其他项目。共识定义为专家小组成员中75%的人达成一致。在第3阶段，最终的COS在一次全国会议上得到验证。
31名专业人员参加了第一轮德尔菲调查。其中，28人（90%）完成了第二轮调查，24人（77%）完成了第三轮调查。由18名医疗保健专业人员验证的最终COS包括多个领域：短期教科书结局、体重减轻、合并症缓解、生活质量、微量营养素缺乏、生活方式、精神病理学、长期并发症和术前指征。
最终的COS提供了一种多维方法来评估MBS后的长期结局。预计该COS将加强MBS护理的测量和基准设定，提供更全面的患者结局视图。
