Eid George M, Schultz Melissa, Zubair Fahad
Department of Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Bariatric and Metabolic Institute, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Obes Surg. 2025 May;35(5):1983-1986. doi: 10.1007/s11695-025-07813-9. Epub 2025 Mar 29.
Multidisciplinary treatment approaches are common for chronic diseases like cardiovascular disease, but obesity treatment remains largely siloed. Increasing efficiency in obesity treatment is crucial to improving financial and clinical outcomes. The Allegheny Health Network established a metabolic center consisting of bariatric surgeons, specialists in bariatric medicine, and endocrinologists specializing in diabetes care, who together developed an obesity treatment algorithm to address this need and to improve clinical outcomes through research, continuing education, and primary care outreach. This correspondence provides insights into the development and implementation of the metabolic center and presents the algorithm used to select a patient's obesity treatment based on their individual phenotype, characteristics, and contraindications. The Alleghany Health Network may be used as a model for the necessary development of similar comprehensive, multidisciplinary obesity specialty centers.
多学科治疗方法在心血管疾病等慢性疾病中很常见，但肥胖症治疗在很大程度上仍各自为政。提高肥胖症治疗效率对于改善财务和临床结果至关重要。阿勒格尼健康网络建立了一个代谢中心，该中心由减肥外科医生、减肥医学专家和专门从事糖尿病护理的内分泌学家组成，他们共同制定了一种肥胖症治疗算法，以满足这一需求，并通过研究、继续教育和初级保健推广来改善临床结果。本信函深入探讨了代谢中心的发展和实施情况，并介绍了根据患者个体表型、特征和禁忌症选择肥胖症治疗方法的算法。阿勒格尼健康网络可作为必要的类似综合性、多学科肥胖症专科中心发展的典范。
