Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
Beyond surgery: a multimodal framework for a pediatric metabolic and bariatric surgery program in a safety-net children's hospital.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vidmar Alaina P, Martin Matthew J, Kim Aimee G, Weitzner Madeleine, Muñoz Cynthia E, Abel Stuart A, Wong Harry J, Samakar Kamran
Аннотация
BACKGROUND: Severe pediatric obesity disproportionately affects low-income and publicly insured youth, yet access to metabolic and bariatric surgery (MBS) remains limited despite clear national guidelines.
OBJECTIVES AND SETTING: This manuscript describes the development of a pediatric MBS program within a safety-net children's hospital, using a structured framework grounded in interdisciplinary collaboration, stakeholder engagement, and a commitment to equitable access.
METHODS: Real-world clinical vignettes are used to illustrate common barriers, including delayed care, medical complexity, and systemic inequities, and to demonstrate how an integrated, adaptive approach can address these challenges. Key components of the program include multidisciplinary team development, ethical review pathways, incorporation of antiobesity medication before and after surgery, and advocacy for financial sustainability.
RESULTS: Early results suggest that this model improves access for historically excluded populations and supports safe, effective surgical care for youth with severe obesity.
CONCLUSIONS: This framework may serve as a replicable guide for other institutions (including those with diverse payor mixes) seeking to implement or expand pediatric MBS services in resource-limited or safety-net settings.
OBJECTIVES AND SETTING: This manuscript describes the development of a pediatric MBS program within a safety-net children's hospital, using a structured framework grounded in interdisciplinary collaboration, stakeholder engagement, and a commitment to equitable access.
METHODS: Real-world clinical vignettes are used to illustrate common barriers, including delayed care, medical complexity, and systemic inequities, and to demonstrate how an integrated, adaptive approach can address these challenges. Key components of the program include multidisciplinary team development, ethical review pathways, incorporation of antiobesity medication before and after surgery, and advocacy for financial sustainability.
RESULTS: Early results suggest that this model improves access for historically excluded populations and supports safe, effective surgical care for youth with severe obesity.
CONCLUSIONS: This framework may serve as a replicable guide for other institutions (including those with diverse payor mixes) seeking to implement or expand pediatric MBS services in resource-limited or safety-net settings.