Development of the Italian clinical practice guideline on diagnosing and treating obesity in adults: scope and methodological aspects.
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Barazzoni Rocco, Buscemi Silvio, Busetto Luca, Sbraccia Paolo, Bo Simona, Cereda Emanuele, Chianelli Marco, Chiappetta Sonja, Dalle Grave Riccardo, de Caro Walter, Docimo Giovanni, Galloro Giuseppe, Iannone Primiano, Leonetti Frida, Lisso Fabrizia, Manca Maria Caterina, Medea Gerardo, Merli Manuela, Moretti Anna Maria, Navarra Giuseppe, Pagotto Uberto, Paolini Barbara, Papa Giovanni, Perrotta Nicola, Pession Andrea, Pilone Vincenzo, Provenzano Vincenzo, Rizzo Cecilia Ricciardi, Santomauro Maurizio, Garcia Cristina Segura, Spandonaro Federico, Sukkar Samir, Todisco Patrizia, Tuccinardi Dario, Vania Andrea, Vanzi Valentina, Williams Riccardo, Zani Iris, Ragghianti Benedetta, Silverii Giovanni Antonio, Monami Matteo, panel and Evidence Review Team for the Italian Guidelines on Surgical Treatment of Obesity
Аннотация
Overweight and obesity are substantial, growing public health concerns due to their huge direct and indirect negative impact on health. Obesity-associated complications and comorbid conditions include metabolic, cardiovascular, renal, liver and respiratory diseases, cancers, and functional limitations, leading to higher all-cause and cardiovascular mortality, and incident disability. The development of rigorous guidelines considering and comparing all possible therapeutic strategies is of critical importance, and a relevant tool for improving the quality of care and increasing the appropriateness of therapeutic choices. The Italian National Institute of Health (ISS-Istituto Superiore di Sanità) appointed the Italian Obesity Society (SIO-Società Italiana dell'Obesità) and other key scientific societies with a relevant stakeholder role on the theme issue to design and develop a new Italian guideline for the management of obesity in adult subjects, aimed at assisting healthcare professionals in the consideration of lifestyle, pharmacological, endoscopic, and surgical options for the treatment of overweight and obesity, as well as related conditions. We adopted Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology, strongly endorsed by Istituto Superiore di Sanità to develop trustworthy guidelines to be accepted onto Sistema Nazionale Linee Guida, the reference repository of national clinical practice guidelines for the Servizio Sanitario Nazionale.