Multidisciplinary Management Guidelines for Metabolic and Bariatric Surgery

Title: Multidisciplinary Management Guidelines for Metabolic and Bariatric Surgery
Edition: Original
Classification: Standard guideline
Field: Comprehensive guideline
Countries and regions: China
Guidelines users: Multidisciplinary doctors who carry out metabolic and bariatric surgery include specialists from general surgery, endocrinology,gastroenterology,nutrition,sports rehabilitation,and other relevant fields.
Evidence classification method: We used the Grading of Recommendations,Assessment,Development and Evaluation (GRADE) system to assess the quality of evidence. The strength of the recommendation is as follows: A. Strong recommendation:This indicates that for most or all patients undergoing the intervention,the expected benefits outweigh the harms or the disadvantages are greater than the benefits.Patients should adopt this recommended intervention. B. Weak recommendation:This suggests that the expected benefits are balanced with the harms,or due to the uncertainty of the evidence,the balance between benefits and harms is unclear.When making a decision,it is necessary to consider the patient’s values and preferences. The evidence quality levels are as follows: A. High quality evidence:Further research is unlikely to change our confidence in the estimate of the effect. B. Moderate quality evidence:Further research may affect our confidence in the estimate of the effect,and could potentially change the estimate. C. Low quality evidence:Further research is likely to affect our confidence in the estimate of the effect,and is likely to change the estimate. D. Very low quality evidence:Any estimate of the effect is highly uncertain.
Development unit: General Surgery Department & Obesity and Metabolic Disease Center, China-Japan Friendship Hospital; Endocrinology Department, Peking Union Medical College Hospital
Registration time: 2024-08-02
Registration number: PREPARE-2024CN100
Purpose of the guideline: To improve the quality of preoperative, perioperative,and postoperative multidisciplinary management in metabolic and bariatric surgery,and thereby enhance clinical benefits.