| 标题： | 代谢手术多学科管理指南 |
| title： | Multidisciplinary Management Guidelines for Metabolic and Bariatric Surgery |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 综合 |
| field： | Comprehensive guideline |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 开展代谢手术相关的普外科、内分泌科、消化科、营养科、运动康复科等多学科医师。 |
| Guide users： | Multidisciplinary doctors who carry out metabolic and bariatric surgery include specialists from general surgery, endocrinology,gastroenterology,nutrition,sports rehabilitation,and other relevant fields. |
| 证据分级方法： | 我们使用了GRADE评级，具体内容如下： 一、推荐强度 A. 强烈推荐：接受干预对患者利大于弊 B. 弱推荐：干预对患者的利弊相当，或由于证据的不确定性而使该干预在利于弊之间的平衡不清晰 二、证据质量等级 A. 高等级证据：进一步的研究不太可能对我们对效果的评估产生重大影响，我们对此有较高的信心。 B. 中等等级证据：未来的研究可能会对我们对效果的评估产生一定影响，有可能改变我们当前的估计。 C. 低等级证据：进一步的研究很可能会动摇我们对效果的评估，并有较大可能改变我们当前的估计。 D. 极低等级证据：对于效果的任何估计都充满了不确定性，缺乏足够的信心。 |
| Evidence grading 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. |
| 制定单位： | 中日友好医院，普外科·代谢减重中心；北京协和医院，内分泌科 |
| Formulating unit： | General Surgery Department & Obesity and Metabolic Disease Center, China-Japan Friendship Hospital; Endocrinology Department, Peking Union Medical College Hospital |
| 注册时间： | 2024-08-02 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN100 |
| Registration number： | |
| 指南制订的目的： | 为了提高代谢减重手术术前、围手术期及术后多学科管理质量，增强临床获益。 |
| 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. |
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