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Background <p>This study aimed to create a comprehensive Core Outcome Set (COS) for assessing the long-term outcome&#xa0;(≥ 5 years)&#xa0;after Metabolic Bariatric Surgery (MBS), through the use of the Delphi method.</p> Methods <p>The study utilized a three-phase approach. In Phase 1, a long list of items was identified through a literature review and expert input, forming the basis for an online Delphi survey. In Phase 2, Dutch healthcare professionals involved in MBS care, defined as having at least 1&#xa0;year of experience in routine follow-up or managing issues arising during follow-up, rated the importance of these items over three Delphi rounds using a 5-point Likert scale. Participants had the option to suggest additional items. Consensus was defined as 75% agreement among panelists. In Phase 3, the final COS was validated at a national conference.</p> Results <p>Thirty-one professionals participated in the first Delphi round. Of these, 28 (90%) completed the second round, and 24 (77%) completed the third round. The final COS, validated by 18 healthcare professionals, included various domains: short-term textbook outcome, weight loss, remission of comorbidities, quality of life, micronutrient deficiencies, lifestyle, psychopathology, long-term complications, and preoperative indication.</p> Conclusions <p>The final COS offers a multidimensional approach to evaluate long-term outcomes after MBS. This COS is expected to enhance the measurement and benchmarking of MBS care, providing a more holistic view of patient outcomes.</p>

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DELTO Study: Delphi Consensus on Long-Term Textbook Outcome After Metabolic Bariatric Surgery

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月18日

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  • Ellen A. M. Kuipers,
  • Lindsy van der Laan,
  • Mirjam A. Kaijser,
  • Josien G. Timmerman,
  • Nic Veeger,
  • André P. van Beek,
  • Marloes Emous,
  • Marc J. van Det

摘要

Background

This study aimed to create a comprehensive Core Outcome Set (COS) for assessing the long-term outcome (≥ 5 years) after Metabolic Bariatric Surgery (MBS), through the use of the Delphi method.

Methods

The study utilized a three-phase approach. In Phase 1, a long list of items was identified through a literature review and expert input, forming the basis for an online Delphi survey. In Phase 2, Dutch healthcare professionals involved in MBS care, defined as having at least 1 year of experience in routine follow-up or managing issues arising during follow-up, rated the importance of these items over three Delphi rounds using a 5-point Likert scale. Participants had the option to suggest additional items. Consensus was defined as 75% agreement among panelists. In Phase 3, the final COS was validated at a national conference.

Results

Thirty-one professionals participated in the first Delphi round. Of these, 28 (90%) completed the second round, and 24 (77%) completed the third round. The final COS, validated by 18 healthcare professionals, included various domains: short-term textbook outcome, weight loss, remission of comorbidities, quality of life, micronutrient deficiencies, lifestyle, psychopathology, long-term complications, and preoperative indication.

Conclusions

The final COS offers a multidimensional approach to evaluate long-term outcomes after MBS. This COS is expected to enhance the measurement and benchmarking of MBS care, providing a more holistic view of patient outcomes.