Translating stakeholder-driven comparative effectiveness research into practice: the PCORnet Bariatric Study

Considerable data support the safety and effectiveness of bariatric surgery for promoting weight loss and improved health outcomes, particularly among adults with Type 2 diabetes mellitus (10-15). The PBS was guided by a 15-member Executive Stakeholder Advisory Group that included patients, advocacy...

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Bibliographic Details
Published in:Journal of comparative effectiveness research 2020-10, Vol.9 (15), p.1035-1041
Main Authors: Arterburn, David E, Toh, Sengwee, Williams, Neely, Anau, Jane, Courcoulas, Anita, Tavakkoli, Ali, Stilwell, Diana, Tuzzio, Leah, Lewis, Cara C, Wilcox, Margie N, McTigue, Kathleen M
Format: Article
Language:English
Subjects:
Clinical medicine
comparative effectiveness research
Decision making
Diabetes
Gastrointestinal surgery
Leadership
Obesity
patient-reported outcomes
Patients
Political appointments
Preferences
Primary care
Stakeholders
surgery
Weight control
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Summary:Considerable data support the safety and effectiveness of bariatric surgery for promoting weight loss and improved health outcomes, particularly among adults with Type 2 diabetes mellitus (10-15). The PBS was guided by a 15-member Executive Stakeholder Advisory Group that included patients, advocacy group leaders, adult and pediatric surgeons, and obesity medicine providers who helped identify relevant outcomes, prioritize analyses, advise on study design and plan for dissemination of findings. The PCORnet Bariatric Study key findings related to weight loss, diabetes outcomes and safety of bariatric procedures at 5 years follow-up. *Cumulative incidence of remission and relapse at 5 years. Barriers to SDM addressed Implementation strategy Description of implementation strategy Poor leadership buy-in Engage formally appointed leaders Formally appointed leaders identified for KPWA and UPMC; co-developed implementation strategy with leadership input Lack of motivation for SDM Identify clinical champions for SDM Clinical champions; bariatric and primary care; nominated by clinical leadership or self-nominated; champions formally trained on SDM with a focus on bariatric surgery Low system engagement Form Implementation Resource Team An IRT was formed at each site (KPWA and UPMC) and includes representatives from relevant stakeholders, including patients, surgeons, primary care providers,
ISSN:2042-6305
2042-6313
DOI:10.2217/cer-2020-0156