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KMID : 0388120130220010007
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Journal of Korean Society for the Study of Obesity
2013 Volume.22 No. 1 p.7 ~ p.12
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Is Surgery Necessary for Morbid Obesity Patient? NECA Round-table Conference Consensus Statement
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Kim Ga-Eun
Jang Sun-Young
Lee Sun-Hee
Choi Youn-Baik
Heo Yoon-Seok
Oh Sang-Woo
Kwon Jin-Won
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Abstract
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Background: The‘NECA Round-table Conference (RTC)’of National Evidence-based Collaborating Agency (NECA) refers to the venues for discussions on core issues of dispute and seeking consensus on the basis of objective and systematic information through participation of wide range of society members, and is providing the best grounds related to public health and medical care.
Methods: At the ‘Is surgery necessary for morbid obesity patients?’ RTC, clinical specialists in surgery, family medicine, internal medicine and preventive medicine, public health administrations expert, policy experts involving staffs of Ministry of Public Health and Welfare, experts from relevant institutions including National Health Insurance Corporation and Health Insurance Review & Assessment Service, and patient representative participated as panel members. Agreements were reached on the basis of the NECA study and experts’ presentation on issues concerning‘Is morbid obesity a disorder?, Is surgical therapy safe and effective on morbid obesity?, and ‘Is surgical therapy on morbid obesity patients cost effective?’
Results: According to the RTC results, morbid obesity is a disorder which is a challenge to treat with frequent occurrence of complications and recurrences. It necessitates appropriate treatment and follow up management, in addition, bariatric surgery can be seen as a safe and effective method on the basis of existing evidence. Bariatric surgery is considered particularly effective in morbid obesity patients when existing treatment therapies fail and also cost effective when considering quality adjusted life years (QALY) and incremental cost effectiveness ratio (ICER).
Conclusion: Continuous well designed follow up observational studies in Korea are needed and discussions on the insurance coverage for treatment of morbid obesity patients seem necessary in the near future.
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KEYWORD
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Morbid obesity, Surgery, Round table conference, Consensus statement
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