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Background <p>With over 1&#xa0;billion individuals affected globally, obesity and obesity related diseases is now a leading cause of death. Metabolic and bariatric surgery (MBS) has emerged as a cornerstone intervention for severe obesity and its associated comorbidities. Despite its efficacy, postoperative care and follow-up after MBS remains highly variable worldwide.</p> Objective <p>The PARTNER study aimed to evaluate global clinical practices in the postoperative management following MBS by surveying multidisciplinary healthcare professionals.</p> Methods <p>This study was an international online survey conducted between October 2024 and January 2025. A multidisciplinary team developed the questionnaire based on existing literature and international guidelines. The survey assessed five domains: follow-up care, postoperative treatment, dietary management, patient support, and measurement of surgical outcomes. Responses were analysed descriptively.</p> Results <p>A total of 262 responses were received from 62 countries. Most respondents were bariatric surgeons (72.1%) working in public healthcare systems (73.3%). While 78.7% reported conducting three-month postoperative reviews, only 23.7% offered indefinite follow-up. Hybrid models of care (virtual and in-person) were common (56.9%). VTE prophylaxis and postoperative PPI use were recommended by 64.1% and 84.3% respectively. Nearly all respondents (98.1%) provided dietary advice, with protein and micronutrient supplementation widely endorsed. Only 56.1% routinely referred patients for psychological follow-up. Definitions of surgical success and failure varied widely, with inconsistent objective outcome measures.</p> Conclusion <p>The PARTNER study reveals significant international variation in postoperative management practices following MBS. These findings underscore the need for more standardized, evidence-based guidelines to improve long-term outcomes and equity of care worldwide.</p>

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Global Variations in Practices after Bariatric and Metabolic Surgery; the PARTNER Study

  • 期刊论文

  • 发表日期：

    2025年11月11日

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  • Danielle Clyde,
  • Callum Grant,
  • Juan Andres Aguiar Canales,
  • Reza Adib,
  • Sarfaraz Baig,
  • Aparna G. Bhasker,
  • David Cameron,
  • Copaescu Catalin,
  • Ken Clare,
  • Andrew de Beaux,
  • Gillian Drummond,
  • Hayssam Fawal,
  • Martin Fried,
  • Yitka Graham,
  • Ramen Goel,
  • Kasey Goodpaster,
  • Eric Hazebroek,
  • George Hopkins,
  • Farah Husain,
  • Anita Jatana,
  • Brian Joyce,
  • Mohammad Kermansaravi,
  • Shanu Kothari,
  • Lillian Kow,
  • Silvia Leite,
  • Brij Madhok,
  • David Mahon,
  • Karl Miller,
  • Alex Miras,
  • Violeta Moize,
  • Manoel G Neto,
  • Abdelrahman Nimeri,
  • Mary O’Kane,
  • Ralph Peterli,
  • Luis Poggi,
  • Denise Ratcliffe,
  • Nasser Sakran,
  • Paulina Salminen,
  • Rupa Sarkar,
  • Jon Shenfine,
  • Rishi Singhal,
  • Stephanie Sogg,
  • Erik Stenberg,
  • Michel Suter,
  • Safwan Taha,
  • Abd Tahrani,
  • Ramon Vilallonga,
  • Kelvin Voon,
  • Richard Welbourn,
  • Carlos Zerrweck,
  • Osama Moussa,
  • James Byrne,
  • Peter Lamb,
  • Chetan Parmar,
  • Omar Ghanem,
  • Kamal K. Mahawar,
  • Andrew G. N. Robertson,
  • Wah Yang

摘要

Background

With over 1 billion individuals affected globally, obesity and obesity related diseases is now a leading cause of death. Metabolic and bariatric surgery (MBS) has emerged as a cornerstone intervention for severe obesity and its associated comorbidities. Despite its efficacy, postoperative care and follow-up after MBS remains highly variable worldwide.

Objective

The PARTNER study aimed to evaluate global clinical practices in the postoperative management following MBS by surveying multidisciplinary healthcare professionals.

Methods

This study was an international online survey conducted between October 2024 and January 2025. A multidisciplinary team developed the questionnaire based on existing literature and international guidelines. The survey assessed five domains: follow-up care, postoperative treatment, dietary management, patient support, and measurement of surgical outcomes. Responses were analysed descriptively.

Results

A total of 262 responses were received from 62 countries. Most respondents were bariatric surgeons (72.1%) working in public healthcare systems (73.3%). While 78.7% reported conducting three-month postoperative reviews, only 23.7% offered indefinite follow-up. Hybrid models of care (virtual and in-person) were common (56.9%). VTE prophylaxis and postoperative PPI use were recommended by 64.1% and 84.3% respectively. Nearly all respondents (98.1%) provided dietary advice, with protein and micronutrient supplementation widely endorsed. Only 56.1% routinely referred patients for psychological follow-up. Definitions of surgical success and failure varied widely, with inconsistent objective outcome measures.

Conclusion

The PARTNER study reveals significant international variation in postoperative management practices following MBS. These findings underscore the need for more standardized, evidence-based guidelines to improve long-term outcomes and equity of care worldwide.