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首页> 外文期刊>Bariatric Surgical Patient Care >Transferring Postbariatric Patients to Primary Care: A Regionwide Analysis
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Transferring Postbariatric Patients to Primary Care: A Regionwide Analysis

机译：将培训患者转移到初级保健：区域宽度分析

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Background: The provision of a postbariatric multidisciplinary long-term follow-up is recommended, however challenging. Methods: Multidisciplinary teams of two centers, a multi-institutional center for diagnostics and representatives of general practitioners in a Dutch metropole region composed a transmural protocol for transferring bariatric patients 2 years postoperatively to primary care. The quality of these transfers was measured by medical outcomes, quality of life, satisfaction, laboratory results, and re-referrals. Results: Two hundred twenty-two patients were referred according to protocol of which 150 patients were sent beyond 5 years postbariatric. For 11 patients the outcomes were not provided, 3 untraceable, and 11 no-shows, leaving a total of 47 patients for evaluation. Laboratory results were discussed in 32 patients, the psychologic screening questionnaire in 7 patients. It led to referral to the obesity center in six and to additional psychological treatment in four cases. The average satisfaction was graded 6.8. Conclusions: A disappointing low portion of patients was referred to primary care still resulting in an incomplete follow-up. The composition of a transmural protocol by all caretakers did increase the first-level knowledge. The authors assume that this is beneficial for long-term referrals; however, obesity teams should focus on adherence in the first 5 years at a bariatric center.
机译：背景：建议提供邮政专业多学科长期随访，但具有挑战性。方法：两名中心的多学科团队，荷兰大都会区域的一家诊断诊断和一般从业者代表的多学科团队组成了术后2年初级保健的畜牧患者的透气方案。这些转移的质量通过医学结果，生活质量，满意度，实验室结果和重新推荐来衡量。结果：二百二十二名患者根据议定书提到哪个患者超过5年患者萎缩。对于11名患者，未提供结果，3个无法追踪，11名无节目，共留下47例评估患者。在32例患者中讨论了实验室结果，7例患者的心理筛查问卷。它导致六种案例中的肥胖中心转诊到额外的心理治疗。平均满意度为6.8分。结论：令人失望的患者令人失望的低部分仍称为初级保健仍然导致不完整的随访。所有看护人的透气协议的组成确实增加了第一级知识。作者认为这对长期推荐有益;然而，肥胖团队应专注于肥胖症中心的前5年的依从性。

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