Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity
Summary Objective In shared medical appointments (SMAs), multiple patients with a similar clinical diagnosis are seen by a multidisciplinary team for interactive group sessions. Very few studies have specifically studied SMAs and weight loss in patients with obesity. This study compared weight loss...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-06-01
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| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.406 |
| _version_ | 1818290364753117184 |
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| author | Kelly Shibuya Xinge Ji Elizabeth R. Pfoh Alex Milinovich Wayne Weng Janine Bauman Rahul Ganguly Anita D. Misra‐Hebert Todd M. Hobbs Michael W. Kattan Kevin M. Pantalone Abhilasha Ramasamy Bartolome Burguera |
| author_facet | Kelly Shibuya Xinge Ji Elizabeth R. Pfoh Alex Milinovich Wayne Weng Janine Bauman Rahul Ganguly Anita D. Misra‐Hebert Todd M. Hobbs Michael W. Kattan Kevin M. Pantalone Abhilasha Ramasamy Bartolome Burguera |
| author_sort | Kelly Shibuya |
| collection | DOAJ |
| description | Summary Objective In shared medical appointments (SMAs), multiple patients with a similar clinical diagnosis are seen by a multidisciplinary team for interactive group sessions. Very few studies have specifically studied SMAs and weight loss in patients with obesity. This study compared weight loss outcomes and anti‐obesity medication (AOM) access between patients with obesity managed through (SMAs) versus individual appointments. Methods Retrospective study of adults seen for obesity between September 2014 and February 2017 at Cleveland Clinic Institute of Endocrinology and Metabolism. Percent weight loss from baseline was compared between two propensity score‐matched populations: patients who attended ≥1 SMA and patients managed with individual medical appointments. Results From all eligible patients identified (n=310 SMA, n=1,993 non‐SMA), 301 matched pairs were evaluated for weight loss. The SMA group (n=301) lost a mean of 4.2%, 5.2% and 3.8% of baseline weight over 6, 12 and 24 months; the non‐SMA group (n=301) lost significantly less weight (1.5%, 1.8% and 1.6%, respectively) (paired t‐test, P<.05). All patients were eligible for US Food and Drug Administration‐approved AOMs based on obesity diagnosis; however, 49.8% (150/301) of matched SMA patients were prescribed an AOM versus 12.3% (37/301) of matched non‐SMA patients. Conclusion This study suggests that SMAs may offer a promising alterative for obesity management and one that may facilitate greater utilization of AOMs. In propensity score‐matched cohorts, SMAs were associated with greater weight loss outcomes when compared to usual care facilitated through individual medical appointments alone. |
| first_indexed | 2024-12-13T02:27:00Z |
| format | Article |
| id | doaj.art-5ba19df1df02483d8212b8ecf867797c |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-12-13T02:27:00Z |
| publishDate | 2020-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-5ba19df1df02483d8212b8ecf867797c2022-12-22T00:02:36ZengWileyObesity Science & Practice2055-22382020-06-016324725410.1002/osp4.406Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesityKelly Shibuya0Xinge JiElizabeth R. Pfoh1Alex Milinovich2Wayne Weng3Janine Bauman4Rahul Ganguly5Anita D. Misra‐Hebert6Todd M. Hobbs7Michael W. Kattan8Kevin M. Pantalone9Abhilasha Ramasamy10Bartolome Burguera11Cleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland OhioDepartment of Internal Medicine Cleveland Clinic Community Care Cleveland OhioQuantitative Health Sciences Cleveland Clinic Cleveland OhioHealth Economics and Outcomes Research Novo Nordisk Inc. Plainsboro New JerseyQuantitative Health Sciences Cleveland Clinic Cleveland OhioHealth Economics and Outcomes Research Novo Nordisk Inc. Plainsboro New JerseyQuantitative Health Sciences Cleveland Clinic Cleveland OhioDiabetes, Chief Medical Officer Novo Nordisk Inc. Plainsboro New JerseyQuantitative Health Sciences Cleveland Clinic Cleveland OhioEndocrinology and Metabolism Institute Cleveland Clinic Cleveland New JerseyHealth Economics and Outcomes Research Novo Nordisk Inc. Plainsboro New JerseyCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland OhioSummary Objective In shared medical appointments (SMAs), multiple patients with a similar clinical diagnosis are seen by a multidisciplinary team for interactive group sessions. Very few studies have specifically studied SMAs and weight loss in patients with obesity. This study compared weight loss outcomes and anti‐obesity medication (AOM) access between patients with obesity managed through (SMAs) versus individual appointments. Methods Retrospective study of adults seen for obesity between September 2014 and February 2017 at Cleveland Clinic Institute of Endocrinology and Metabolism. Percent weight loss from baseline was compared between two propensity score‐matched populations: patients who attended ≥1 SMA and patients managed with individual medical appointments. Results From all eligible patients identified (n=310 SMA, n=1,993 non‐SMA), 301 matched pairs were evaluated for weight loss. The SMA group (n=301) lost a mean of 4.2%, 5.2% and 3.8% of baseline weight over 6, 12 and 24 months; the non‐SMA group (n=301) lost significantly less weight (1.5%, 1.8% and 1.6%, respectively) (paired t‐test, P<.05). All patients were eligible for US Food and Drug Administration‐approved AOMs based on obesity diagnosis; however, 49.8% (150/301) of matched SMA patients were prescribed an AOM versus 12.3% (37/301) of matched non‐SMA patients. Conclusion This study suggests that SMAs may offer a promising alterative for obesity management and one that may facilitate greater utilization of AOMs. In propensity score‐matched cohorts, SMAs were associated with greater weight loss outcomes when compared to usual care facilitated through individual medical appointments alone.https://doi.org/10.1002/osp4.406Obesityweight managementshared medical appointments |
| spellingShingle | Kelly Shibuya Xinge Ji Elizabeth R. Pfoh Alex Milinovich Wayne Weng Janine Bauman Rahul Ganguly Anita D. Misra‐Hebert Todd M. Hobbs Michael W. Kattan Kevin M. Pantalone Abhilasha Ramasamy Bartolome Burguera Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity Obesity Science & Practice Obesity weight management shared medical appointments |
| title | Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity |
| title_full | Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity |
| title_fullStr | Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity |
| title_full_unstemmed | Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity |
| title_short | Association between shared medical appointments and weight loss outcomes and anti‐obesity medication use in patients with obesity |
| title_sort | association between shared medical appointments and weight loss outcomes and anti obesity medication use in patients with obesity |
| topic | Obesity weight management shared medical appointments |
| url | https://doi.org/10.1002/osp4.406 |
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