Posts Tagged ‘bariatric surgery’

Evidence-Based Policy or Policy-Based Evidence?

April 19, 2017 — Is evidence-based policy no more than a useful myth? Political science professor John Boswell clearly thinks so. And current headlines might suggest he’s right. Facts get twisted. Policymakers do what they want. Boswell explains his view in a paper that Governance will publish soon. For a case study, he uses bariatric surgery guidelines recently adopted by Britain’s National Institute […]

Making Peace with Bariatric Surgery for Teens

February 26, 2017 — The medical benefits of bariatric surgery for teens with severe obesity has become increasingly clear as trials such as the Teen-LABS study are providing more data on long-term outcomes. In Lancet Diabetes & Endocrinology this month, two more studies (here and here) provide evidence for long-term benefits. Subjective Resistance But the more difficult hurdle is […]

Surgery: Six Times Better for Controlling Type 2 Diabetes

February 16, 2017 — Today in the New England Journal of Medicine, five-year results of a randomized, controlled trial show that bariatric surgery is six times better than intensive medical treatment for controlling type 2 diabetes. That’s right. Six times better chances for success after five years. Without surgery, the outcomes were dramatically worse. This study, known as the […]

Apples and Oranges, Soda Taxes and Surgery

January 27, 2017 — Here’s an unusual comparison. It contrasts the value of two different options for childhood obesity: a tax on sugary beverages versus bariatric surgery for adolescents. Steven Gortmaker and colleagues published this analysis in Health Affairs. Gortmaker presented the data yesterday in Washington, DC. Calling this an apples and oranges comparison would be generous. The basis for this comparison has two dimensions. First […]

The Perception Gap in Obesity Care

January 12, 2017 — When does a benefit not feel like a benefit? In the case of obesity care, that feeling comes with the perception that it’s just out of reach. Even though insurance coverage for obesity care is improving, a significant gap remains. And part of the problem is a perception gap. A new study published in Obesity […]

Ten Expectations for 2017 in Obesity, Food, and Health

January 1, 2017 — The new year brings new expectations. Sure, we always have new diet, nutrition, and weight loss fashions. But, in thinking about obesity and health, we can also expect some more substantive changes. Here’s our top ten for 2017. 1. More “Less Added Sugar.” Already, the pressure to avoid sugar was on. Now, new labeling for added sugar will dial […]

Getting a Grip on the Reality of Bariatric Surgery

December 28, 2016 — One of the Top 10 Advances of 2016 in obesity and health is better, more meaningful reporting. Gina Kolata of the New York Times has been producing outstanding reports on obesity for nearly a year. She continued yesterday with an in-depth story about the reality of bariatric surgery. Her latest report is the story of […]

Top 10 Advances of 2016 in Obesity and Health

December 26, 2016 — If you’re looking for signs of progress in obesity and health, you can find it in 2016. Obesity is a tough nut to crack, so we don’t have breakthroughs and cures to report – yet. What we have is solid advances that will make life and health better for people concerned about obesity. Here’s our […]

Nine Key Outcomes for Metabolic Surgery

December 8, 2016 — The noise coming at a person considering metabolic and bariatric surgery can be deafening. Intense emotions about these procedures can influence personal decision making and even the scientific literature. The best antidote is to focus on the facts. A new study in PLOS Medicine provides a well-validated set of nine key outcomes for metabolic surgery. The […]

Guarding the Floodgates Against Obesity Care

November 13, 2016 — Last week we met a brave physician guarding the floodgates of demand for obesity care. He told us: “If all the patients that need bariatric surgery demanded it, they would bankrupt our health system.” This is a jarring perspective from a primary care physician in leadership at a large, nonprofit health plan. He confirmed that they are quite […]