xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT06020105</url>
    </required_header>
    <id_info>
      <org_study_id>1635/22</org_study_id>
      <nct_id>NCT06020105</nct_id>
    </id_info>
    <brief_title>The NURLIFE Program for the Management of Bariatric Surgery Patients</brief_title>
    <acronym>NURLIFE</acronym>
    <official_title>Design and Development of a Nurse-led Program for the Management of Bariatric Surgery Patients - The NURLIFE Program</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>University of Évora</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
    </sponsors>
    <source>University of Évora</source>
    <oversight_info>
      <has_dmc>No</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        to analyze the influence of the new intervention in the perioperative period and impact on&#xD;
        several clinical and humanistic endpoints. In the evaluation phase, an experimental,&#xD;
        controlled, and randomized study (RCT) will be developed, with an intervention group (IG) and&#xD;
        a control group (CG). The CG will receive the usual care and the IG, will receive the&#xD;
        intervention for an expected period of one year. This project aims to be the first study to&#xD;
        investigate the effect of a long-term specialized case-management intervention (face-to-face&#xD;
        and e-health) in patients who are candidates for bariatric surgery during all the&#xD;
        perioperative periods&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        The &quot;nurse-led case-management&quot; intervention program will allow to improve the management of&#xD;
        the bariatric surgery process by patients in collaboration with the health team, with a view&#xD;
        to improving health and adopting healthy lifestyles, which enhance better results. This&#xD;
        intervention program is expected to be a mixed program with e-health technologies.&#xD;
        Behavioural changes will be predictably one of the main objectives, with perception of the&#xD;
        barriers and facilitators of them, from the perspective of training the patient for the&#xD;
        physiological changes that result from the entire process of bariatric surgery. Thus, it is&#xD;
        expected that the primary focus of the program will be health education and motivation for&#xD;
        lifestyle changes, the promotion of healthy lifestyles and promotion of physical activity,&#xD;
        with a view to improving anthropometric data and metabolic risk factors, as well as smoking&#xD;
        cessation and alcoholic habits. As such, the contribution of a multidisciplinary team that is&#xD;
        managed by a case-manager appears to be the most efficient intervention, and this activity&#xD;
        aims to determine the set of procedures and their temporal sequence, the skills of the team,&#xD;
        the flow of patients through the different elements of the team and the duration of the&#xD;
        program.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Not yet recruiting</overall_status>
    <start_date type="Anticipated">January 2, 2024</start_date>
    <completion_date type="Anticipated">July 31, 2025</completion_date>
    <primary_completion_date type="Anticipated">January 2, 2025</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <primary_purpose>Prevention</primary_purpose>
      <masking>Triple (Participant, Care Provider, Outcomes Assessor)</masking>
    </study_design_info>
    <primary_outcome>
      <measure>Body weight</measure>
      <time_frame>1 year</time_frame>
      <description>scale</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Height</measure>
      <time_frame>1 year</time_frame>
      <description>stadiometer</description>
    </primary_outcome>
    <primary_outcome>
      <measure>cholesterol in mg/dl</measure>
      <time_frame>1 year</time_frame>
      <description>Blood sample</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Glucose in mg/dl</measure>
      <time_frame>1 year</time_frame>
      <description>Blood sample</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Mean blood pressure</measure>
      <time_frame>1 year</time_frame>
      <description>Blood sample</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Physical Function</measure>
      <time_frame>1 year</time_frame>
      <description>Six-Minute Walk Test (6MWT)</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Food-related aspects</measure>
      <time_frame>1 year</time_frame>
      <description>Eating Questionnaire</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Anxiety and depression</measure>
      <time_frame>1 year</time_frame>
      <description>Social appearance anxiety scale (SAAS)</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Body image</measure>
      <time_frame>1 year</time_frame>
      <description>Body Image Perception Questionnaire</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Self-Esteem</measure>
      <time_frame>1 year</time_frame>
      <description>Coopersmith Self-Esteem Scale (CSES)</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Barriers and facilitators of physical activity</measure>
      <time_frame>1 year</time_frame>
      <description>Barriers and facilitators of physical activity Questionnaire</description>
    </primary_outcome>
    <secondary_outcome>
      <measure>Health-related Quality of life</measure>
      <time_frame>1 year</time_frame>
      <description>Quality of life will be assessed using the general health and well-being questionnaire</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>physical activity level</measure>
      <time_frame>1 year</time_frame>
      <description>Activity Log App</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Satisfaction with follow-up by nurses</measure>
      <time_frame>1 year</time_frame>
      <description>Assessment Form of Nurse-led Educational Activities Satisfaction questionnaire</description>
    </secondary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Anticipated">80</enrollment>
    <condition>Bariatric Surgery Candidate</condition>
    <condition>Nurse-Patient Relations</condition>
    <arm_group>
      <arm_group_label>Intervention Group</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>The intervention will be a combination of consultations and face-to-face follow-ups, with teleconsultations, based on other observational and experimental studies. The intervention program includes monitoring for one year of patients enrolled in the bariatric surgery consultation, with criteria for surgeries.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Control Group</arm_group_label>
      <arm_group_type>No Intervention</arm_group_type>
      <description>The control group will only carry out the assessments and will be offered the same intervention as the intervention group at the end of the intervention.</description>
    </arm_group>
    <intervention>
      <intervention_type>Behavioral</intervention_type>
      <intervention_name>NURLIFE</intervention_name>
      <description>After the first consultation with the surgeon, the patients will be referred to the case manager, who will carry out the first face-to-face consultation, with consequent monitoring and clarification of identified needs, following the flowchart in figure 3, being referred to the different specialties, psychology, nutrition and nursing, fostering the case manager as the central pillar of the process, which will monitor each process individually, namely the number of consultations and necessary referrals.</description>
      <arm_group_label>Intervention Group</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  As inclusion criteria, patients should be enrolled for bariatric surgery at the&#xD;
               hospital&#xD;
  &#xD;
            -  Agree to participate in the study&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Surgical complications&#xD;
  &#xD;
            -  Psychiatric diseases and neurological disorders&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>18 Years</minimum_age>
      <maximum_age>65 Years</maximum_age>
      <healthy_volunteers>No</healthy_volunteers>
    </eligibility>
    <reference>
      <citation>Grieve E, Mackenzie RM, Munro J, O'Donnell J, Stewart S, Ali A, Bruce D, Trevor M, Logue J. Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs. BMC Obes. 2018 Dec 26;5:43. doi: 10.1186/s40608-018-0223-3. eCollection 2018.</citation>
      <PMID>30607251</PMID>
    </reference>
    <reference>
      <citation>Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014 Aug 8;2014(8):CD003641. doi: 10.1002/14651858.CD003641.pub4.</citation>
      <PMID>25105982</PMID>
    </reference>
    <reference>
      <citation>Gesquiere I, Augustijns P, Lannoo M, Matthys C, Van der Schueren B, Foulon V. Barriers in the Approach of Obese Patients Undergoing Bariatric Surgery in Flemish Hospitals. Obes Surg. 2015 Nov;25(11):2153-8. doi: 10.1007/s11695-015-1680-0.</citation>
      <PMID>25893653</PMID>
    </reference>
    <reference>
      <citation>Madsen LR, Baggesen LM, Richelsen B, Thomsen RW. Effect of Roux-en-Y gastric bypass surgery on diabetes remission and complications in individuals with type 2 diabetes: a Danish population-based matched cohort study. Diabetologia. 2019 Apr;62(4):611-620. doi: 10.1007/s00125-019-4816-2. Epub 2019 Feb 6.</citation>
      <PMID>30734055</PMID>
    </reference>
    <reference>
      <citation>Bailly L, Schiavo L, Sebastianelli L, Fabre R, Morisot A, Pradier C, Iannelli A. Preventive effect of bariatric surgery on type 2 diabetes onset in morbidly obese inpatients: a national French survey between 2008 and 2016 on 328,509 morbidly obese patients. Surg Obes Relat Dis. 2019 Mar;15(3):478-487. doi: 10.1016/j.soard.2018.12.028. Epub 2019 Jan 8.</citation>
      <PMID>30745152</PMID>
    </reference>
    <reference>
      <citation>Di Lorenzo N, Antoniou SA, Batterham RL, Busetto L, Godoroja D, Iossa A, Carrano FM, Agresta F, Alarcon I, Azran C, Bouvy N, Balague Ponz C, Buza M, Copaescu C, De Luca M, Dicker D, Di Vincenzo A, Felsenreich DM, Francis NK, Fried M, Gonzalo Prats B, Goitein D, Halford JCG, Herlesova J, Kalogridaki M, Ket H, Morales-Conde S, Piatto G, Prager G, Pruijssers S, Pucci A, Rayman S, Romano E, Sanchez-Cordero S, Vilallonga R, Silecchia G. Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP. Surg Endosc. 2020 Jun;34(6):2332-2358. doi: 10.1007/s00464-020-07555-y. Epub 2020 Apr 23.</citation>
      <PMID>32328827</PMID>
    </reference>
    <reference>
      <citation>Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, Kushner RF, Lindquist R, Pessah-Pollack R, Seger J, Urman RD, Adams S, Cleek JB, Correa R, Figaro MK, Flanders K, Grams J, Hurley DL, Kothari S, Seger MV, Still CD. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES - 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC &amp; BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS - EXECUTIVE SUMMARY. Endocr Pract. 2019 Dec;25(12):1346-1359. doi: 10.4158/GL-2019-0406. Epub 2019 Nov 4.</citation>
      <PMID>31682518</PMID>
    </reference>
    <reference>
      <citation>Petcu A. Comprehensive Care for Bariatric Surgery Patients. AACN Adv Crit Care. 2017 Fall;28(3):263-274. doi: 10.4037/aacnacc2017410.</citation>
      <PMID>28847861</PMID>
    </reference>
    <reference>
      <citation>Garcia-Delgado Y, Lopez-Madrazo-Hernandez MJ, Alvarado-Martel D, Miranda-Calderin G, Ugarte-Lopetegui A, Gonzalez-Medina RA, Hernandez-Lazaro A, Zamora G, Perez-Martin N, Sanchez-Hernandez RM, Ibarra-Gonzalez A, Bengoa-Dolon M, Mendoza-Vega CT, Appelvik-Gonzalez SM, Caballero-Diaz Y, Hernandez-Hernandez JR, Wagner AM. Prehabilitation for Bariatric Surgery: A Randomized, Controlled Trial Protocol and Pilot Study. Nutrients. 2021 Aug 24;13(9):2903. doi: 10.3390/nu13092903.</citation>
      <PMID>34578781</PMID>
    </reference>
    <reference>
      <citation>Coulman KD, Howes N, Hopkins J, Whale K, Chalmers K, Brookes S, Nicholson A, Savovic J, Ferguson Y, Owen-Smith A, Blazeby J; By-Band-Sleeve Trial Management Group; Blazeby J, Welbourn R, Byrne J, Donovan J, Reeves BC, Wordsworth S, Andrews R, Thompson JL, Mazza G, Rogers CA. A Comparison of Health Professionals' and Patients' Views of the Importance of Outcomes of Bariatric Surgery. Obes Surg. 2016 Nov;26(11):2738-2746. doi: 10.1007/s11695-016-2186-0.</citation>
      <PMID>27138600</PMID>
    </reference>
    <reference>
      <citation>Domenech-Briz V, Gomez Romero R, de Miguel-Montoya I, Juarez-Vela R, Martinez-Riera JR, Marmol-Lopez MI, Verdeguer-Gomez MV, Sanchez-Rodriguez A, Gea-Caballero V. Results of Nurse Case Management in Primary Heath Care: Bibliographic Review. Int J Environ Res Public Health. 2020 Dec 20;17(24):9541. doi: 10.3390/ijerph17249541.</citation>
      <PMID>33419267</PMID>
    </reference>
    <reference>
      <citation>Cangelosi G, Grappasonni I, Pantanetti P, Scuri S, Garda G, Cuc Thi Thu N, Petrelli F. Nurse Case Manager Lifestyle Medicine (NCMLM) in the Type Two Diabetes patient concerning post COVID-19 Pandemic management: Integrated-Scoping literature review. Ann Ig. 2022 Nov-Dec;34(6):585-602. doi: 10.7416/ai.2022.2500. Epub 2022 Feb 8.</citation>
      <PMID>35142333</PMID>
    </reference>
    <results_reference>
      <citation>Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M, Pletcher MA, Smith AE, Tang K, Yuan CW, Brown JC, Friedman J, He J, Heuton KR, Holmberg M, Patel DJ, Reidy P, Carter A, Cercy K, Chapin A, Douwes-Schultz D, Frank T, Goettsch F, Liu PY, Nandakumar V, Reitsma MB, Reuter V, Sadat N, Sorensen RJD, Srinivasan V, Updike RL, York H, Lopez AD, Lozano R, Lim SS, Mokdad AH, Vollset SE, Murray CJL. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet. 2018 Nov 10;392(10159):2052-2090. doi: 10.1016/S0140-6736(18)31694-5. Epub 2018 Oct 16.</citation>
      <PMID>30340847</PMID>
    </results_reference>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>August 25, 2023</study_first_submitted>
    <study_first_submitted_qc>August 25, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 31, 2023</study_first_posted>
    <last_update_submitted>August 25, 2023</last_update_submitted>
    <last_update_submitted_qc>August 25, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 31, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Principal Investigator</responsible_party_type>
      <investigator_affiliation>University of Évora</investigator_affiliation>
      <investigator_full_name>Cláudia Amaro dos Santos</investigator_full_name>
      <investigator_title>Cláudia Mendes</investigator_title>
    </responsible_party>
    <keyword>Case manager</keyword>
    <keyword>e-health</keyword>
    <keyword>Nurse case management</keyword>
    <keyword>Bariatric surgery</keyword>
    <keyword>Perioperative care</keyword>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT06020105
  org study id: 1635/22
  nct id: NCT06020105
  lead sponsor: 
  has dmc: No
  is fda regulated drug: No
  is fda regulated device: No
  to analyze the influence of the new intervention in the perioperative period and impact on
        several clinical and humanistic endpoints. In the evaluation phase, an experimental,
        controlled, and randomized study (RCT) will be developed, with an intervention group (IG) and
        a control group (CG). The CG will receive the usual care and the IG, will receive the
        intervention for an expected period of one year. This project aims to be the first study to
        investigate the effect of a long-term specialized case-management intervention (face-to-face
        and e-health) in patients who are candidates for bariatric surgery during all the
        perioperative periods
  The "nurse-led case-management" intervention program will allow to improve the management of
        the bariatric surgery process by patients in collaboration with the health team, with a view
        to improving health and adopting healthy lifestyles, which enhance better results. This
        intervention program is expected to be a mixed program with e-health technologies.
        Behavioural changes will be predictably one of the main objectives, with perception of the
        barriers and facilitators of them, from the perspective of training the patient for the
        physiological changes that result from the entire process of bariatric surgery. Thus, it is
        expected that the primary focus of the program will be health education and motivation for
        lifestyle changes, the promotion of healthy lifestyles and promotion of physical activity,
        with a view to improving anthropometric data and metabolic risk factors, as well as smoking
        cessation and alcoholic habits. As such, the contribution of a multidisciplinary team that is
        managed by a case-manager appears to be the most efficient intervention, and this activity
        aims to determine the set of procedures and their temporal sequence, the skills of the team,
        the flow of patients through the different elements of the team and the duration of the
        program.
  allocation: Randomized
  intervention model: Parallel Assignment
  primary purpose: Prevention
  masking: Triple (Participant, Care Provider, Outcomes Assessor)
  measure: Body weight
  time frame: 1 year
  description: scale
  measure: Height
  time frame: 1 year
  description: stadiometer
  measure: cholesterol in mg/dl
  time frame: 1 year
  description: Blood sample
  measure: Glucose in mg/dl
  time frame: 1 year
  description: Blood sample
  measure: Mean blood pressure
  time frame: 1 year
  description: Blood sample
  measure: Physical Function
  time frame: 1 year
  description: Six-Minute Walk Test (6MWT)
  measure: Food-related aspects
  time frame: 1 year
  description: Eating Questionnaire
  measure: Anxiety and depression
  time frame: 1 year
  description: Social appearance anxiety scale (SAAS)
  measure: Body image
  time frame: 1 year
  description: Body Image Perception Questionnaire
  measure: Self-Esteem
  time frame: 1 year
  description: Coopersmith Self-Esteem Scale (CSES)
  measure: Barriers and facilitators of physical activity
  time frame: 1 year
  description: Barriers and facilitators of physical activity Questionnaire
  measure: Health-related Quality of life
  time frame: 1 year
  description: Quality of life will be assessed using the general health and well-being questionnaire
  measure: physical activity level
  time frame: 1 year
  description: Activity Log App
  measure: Satisfaction with follow-up by nurses
  time frame: 1 year
  description: Assessment Form of Nurse-led Educational Activities Satisfaction questionnaire
  arm group label: Intervention Group
  arm group type: Experimental
  description: The intervention will be a combination of consultations and face-to-face follow-ups, with teleconsultations, based on other observational and experimental studies. The intervention program includes monitoring for one year of patients enrolled in the bariatric surgery consultation, with criteria for surgeries.
  arm group label: Control Group
  arm group type: No Intervention
  description: The control group will only carry out the assessments and will be offered the same intervention as the intervention group at the end of the intervention.
  intervention type: Behavioral
  intervention name: NURLIFE
  description: After the first consultation with the surgeon, the patients will be referred to the case manager, who will carry out the first face-to-face consultation, with consequent monitoring and clarification of identified needs, following the flowchart in figure 3, being referred to the different specialties, psychology, nutrition and nursing, fostering the case manager as the central pillar of the process, which will monitor each process individually, namely the number of consultations and necessary referrals.
  arm group label: Intervention Group
  criteria: 
  gender: All
  minimum age: 18 Years
  maximum age: 65 Years
  healthy volunteers: No
  citation: Grieve E, Mackenzie RM, Munro J, O'Donnell J, Stewart S, Ali A, Bruce D, Trevor M, Logue J. Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs. BMC Obes. 2018 Dec 26;5:43. doi: 10.1186/s40608-018-0223-3. eCollection 2018.
  PMID: 30607251
  citation: Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014 Aug 8;2014(8):CD003641. doi: 10.1002/14651858.CD003641.pub4.
  PMID: 25105982
  citation: Gesquiere I, Augustijns P, Lannoo M, Matthys C, Van der Schueren B, Foulon V. Barriers in the Approach of Obese Patients Undergoing Bariatric Surgery in Flemish Hospitals. Obes Surg. 2015 Nov;25(11):2153-8. doi: 10.1007/s11695-015-1680-0.
  PMID: 25893653
  citation: Madsen LR, Baggesen LM, Richelsen B, Thomsen RW. Effect of Roux-en-Y gastric bypass surgery on diabetes remission and complications in individuals with type 2 diabetes: a Danish population-based matched cohort study. Diabetologia. 2019 Apr;62(4):611-620. doi: 10.1007/s00125-019-4816-2. Epub 2019 Feb 6.
  PMID: 30734055
  citation: Bailly L, Schiavo L, Sebastianelli L, Fabre R, Morisot A, Pradier C, Iannelli A. Preventive effect of bariatric surgery on type 2 diabetes onset in morbidly obese inpatients: a national French survey between 2008 and 2016 on 328,509 morbidly obese patients. Surg Obes Relat Dis. 2019 Mar;15(3):478-487. doi: 10.1016/j.soard.2018.12.028. Epub 2019 Jan 8.
  PMID: 30745152
  citation: Di Lorenzo N, Antoniou SA, Batterham RL, Busetto L, Godoroja D, Iossa A, Carrano FM, Agresta F, Alarcon I, Azran C, Bouvy N, Balague Ponz C, Buza M, Copaescu C, De Luca M, Dicker D, Di Vincenzo A, Felsenreich DM, Francis NK, Fried M, Gonzalo Prats B, Goitein D, Halford JCG, Herlesova J, Kalogridaki M, Ket H, Morales-Conde S, Piatto G, Prager G, Pruijssers S, Pucci A, Rayman S, Romano E, Sanchez-Cordero S, Vilallonga R, Silecchia G. Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP. Surg Endosc. 2020 Jun;34(6):2332-2358. doi: 10.1007/s00464-020-07555-y. Epub 2020 Apr 23.
  PMID: 32328827
  citation: Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, Kushner RF, Lindquist R, Pessah-Pollack R, Seger J, Urman RD, Adams S, Cleek JB, Correa R, Figaro MK, Flanders K, Grams J, Hurley DL, Kothari S, Seger MV, Still CD. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES - 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS - EXECUTIVE SUMMARY. Endocr Pract. 2019 Dec;25(12):1346-1359. doi: 10.4158/GL-2019-0406. Epub 2019 Nov 4.
  PMID: 31682518
  citation: Petcu A. Comprehensive Care for Bariatric Surgery Patients. AACN Adv Crit Care. 2017 Fall;28(3):263-274. doi: 10.4037/aacnacc2017410.
  PMID: 28847861
  citation: Garcia-Delgado Y, Lopez-Madrazo-Hernandez MJ, Alvarado-Martel D, Miranda-Calderin G, Ugarte-Lopetegui A, Gonzalez-Medina RA, Hernandez-Lazaro A, Zamora G, Perez-Martin N, Sanchez-Hernandez RM, Ibarra-Gonzalez A, Bengoa-Dolon M, Mendoza-Vega CT, Appelvik-Gonzalez SM, Caballero-Diaz Y, Hernandez-Hernandez JR, Wagner AM. Prehabilitation for Bariatric Surgery: A Randomized, Controlled Trial Protocol and Pilot Study. Nutrients. 2021 Aug 24;13(9):2903. doi: 10.3390/nu13092903.
  PMID: 34578781
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  responsible party type: Principal Investigator
  investigator affiliation: University of Évora
  investigator full name: Cláudia Amaro dos Santos
  investigator title: Cláudia Mendes