The Miracle Weight Loss in Primary Care?
https://doi.org/10.47836/mjmhs.18.6.51
- Author:
Hui Zhu Thew
1
;
Siew Mooi Ching
1
,
2
;
Nurainul Hana Shamsuddin
1
;
Soo Huat Teoh
3
Author Information
1. Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia&
2. Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
3. Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang , Malaysia
- Publication Type:Case Reports
- Keywords:
Severe obesity, Diabetes, Primary care, Clinical inertia, Bariatric
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.6):367-370
- CountryMalaysia
- Language:English
-
Abstract:
This case report illustrates how a primary care physician managed a 60-year-old woman with severe obesity, uncontrolled diabetes mellitus, and low self-esteem for many years. Through a primary care physician, bariatric surgery is
recommended for patients with severe obesity, which is then co-managed in a tertiary hospital through a multidisciplinary team. Primary care physicians are on the front lines when treating patients with severe obesity. A number of
studies have shown that primary care physicians have low success rates in counselling and managing patients with
severe obesity.(1,2) There is also a debate about bariatric surgery being unsuitable for the elderly age. It is crucial to
intervene early to prevent obesity progression and its complications. Clinical inertia is one factor that hinders patients
with severe obesity. Therefore, it is essential to address the problem of severe obesity early and should not miss the
opportunity to counsel the treatment options and refer these patients to bariatric surgery if indicated. Primary care
physicians are also crucial in providing continuity of care after bariatric surgery.
- Full text:11.2022my1401.pdf
