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Clinical Practice Guidelines

Clinical Practice Guideline - Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

Topic:  Identification, Evaluation, and Treatment of Overweight and Obesity in Adults Date of Origin: February 2008
Revised/Effective Date: April 2009 Next Review Date: April 2010


Recommendation Summary:

Asuris supports the recommendations of the National Heart Lung and Blood Institute (NHLBI) and the content of the latest version of the evidence report entitled Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults.

Web Site Link:

National Heart, Lung and Blood Institute; located at: http://www.nhlbi.nih.gov/guidelines/obesity/ 

Position Statement:

Asuris supports the NHLBI guidelines because they are based on scientific evidence, and where evidence is lacking, on expert consensus.  The strength of  evidence supporting each recommendation is clearly indicated.  When there is not good evidence, recommendations are based on expert consensus and are clearly stated as such. The guidelines reflect the most current standard of care for the identification, evaluation and management of overweight and obesity.

  • The panel members are recognized experts practicing in a variety of professional settings.
  • Recommendations are based on a well-defined, comprehensive scientific literature search.
  • Methods used to select appropriate scientific literature are well defined.
  • The San Antonio Cochrane Center, a globally recognized group of EBM experts, assisted in preparation of the evidence tables.
  • The methods used to critically appraise the evidence supporting guideline recommendations are transparent. 
  • The guidelines clearly state the strength of the evidence for which recommendations are based. 
  • 115 external reviewers from 59 government agencies, professional societies, and consumer groups evaluated and commented on the guideline prior to publication.
  • Sources of funding:
    • Primarily NHLBI, with cooperation of National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) of the National Institutes of Health.
    • No conflict of interest statements for panel members are included in the evidence report.

Guideline Adoption and Recommended Use: 

This guideline has been adopted based on nationally recognized sources.  This guideline is based on the most recent medical evidence or a consensus on clinical treatment patterns by physicians in the selected field of practice. Asuris adopts guidelines to help practitioners and members make decisions about appropriate health care for specific conditions. Guidelines are not a substitute for professional medical advice.

The following organizations endorse the evidence report:

  • National Cholesterol Education Program (NCEP)
  • National High Blood Pressure Education Program (NHBPEP)
  • NIDDK National Task Force on the Prevention and Treatment of Obesity
  • North American Association for the Study of Obesity (NAASO)

Benefit Determination: 

Benefit determinations should be based in all cases on the applicable contract coverage. To the extent that there are any conflicts between these guidelines and the contract language, the contract language will control.

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