Weight management in Canada: an environmental scan of health services for adults with obesity

Rosa Fortin, Marie-Michèle; Brown, Christine; Ball, Geoff DC; Chanoine, Jean-Pierre; Langlois, Marie-France

doi:10.1186/1472-6963-14-69

BMC Health Services Research

Table 4 Concordance of initial assessment with CCPGO recommendations

From: Weight management in Canada: an environmental scan of health services for adults with obesity

Recommendation		Surgical programs	Non-surgical community-based programs	Non-surgical primary health care programs	Non-surgical hospital-based programs
1-Measuring body mass index (BMI)		25/25	17/33	40/42	5/7
1-Measuring body mass index (BMI)		(100%) *	(52%) *, §	(95%) §	(71%)
2-Measuring waist circumference		13/23	12/33	34/42	3/7
2-Measuring waist circumference		(57%)	(36%) §	(81%) §	(43%)
3-Assessing readiness to change and motivation		18/23	23/33	36/42	5/7
3-Assessing readiness to change and motivation		(78%)	(70%)	(86%)	(71%)
4-Clinical evaluation
Medical history		25/25	18/34	40/42	5/7
Medical history		(100%) *	(53%) *, §	(95%) §	(71%)
General physical examination		25/25	2/32	21/42	2/7
General physical examination		(100%) *, †, ‡	(6%) *, §	(50%) †, §	(29%) ‡
Both		25/25	2/32	21/42	1/7
Both		(100%) *, †, ‡	(6%) *, §	(50%) †, §	(14%) ‡
5-Screening tests
Plasma glucose level		21/23	2/33	24/39	5/7
Plasma glucose level		(91%) *	(6%) *, §, ¶	(62 %) §	(71%) ¶
Lipid profile		21/23	2/33	25/39	5/7
Lipid profile		(91%) *	(6%) *, §, ¶	(64%) §	(71%) ¶
Both		20/23	2/33	24/39	5/7
Both		(87%) *	(6%) *, §, ¶	(62%) §	(71%) ¶
6-Additional investigations
Liver function		21/23	1/33	18/39	4/7
Liver function		(91%) *, †	(3%) *, §, ¶	(46%) †, §	(57%) ¶
Urine analysis		15/24	1/33	13/42	0/7
Urine analysis		(63%) *, ‡	(3%) *, §	(31%) §	(0%) ‡
Sleep quantity/quality		22/24	14/34	30/42	4/7
Sleep quantity/quality		(92%) *	(41%) *, §	(71%) §	(57%)
All three		13/23	0/33	10/39	0/7
All three		(57%) *	(0%) *, §	(26%) §	(0%)
7-Screening for
Eating disorders		15/23	6/33	24/42	2/7
Eating disorders		(65%) *	(18%) *, §	(57%) §	(29%)
Depression or other psychiatric diseases		15/23	4/33	23/42	2/7
Depression or other psychiatric diseases		(65%) *	(12%) *, §	(55%) §	(29%)
Both		13/23	3/33	20/42	1/7
Both		(57%)	(9%) §	(48%) §	(14%)
Median score	Out of 7 criteria	5	2	4	3
Median score	Out of 7 criteria	*	*, §	§

Note: Data are expressed as number (%).
* Significant difference between surgical programs and community-based programs.
† Significant difference between surgical programs and primary health care programs.
‡ Significant difference between surgical programs and hospital-based programs.
§ Significant difference between community-based programs and primary health care programs.
¶ Significant difference between community-based programs and hospital-based programs.

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ISSN: 1472-6963

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