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数据集获取（Figshare）

• 源站标题：Exposure and outcomes codelists.
• DOI：10.1371/journal.pmed.1004282.s003
• 发布日期：2023-09-28
• 文件数：1 个
• 文件总体积：27.72 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Exposure_and_outcomes_codelists_/24216039

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数据说明

Background
Adults living with overweight/obesity are eligible for publicly funded weight management (WM) programmes according to national guidance. People with the most severe and complex obesity are eligible for bariatric surgery. Primary care plays a key role in identifying overweight/obesity and referring to WM interventions. This study aimed to (1) describe the primary care population in England who (a) are referred for WM interventions and (b) undergo bariatric surgery and (2) determine the patient and GP practice characteristics associated with both.
Methods and findings
An observational cohort study was undertaken using routinely collected primary care data in England from the Clinical Practice Research Datalink linked with Hospital Episode Statistics. During the study period (January 2007 to June 2020), 1,811,587 adults met the inclusion criteria of a recording of overweight/obesity in primary care, of which 54.62% were female and 20.10% aged 45 to 54. Only 56,783 (3.13%) were referred to WM, and 3,701 (1.09% of those with severe and complex obesity) underwent bariatric surgery. Multivariable Poisson regression examined the associations of demographic, clinical, and regional characteristics on the likelihood of WM referral and bariatric surgery. Higher body mass index (BMI) and practice region had the strongest associations with both outcomes. People with BMI ≥40 kg/m2 were more than 6 times as likely to be referred for WM (10.05% of individuals) than BMI 25.0 to 29.9 kg/m2 (1.34%) (rate ratio (RR) 6.19, 95% confidence interval (CI) [5.99,6.40], p 2 with a comorbidity (0.53%) (RR 5.52, 95% CI [5.07,6.02], p p p p p p Conclusions
Between 2007 and 2020, a very small percentage of the primary care population eligible for WM referral or bariatric surgery according to national guidance received either. Higher BMI and GP practice region had the strongest associations with both. Regional inequalities may reflect differences in commissioning and provision of WM services across the country. Multi-stakeholder qualitative research is ongoing to understand the barriers to accessing WM services and potential solutions. Together with population-wide prevention strateg

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CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1004282.s003（source: https://plos.figshare.com/articles/dataset/Exposure_and_outcomes_codelists_/24216039）。