Server Obesity Score (S.O.S.): Elaboration of a protocol to define severity criteria and prioritization of patients for bariatric surgery

• DOI: 10.22533/at.ed.1593102307023

• Palavras-chave: Bariatric surgery, Obesity and Prioritization

• Keywords: Bariatric surgery, Obesity and Prioritization

• Abstract:

  Obesity has been identified as one of the main risk factors for cardiovascular disease and chronic kidney disease, among others. In Brazil, studies show that approximately 50% of the adult population is overweight and obese. The World Health Organization (WHO) estimates that in 2025 we will have 2.3 billion overweight adults in the world and of these 700 million with obesity (BMI above 30). Since the 1980s, the rate of overweight individuals has increased by 27.5% in adults and 47.1% in children and adolescents.

  According to the Brazilian Society of Bariatric and Metabolic Surgery, in 2017 in the private sector 105,642 bariatric surgeries were performed, while only 10,089 in the public system, representing 9.5% of the total. In addition, the public and private health system in Brazil from 2011 to 2018 operated a total of 424,682 patients, with a percentage increase of 84.73% of surgeries performed. In many public hospitals, the only prioritization criteria for bariatric surgery is the waiting time in line.

  The aim of this study is to develop a protocol to define severity criteria and prioritization of patients for bariatric surgery in the public health system, through a literature review, correlating obesity to the degree of organ dysfunction of patients on the waiting list.

  In our service, the waiting time for bariatric surgery is around 05 to 07 years, for all patients, not considering the comorbidities and risks of these individuals, and in Brazil there is no prioritization protocol for comorbidities described for bariatric surgery yet.

  A protocol for prioritizing of the bariatric surgery queue entitled the Server's Obesity Score (SOS) was designed, in order to organize the long waiting list of patients, based on the impact of obesity and its comorbidities, what causes increased mortality and worsens the quality of life.