Clinical trial NCT04822545: Inpatient Referral to Comprehensive Weight Management for Patients With Obesity
Official title: Inpatient Referral to Comprehensive Weight Management for Patients With Obesity
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obesity
Lead sponsor: University of Minnesota
Sponsor class: OTHER
First posted: 2021-03-30
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Hospitalized patients with obesity who are not already in CWM (comprehensive weight management), or not comfort care/hospice will be identified by the hospitalists then the study dietitian will consent for the patient for enrollment (and answer any question regarding diet/lifestyle) in the study. The intervention will be a CWM referral at discharge. The outcome will be what percentage of these patients go to the CWM clinic at 6 months. At 6 months, the investigators will also call each participant to get a qualitative idea of the process of inpatient referral and barriers to the CWM clinic visit. Weight loss, starting on anti-obesity medication, bariatric surgery will be assessed as a secondary outcome.

Detailed description: * The investigators will conduct an uncontrolled, one arm interventional study on Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m 2 or BMI ≥ 27 kg/m 2 if Asian/South Asian), and after stabilization of their acute medical conditions. Prior to hospital discharge, patients will receive a referral for an outpatient comprehensive weight management clinic, with a message that will be sent to the CWM clinic scheduler. Then the investigators will follow the patients forward for 6 months from hospital discharge to assess primary and secondary outcomes. Also, the investigators will look at a historical control group of hospitalized patients with obesity (age, comorbidity matched) from 2014-2019 (chosen instead of 2020, to avoid any impact of 2020 COVID 19 pandemic) and compare the primary and secondary outcomes. At six months after discharge, patients will receive a phone call from the investigators to ascertain whether they were able to go to the comprehensive weight management clinic and about their experience.
* Hospitalized patients who have decision-making capacity and whose acute medical condition has been stabilized who meet study criteria will be identified by study physician(s) who will look at his/her personal patient list on a regular basis to identify patients who meet enrollment criteria and will refer the patients to the co-investigator who is not directly involved in the patient's care who will then discuss enrollment with patients.

Eligibility criteria: Inclusion Criteria:

* Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m2 or BMI ≥ 25 kg/m2 if Asian/South Asian)
* Who have decision-making capacity
* Whose acute medical condition has been stabilized.

Exclusion Criteria:

* Patients in the ICU or requiring \> 6 LPM of supplemental oxygen
* Patients enrolling in hospice/comfort care
* Patients who are already enrolled in weight management or have undergone previous metabolic / bariatric surgery.
* Non-English speaking patients.
* Pregnant patients

Primary outcomes:
measure: Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity.
timeFrame: Six months
Secondary outcomes:
measure: The number of Comprehensive weight managment clinic visits at 6 months.
timeFrame: six month and 12 month
measure: Weight loss at 6 months from hospital discharge.
timeFrame: six month and 12 month
measure: Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management
timeFrame: six month and 12 month
measure: Percentage of patients receiving weight-loss medications or being referred for bariatric surgery.
timeFrame: six month and 12 month
measure: Compare primary and secondary outcomes with a historical control of patients with obesity
timeFrame: six month and 12 month
Other outcomes:
Locations:
city: Minneapolis
country: United States
facility: University of Minnesota
state: Minnesota
Study officials:
affiliation: University of Minnesota
name: Nirjhar Dutta, DO, MS
role: PRINCIPAL_INVESTIGATOR
References: