Inpatient Referral to Comprehensive Weight Management for Patients With Obesity

Not Applicable

Completed

• Conditions: Obesity
• Interventions: Other: referral to comprehensive weight management clinic

• Registration Number: NCT04822545
• Lead Sponsor: University of Minnesota

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.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2020-12-22
• Study First Submitted QC: 2021-03-29
• Study First Posted: 2021-03-30
• Study Start: 2021-05-13
• Primary Completion: 2022-12-31
• Study Completion: 2022-12-31
• Status Verified: 2023-02
• Last Update Submitted: 2023-02-07
• Last Update Posted: 2023-02-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

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.

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention Arm	referral to comprehensive weight management clinic	-Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m2 or BMI ≥ 27 kg/m2 if Asian/South Asian), as recorded in the medical chart, who have decision-making capacity and whose acute medical condition has been stabilized. we will exclude patients who are enrolling in hospice/comfort care and the patients who are already enrolled in the CWM clinic. Non-English speaking patients. Patients who have opted out of research in their Epic EHR will be excluded from consideration for participation.

Primary Outcome Measures

Name	Time	Method
Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity.	Six months	Percentage of patients who are seen in weight management clinic at 6 months from hospital discharge

Secondary Outcome Measures

Name	Time	Method
Compare primary and secondary outcomes with a historical control of patients with obesity	six month and 12 month	Historical control will be defined as inpatients with obesity admitted to the same hospital from 2014 to 2019
Weight loss at 6 months from hospital discharge.	six month and 12 month
The number of Comprehensive weight managment clinic visits at 6 months.	six month and 12 month
Percentage of patients receiving weight-loss medications or being referred for bariatric surgery.	six month and 12 month
Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management	six month and 12 month	Obtained by survey and phone call

Trial Locations

Locations (1)

University of Minnesota; 🇺🇸 Minneapolis, Minnesota, United States