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: Recommendation: ADA Obesity Management Recommendation 8.16-adapted - XML Representation

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    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition 179699</b></p><a name="179699"> </a><a name="hc179699"> </a><a name="179699-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 12; Last updated: 2024-07-18 12:17:43+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-recommendation.html">Recommendation</a></p></div><p><b>ArtifactApprovalDate</b>: 2023-11-15</p><p><b>ArtifactLastReviewDate</b>: 2023-12-01</p><p><b>ArtifactEffectivePeriod</b>: 2024-01-01 --&gt; 2024-12-31</p><p><b>Artifact Description</b>: </p><div><p>This example of adapting a Recommendation (removing the A from the end of the Recommendation Statement) shows the use of an Adaptation Profile of ArtifactAssessment and the use of the extensions: artifact-approvalDate, arifact-lastReviewDate, and artifact-effectivePeriod.</p>
</div><p><b>url</b>: <a href="https://fevir.net/resources/Composition/179699">https://fevir.net/resources/Composition/179699</a></p><p><b>identifier</b>: FEvIR Object Identifier/179699</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{https://fevir.net/resources/CodeSystem/179423 Recommendation}">Recommendation</span></p><p><b>date</b>: 2024-07-18 12:17:43+0000</p><p><b>author</b>: Joanne Dehnbostel</p><p><b>title</b>: Recommendation: ADA Obesity Management Recommendation 8.16-adapted</p><p><b>custodian</b>: <a href="Organization-118079.html">Computable Publishing LLC</a></p><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Classifier</b></td><td><b>Label</b></td><td><b>Citation</b></td><td><b>ResourceReference</b></td></tr><tr><td style="display: none">*</td><td>Derived From</td><td><span title="Codes:">Original Recommendation</span></td><td>Derived from</td><td> </td><td><a href="Composition-179466.html">Recommendation: ADA Obesity Management Recommendation 8.16</a></td></tr><tr><td style="display: none">*</td><td>Derived From</td><td><span title="Codes:">Adaptation Report</span></td><td>Derived from</td><td> </td><td><a href="ArtifactAssessment-179698.html">Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16</a></td></tr><tr><td style="display: none">*</td><td>Cite As</td><td> </td><td>Cite as</td><td><div><p>Recommendation: ADA Obesity Management Recommendation 8.16-adapted [Database Entry: FHIR Composition Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179699. Revised 2024-06-06. Available at: https://fevir.net/resources/Composition/179699. Computable resource at: https://fevir.net/FLI/DocumentForComposition179699.</p>
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        <div xmlns="http://www.w3.org/1999/xhtml">8.16 Metabolic surgery should be a recommended option to treat type 2 diabetes in screened surgical candidates with BMI ≥40 kg/m2 (BMI ≥37.5 kg/m2 in Asian Americans) and in adults with BMI 35.0–39.9 kg/m2 (32.5–37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods.</div>
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        <div xmlns="http://www.w3.org/1999/xhtml">Inclusion Criteria: [[1]] Adults. [[2]] Diagnosed with type 2 diabetes. [[3]] Body Mass Index (BMI) ≥ 40.0 kg/m2 (BMI ≥ 37.5 kg/m2 in Asian Americans), or BMI ≥ 35.0 kg/m2 and ≤ 39.9 kg/m2 (BMI 32.5-37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. [[4]] Screened surgical candidates.</div>
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        <div xmlns="http://www.w3.org/1999/xhtml">All members of the PPC are required to disclose potential conflicts of interest with industry and other relevant organizations. These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. NOTE: The disclosed conflicts of interest was not found at the suggested URL</div>
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      <div xmlns="http://www.w3.org/1999/xhtml">ADA Level of Evidence A. A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.</div>
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