Inpatient Referral to Comprehensive Weight Management for Patients With Obesity

NCT04822545 | Completed

• 1 other identifier: GIM-2020-29448
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

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.

Conditions

Obesity

Outcome Measures

Primary Outcomes (1)

• Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity.

  Percentage of patients who are seen in weight management clinic at 6 months from hospital discharge

  Six months

Secondary Outcomes (5)

• The number of Comprehensive weight managment clinic visits at 6 months.

  six month and 12 month

• Weight loss at 6 months from hospital discharge.

  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

• Percentage of patients receiving weight-loss medications or being referred for bariatric surgery.

  six month and 12 month

• Compare primary and secondary outcomes with a historical control of patients with obesity

  six month and 12 month

Study Arms (1)

Intervention Arm

OTHER

-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.

Other: referral to comprehensive weight management clinic

Interventions

referral to comprehensive weight management clinic OTHER

Patients will receive a referral for outpatient CWM clinic, with a message sent to the CWM clinic scheduler, prior to hospital discharge. At six months after discharge, the patient will receive a phone call from the investigators to ascertain whether they were able to go to the CWM clinic and about their experience.

Intervention Arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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

Sponsors & Collaborators

• University of Minnesota: lead

Study Sites (1)

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Nirjhar Dutta, DO, MS

  University of Minnesota

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 22, 2020
• First Posted: March 30, 2021
• Study Start: May 13, 2021
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2022
• Last Updated: February 8, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)