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Completed

NCT Number: NCT04822545

Inpatient Referral to Comprehensive Weight Management for Patients With Obesity

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.

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Key information

Conditions

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

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

About this study

  • 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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

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.

Primary outcomes

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

    Time frame: Six months

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

Secondary outcomes

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

    Time frame: six month and 12 month

  2. Weight loss at 6 months from hospital discharge.

    Time frame: six month and 12 month

  3. Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management

    Time frame: six month and 12 month

    Obtained by survey and phone call

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

    Time frame: six month and 12 month

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

    Time frame: six month and 12 month

    Historical control will be defined as inpatients with obesity admitted to the same hospital from 2014 to 2019

Sponsors and collaborators

Lead sponsor

University of Minnesota

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Mar 30, 2021
Registry last updated
Feb 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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