EASO COM Application Form
Name of Institution:
Center for Obesity, Clinic of Endocrinology, Diabetes and Metabolic Disease,
Clinical Center of Serbia
Dr Subotica street, No 13
Address:
Belgrade
Town/City:
Serbia
Country:
Website:
www.klinicki-centar.rs
Professor Dragan D. Micic, MD, PhD, SCOPE Fellow Founder
Lead Contact:
Head of Center for Obesity
Position of Lead
Contact:
Yes
Member of EASO
National Association:
+381112656527 office; mobile: +381646402843
Telephone:
+381112685357
Fax:
micicd@eunet.rs
Email:
Signature of Lead
Contact:
02.12.2011.
Date of Submission:
European Association for the Study of Obesity
113-119 High Street, Hampton hill, TW12 1NJ, UK
Tel: + 44 (0) 20 8783 2256 – Fax: +44 (0) 20 8979 6700
Registered Charity Number 1111288
EASO COM Requirements
General Requirements
Patients: Outline
patient profile and
selection procedure.
No. obese patients seen per annum
1200
No. new obese patients per annum
700
No. massively obese patients (BMI > 40) per annum
350
No. obese children/adolescents seen per annum
Specific cases: rare diseases
Facility Location:
Outline facilities and
geographical
distribution of sites.
Is the facility a Centre or Clinic?
Center
-within a university hospital
Yes
-within a general hospital
No
-within a larger department (internal medicine, endocrinology...)
Yes/Center
for
Obesity
belongs
to
Clinic
for
Endocrinology,
Diabetes and
Diseases
of
Metabolism in
the
Clinical
Center
of
Serbia
in
Belgrade
7 in Clinic for
Endocrinology
4
If yes, give details.
Center for Obesity has three main parts: 1. Outpatient Clinic; 2.
Hospital part in Clinic for Endocrinology, Diabetes and Diseases of
Metabolism and 3. Hospital part in Clinic for Digestive Surgery where
bariatric surgery is performed
No. beds dedicated to obesity
No. weekly clinics dedicated to obesity
Outline contacts with pediatric team
Contacts are performed through joint meetings
Staff Specifications:
Give overview of all
staff involved in the
delivery of the Obesity
Management service.
Are all staff members of
the relevant EASO
National Association?
No. MDs in the dept involved in obesity management
All 4 MDs are specialist of Internal medicine and subspecialist of
Endocrinology.
All medical doctors in the Center for obesity are members of SASO (
Serbian association for the Study of Obesity), Professor Micic is
President of SASO. All the surgeons in the Center of Obesity are
members of National Bariatric Society. Docent Djordje Bajec, Head
of Bariatric surgery, is President of National Bariatric Society.
4
No.
2
with
IASO
SCOPE
certification
Professor Dragan Micic is SCOPE Fellow Founder
Professor Jagoda Jorga is European SCOPE Fellow
No. Dieticians
European Association for the Study of Obesity
113-119 High Street, Hampton hill, TW12 1NJ, UK
Tel: + 44 (0) 20 8783 2256 – Fax: +44 (0) 20 8979 6700
Registered Charity Number 1111288
2
No. Psychologists
2
Links to GPs: Outline
Patient Pathway
System.
No. Physical educators
1
First/second/third referral
Patients are sent from their GP to the Outpatient Clinic of the Center for Obesity for
evaluation and investigation; GP are involved in joint further follow up after initial
evaluation, together with the experts from the Center for Obesity.
Links to other Medical
Services and Facilities:
Outline all relevant
systems and structured
links.
There are links to endocrine and genetic laboratories in Clinical
Center of Serbia, and to relevant specialistic discipline when it is
clinically relevant (cardiology, pulmology, orthopedics, physical
therapy, oncology, gastroenterology etc). In routine work up are
included endocrinologist, dietitians, specialist in nutrition,
psychologist, psychiatrist, bariatric surgeons and physical therapist.
EASO COM Requirements: Equipment and Tools Appropriate for Obese Patients
Tool (Essential)
()
Appropriate cuffs for blood pressure
measurement (>34cm)
()
Scales with adequate weight capacity (> 200 kg)
()
Armless chairs, high firm sofas in waiting rooms
()
Wide examination tables
()
Beds for very obese patients >200kg
()
Stretchers adapted to very obese persons
()
Sleep apnoea monitors on site or at affiliated
facilities
()
Food frequency questionnaire and/or dietary
intake recording and assessment
()
Questionnaires concerning depression, eating
attitudes and disorders, physical activity, quality
of life (QOL)
()
Access to accredited hormonal and molecular
genetics laboratories
()
Access to additional relevant diagnostic
procedures, such as X-ray, ultrasound, CT and
NMR scanning, endoscopy, cardiac and
Comment
Specially prepared for all three parts of
the center
Specially designed
departments
()
European Association for the Study of Obesity
113-119 High Street, Hampton hill, TW12 1NJ, UK
Tel: + 44 (0) 20 8783 2256 – Fax: +44 (0) 20 8979 6700
Registered Charity Number 1111288
for
both
hospital
pulmonary assessment, nuclear medicine,
adapted to the very obese persons
Tool (Recommended)
()
Pedometers
()
Skinfold calipers
()
Body composition analysis [Bio-impedance, dualenergy X-ray absorptiometry (DEXA)]
()
Indirect calorimetry
()
Tool (Optimal)
Hydrodensitometry
Air displacement plethysmography
Comment
Comment
NO
()
EASO COM Requirements
Additional Requirements
Treatment Modalities: Outline
your Institution’s spectrum of
clinically proven treatment
options (to include the treatment
of complications).
dietary treatment
physical exercise
Behavioural approach
Drug treatment
Bariatric surgery
If necessary: orthopedic; sleep apnoea treatment; corrective plastic
surgery; endocrine work up in the field of diabetes and lipids; cardiology
care )
Educational Tools: Outline the
educational opportunities and
options offered by your
Institution.
Mainly presented in written and illustrative material by medical sisters and
dietitian specially trained for that purposes, form of public lectures for the
patients.
Doctor staffs are participating in mass media conferences on different
topics in the field of obesity and we plan to offer relevant publications
from the obesity field through web site of Clinical Center of Serbia.
European Association for the Study of Obesity
113-119 High Street, Hampton hill, TW12 1NJ, UK
Tel: + 44 (0) 20 8783 2256 – Fax: +44 (0) 20 8979 6700
Registered Charity Number 1111288
Affiliation with an accredited
Bariatric Surgery Centre: Outline
the scope and nature of any such
affiliations.
Data Collection and
Management: Outline your
Institution’s data collection and
management systems.
Education and Training and
Research: Outline your
Institution’s post-graduate
training programmes and
research capabilities/projects.
Bariatric surgery department is third part of the Center for Obesity,
located in Clinic for Digestive Surgery in Clinical Center of Serbia. The
department has its own operating theatre with all relevant equipment for
performing bariatric surgery as well as its own hospital department. The
bariatric surgery department has its own surgeons and anesthesiologist
experienced in treatment of obese patients.
Data collection are obtained through INFOMEDIS (Local computer network
in Clinical Center of Serbia for patients data). One can approach to the
patient data with adequate password from different parts of the Center.
Beside this, every patient have its own data file that is located in
Outpatient Clinic of the Center for Obesity.
For last three years we performed twice a year CME course on the School
of Medicine, University of Belgrade devoted to the Basics of pathogenesis
and treatment of obesity. Among the speakers are all the doctors from the
staff of Center of Obesity. 200 to 250 medical doctors of different
specialities participated on each course.
Professor Dragan Micic is principal investigators of the scientific project
supported by the Ministry of Science, Republic of Serbia that is devoted to
the investigation of endocrine relationships in atherosclerosis and obesity.
This form should be completed in full and returned to the EASO Secretariat at enquiries@easo.org.
European Association for the Study of Obesity
113-119 High Street, Hampton hill, TW12 1NJ, UK
Tel: + 44 (0) 20 8783 2256 – Fax: +44 (0) 20 8979 6700
Registered Charity Number 1111288