EASO Collaborating Centres for Obesity Management (COMs) Application Form EASO COM Application Form Name of Institution: Dep of Surgery, Ersta Hospital Fjällgatan 44 Address: Box 4622, 116 91 Town/City: Stockholm Country: Sweden Website: www.ersta.se Lead Contact: Anders Thorell, MD, PhD Position of Lead Contact: Senior consultant surgeon, MD, PhD Head of upper gastrointestinal surgery Member of EASO National Association: Swedish Association for the Study of Obesity Telephone: int 46 8 714 6541 Fax: int 46 8 566 34607 Email: anders.thorell@erstadiakoni.se Signature of Lead Contact: Date of Submission: Dec 30, 2011 European Association for the Study of Obesity Registered Charity Number 1111288 EASO COM Requirements General Requirements Number of obese patients seen per annum 2 000 Number of new obese patients per annum Patients: Outline patient profile and selection procedure. 1 000 Number of massively obese patients (BMI > 40) per annum 1 200 Number of obese children/adolescents seen per annum 25 Specific cases: rare diseases 30 Is the facility a Centre or Clinic? Facility Location: Outline facilities and geographical distribution of sites. -within a university hospital Clinic Yes/No -within a general hospital Yes/No -within a larger department (internal medicine, endocrinology...) Yes/No Number of beds dedicated to obesity 10 Number of weekly clinics dedicated to obesity ? Outline contacts with pediatric team Occasional referral from Swedish National Centre for Obese Children Number of MDs in the dept involved in obesity management 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? Links to GPs: Outline Patient Pathway System. Links to other Medical Services and Facilities: Outline all relevant systems and structured links. 10 Number with IASO SCOPE certification Number of Dieticians 2 Number of Psychologists 2 Number of Physical educators 1 First/second/third referral First as well as second referrals from GP´s and specialized obesity Centres, respectively. Referrals from bariatric centres for second opinion, etc Ongoing collaboration with specialized obesity Centres, including Centre for eating disturbances and Swedish National Centre for Obese Children European Association for the Study of Obesity Registered Charity Number 1111288 EASO COM Requirements: Equipment and Tools Appropriate for Obese Patients Tool (Essential) Appropriate cuffs for blood pressure measurement (>34cm) () Comment () Comment () Comment () Comment 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 adapted to the very obese persons, such as: X-ray Ultrasound CT and NMR Scanning Endoscopy Cardiac and Pulmonary Assessment Nuclear Medicine Tool (Recommended) Pedometers Skinfold calipers Body composition analysis [Bio-impedance, dualenergy X-ray absorptiometry (DEXA)] Indirect calorimetry Tool (Optimal) Hydrodensitometry Air displacement plethysmography European Association for the Study of Obesity Registered Charity Number 1111288 EASO COM Requirements Additional Requirements Treatment Modalities: Outline your Institution’s spectrum of clinically proven treatment options (to include the treatment of complications). Primary and revisional bariatric surgery. ICU for treatment of complications Educational Tools: Outline the educational opportunities and options offered by your Institution. Training programs for surgeons, in particular revisional surgery offered several times annually. Annual symposium (Stockholm Obesity Days) Affiliation with an accredited Bariatric Surgery Centre: Outline the scope and nature of any such affiliations. The applicant represents an accredited Bariatric Surgery Centre with appr. 900 procedures performed annually Data Collection and Management: Outline your Institution’s data collection and management systems. All patients are monitored within the National Registry for Obesity Surgery with access to own as well as national data. Several ongoing studies within the area of obesity with collection of data in accordance with study protocols Education and Training and Research: Outline your Institution’s post-graduate training programmes and research capabilities/projects. See above; ongoing training of surgeons as well as multi-disciplinary teams. Own CRC with several ongoing studies, in particular within the area of metabolism in relation to obesity, surgical stress, and the effect of bariatric surgery. Applications will be evaluated twice per year. The first set of applications will be evaluated by the end of the first quarter of 2012 (January - March) and the deadline for applications to be evaluated in this time period is 31 December 2011. This form should be completed in full and returned to the EASO Secretariat at enquiries@easo.org. European Association for the Study of Obesity Registered Charity Number 1111288