Establishing a Comprehensive Multi-Disciplinary Program to Manage Patients with Obesity and Severe Arthritis

Description

In this presentation led by Dr. Nelson Greidanus, the speaker addresses the urgent need for strategies to optimize the care of high Body Mass Index (BMI) patients undergoing hip and knee arthroplasty. Acknowledging the collaborative efforts of various medical committees, Dr. Greidanus introduces the concept of employing a multidisciplinary team approach to improve outcomes for patients with high BMI, who often face stigma and barriers to accessing care.



He emphasizes the importance of preoperative optimization, including fitness, weight management, and the integration of innovative pharmacological interventions such as GLP-1 agonists. These advancements aim to facilitate a significant weight loss for these patients, with the ultimate goal of preparing them for surgery safely and effectively.



Dr. Greidanus challenges the prevailing attitudes towards obese patients in the healthcare system, advocating for empathy and understanding rather than judgment. He points out that many patients have already attempted numerous diets and are often marginalized in healthcare discussions.



The presentation outlines the establishment of the "Get To Surgery Program", a virtual health initiative, which provides patients across British Columbia a pathway to optimize their health before surgery. This program has yielded promising results, demonstrating an average weight reduction among participants and the potential for improved surgical outcomes.



Dr. Greidanus concludes by inviting collaboration and support for similar initiatives, expressing gratitude to his team and highlighting the significance of inclusive healthcare practices.

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