Evidence mapPaperPMID 30977293Full record

ArticleClinical obesity2019

A call to action to inform patient-centred approaches to obesity management: Development of a disease-illness model.

John Fastenau, Ronette L Kolotkin, Ken Fujioka, Maria Alba, William Canovatchel, Shana Traina

Abstract read
In one paragraph

Article in Clinical obesity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Missing the Target: A Scoping Review of the Use of Percent Weight Loss for Obesity Management.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
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  9. Review
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  19. The relationship between person-centred care and well-being and satisfaction with care of patients living with obesity.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John FastenauJanssen Research & Development, LLC, Raritan, New Jersey.ORCID https://orcid.org/0000-0003-0335-3779
Ronette L KolotkinQuality of Life Consulting, PLLC, Durham, North Carolina.ORCID https://orcid.org/0000-0002-1300-2131
Ken FujiokaDepartment of Diabetes and Endocrine, Scripps Clinic, San Diego, California.
Maria AlbaJanssen Research & Development, LLC, Raritan, New Jersey.
William CanovatchelJanssen Research & Development, LLC, Raritan, New Jersey.
Shana TrainaJanssen Research & Development, LLC, Raritan, New Jersey.

Funding

Janssen Research & Development, LLC
6 · The paper itself

Abstract

Patient-centred care is an essential component of high-quality health care, shown to improve clinical outcomes and patient satisfaction, and reduce costs. While there are several authoritative models of obesity pathophysiology and treatment algorithms, a truly patient-centred model is lacking. We describe the development of a patient-centric obesity model. A disease-illness framework was selected because it emphasizes each patient's unique experience while capturing biomedical aspects of the disease. Model input was obtained from an accumulation of research including contributions from experts in obesity and patient-reported outcomes, qualitative research with adults living in the United States, and two targeted literature searches. The model places the patient with obesity at its core and links pathologic imbalances of energy intake and expenditure to environmental, sociodemographic, psychological, behavioural, physiological and medical health determinants. It highlights relationships between obesity signs and symptoms, comorbid conditions, impacts on health-related quality of life, and some barriers to obesity management that must be considered to attain better outcomes. Providers need to evaluate patients holistically, understand what changes each patient is motivated to make, and recognize what challenges might impede weight reduction, improvements in comorbid conditions, signs and symptoms, and health-related quality of life before pursuing individualized treatment goals. Patients living with obesity who do lose weight perceive benefits beyond weight loss. Ideally, this model will increase awareness of the complex, heterogeneous impacts of obesity on patients' well-being and recognition of obesity as a chronic disease, and prompt a call to action among stakeholders to improve quality of care.

Indexed as

Body Weight MaintenanceEnergy IntakeHumansModels, TheoreticalObesityPatient-Centered CareQualitative ResearchQuality of LifeUnited StatesWeight LossWeight Reduction Programsmodellingobesityquality of care

Identifiers

PMID30977293
PMCPMC6594134

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.