Role of the family doctor in the management of adults with obesity: a scoping review

Author	Bourn²⁰⁴	Alexander et al²⁰⁵	Alexander et al²⁰⁶	Klumbiene et al²⁰⁷	Linné et al²⁰⁸	Patterson et al²⁰⁹	Hoyt²¹⁰	Fransen et al²¹¹	Cohen et al²¹²	Fobi et al²¹³
Title	Tackling obesity in England	Do the five A’s work when physicians counsel about weight loss?	Weight-loss talks: what works (and what doesn’t)	Advising overweight persons about diet and physical activity in primary health care: Lithuanian health behaviour monitoring study	Success rate of Orlistat in primary-care practice is limited by failure to follow prescribing recommendations: the referral letter content vs clinical reality	Prescribing for weight loss in primary care: evidence from a population based study	Person, place, and prevention in primary care: a multilevel analysis of variation in the delivery of mental health, substance-use disorder, and obesity services	The development of a minimal intervention strategy to address overweight and obesity in adult primary care patients in The Netherlands	Laparoscopic Roux-en-Y gastric bypass for BMI<35 kg/m²: a tailored approach	Gastric bypass in patients with BMI<40 but >32 without life-threatening comorbidities: preliminary report
Country	England	USA	USA	Lithuania	Sweden	Northern Ireland	USA	Netherlands	USA	Brazil
Year	2001	2011	2011	2006	2003	2013	2013	2008	2006	2002
Methodology	Government report	Qualitative	Qualitative	Survey	Survey	Audit	Survey	Qualitative	Audit	Audit
Diagnosis	X	X	X		X		X	X	X	X
Coordination	X	X			X		X	X	X	X
Weight and height		X			X		X	X
Waist circumference								X
System level/implementation	X						X	X
Doctor–patient relationship								X
Public health role							X
Prevention							X
Nutrition education	X	X	X		X		X	X
Physical activity education	X	X	X				X	X
Behaviour modification		X					X	X
Counselling/psychology							X
Role modelling
Group-based interventions
Medications	X				X	X
Bariatric surgery referral	X								X
Bariatric surgery work-up
Bariatric surgery after care
Commercial weight loss programme referral
Bariatric equipment in consultation room
Standard care undefined					X
Exact role uncertain	X						X
Person-centredness								X
Whole person care								X	X
Under-recognition/undertreatment mentioned	X			X	X			X

Author	Kloek et al²¹⁴	Antognoli et al²¹⁵	Nursing Standard²¹⁶	Binnie²¹⁷	Bramlage et al²¹⁸	Kraschnewski et al²¹⁹	Morris et al²²⁰	Sammut et al²²¹	Smith et al²²²	Sonntag et al²²³	Timmerman et al²²⁴
Title	Dutch general practitioners' weight management policy for overweight and obese patients	Direct observation of weight counselling in primary care: alignment with clinical guidelines	GPs failing to offer weight-loss advice to people who need it	Ten-year follow-up of obesity	Recognition and management of overweight and obesity in primary care in Germany	A silent response to the obesity epidemic: decline in US physician weight counseling	Who gets what treatment for obesity? A survey of GPs in Scotland	Audit of the diagnosis and management of adult obesity in a Maltese general practice	U.S. primary care physicians' diet-, physical activity-, and weight-related care of adult patients	Counseling overweight patients: analysis of preventive encounters in primary care	Weight management practices among primary care providers
Country	Netherlands	USA	UK	UK	Germany	USA	Scotland	Malta	USA	Germany	USA
Year	2014	2014	2015	1977	2004	2013	1999	2012	2011	2010	2000
Methodology	Cross-sectional survey	Direct observation	Editorial	Clinical audit	Cross-sectional survey	Clinical audit	Cross-sectional survey	Clinical audit	Clinical audit	Cross-sectional survey	Cross-sectional survey
Diagnosis	X	X	X	X	X	X	X	X	X	X	X
Coordination	X	X			X		X	X		X	X
Weight and height	X	X		X	X		X	X	X	X
Waist circumference	X	X						X	X
System level/implementation
Doctor–patient relationship	X			X						X
Public health role
Prevention							X
Nutrition education	X	X	X	X	X	X	X	X	X	X	X
Physical activity education	X	X	X		X	X	X	X	X	X	X
Behaviour modification		X	X				X	X	X	X	X
Counselling/psychology							X
Role modelling
Group-based interventions		X					X				X
Medications	X	X	X	X			X	X	X		X
Bariatric surgery referral		X					X	X	X
Bariatric surgery work-up
Bariatric surgery after care
Commercial weight loss programme referral		X					X				X
Bariatric equipment in consultation room
Standard care undefined
Exact role uncertain						X
Person-centredness
Whole person care	X	X
Under-recognition/undertreatment mentioned	X		X		X	X			X	X	X

Author	Gaglioti et al²²⁵	Morris and Gravelle²²⁶	Huber et al²²⁷	Asselin et al²²⁸
Title	Primary care’s ecologic impact on obesity	GP supply and obesity	Obesity management and continuing medical education in primary care: results of a Swiss survey	Missing an opportunity: the embedded nature of weight management in primary care
Country	USA	UK	Switzerland	Canada
Year	2009	2008	2011	2015
Methodology	Epidemiology	Cross-sectional survey	Cross-sectional survey	Qualitative
Diagnosis	X	X	X	X
Coordination			X	X
Weight and height			X	X
Waist circumference			X
System level/implementation	X			X
Doctor–patient relationship
Public health role	X
Prevention	X
Nutrition education			X	X
Physical activity education			X	X
Behaviour modification			X	X
Counselling/psychology
Role modelling
Group-based interventions
Medications
Bariatric surgery referral
Bariatric surgery work-up
Bariatric surgery after care
Commercial weight loss programme referral
Bariatric equipment in consultation room
Standard care undefined
Exact role uncertain	X	X		X
Person-centredness				X
Whole person care				X
Under-recognition/undertreatment mentioned				X

Table 4.