Pharmacotherapy for Weight Management in the VHA View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-04

AUTHORS

Todd P. Semla, Chris Ruser, Chester B. Good, Susan Z. Yanovski, Donna Ames, Laurel A. Copeland, Charles Billington, U. Inge Ferguson, Louis J. Aronne, Thomas A. Wadden, W. Timothy Garvey, Caroline M. Apovian, David Atkins

ABSTRACT

Weight management medications (WMM) are underutilized as an adjunct to behavioral and lifestyle interventions. In fiscal years 2014-2015, a total of approximately 2500 veterans-a mere 2% of veterans receiving care from the Veterans Health Administration (VHA)-eligible for a WMM received a prescription for one. A State of the Art Conference on Weight Management workgroup, focused on pharmacotherapy, developed evidence-based recommendations and strategies to foster the appropriate use of WMM in the VHA. The workgroup identified patient, prescriber, and health system barriers to and facilitators for prescribing WMM. Barriers included patient and provider concerns about medication safety and efficacy, limited involvement of primary care, restrictive medication criteria for use (CFU), and skepticism among providers regarding the safety and efficacy of WMM and the perception of obesity as a disease. Potential facilitators for removing barriers included patient and provider education about WMM and the health benefits of weight loss, increased engagement of primary care providers in weight management, relaxation of the CFU, and creation of a system to help patients navigate through weight management treatment options. Several research questions were framed with regard to WMM in general, and specifically to the care of obese veterans. While some of the workgroup's conclusions reflect issues specific to the VHA, many are likely to be applicable to other health organizations. More... »

PAGES

70-73

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11606-016-3949-y

DOI

http://dx.doi.org/10.1007/s11606-016-3949-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084032044

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28271432


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Anti-Obesity Agents", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Congresses as Topic", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Drug Utilization", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Obesity", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Obesity Management", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "United States", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "United States Department of Veterans Affairs", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Veterans Health", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Pharmacy Benefits Management Services, Department of Veterans Affairs, 1st Ave. \u2013 1 Block N. of Cermak Rd, Building 37 (10P4P), 60141, Hines, IL, USA", 
            "Department of Medicine, and Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Semla", 
        "givenName": "Todd P.", 
        "id": "sg:person.0666175204.97", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666175204.97"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yale University", 
          "id": "https://www.grid.ac/institutes/grid.47100.32", 
          "name": [
            "VA Connecticut Healthcare System, New Haven, CT, USA", 
            "Yale University School of Medicine, New Haven, CT, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ruser", 
        "givenName": "Chris", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Pharmacy Benefits Management Services, Department of Veterans Affairs, 1st Ave. \u2013 1 Block N. of Cermak Rd, Building 37 (10P4P), 60141, Hines, IL, USA", 
            "Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA", 
            "Division of General Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Good", 
        "givenName": "Chester B.", 
        "id": "sg:person.01024035210.48", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024035210.48"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Institute of Diabetes and Digestive and Kidney Diseases", 
          "id": "https://www.grid.ac/institutes/grid.419635.c", 
          "name": [
            "National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yanovski", 
        "givenName": "Susan Z.", 
        "id": "sg:person.01141175331.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01141175331.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA West Los Angeles Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.416792.f", 
          "name": [
            "David Geffen School of Medicine, University of California, Los Angeles, CA, USA", 
            "West Los Angeles VA Medical Center, Los Angeles, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ames", 
        "givenName": "Donna", 
        "id": "sg:person.01126435746.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01126435746.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "VA Central Western Massachusetts, Leeds, MA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Copeland", 
        "givenName": "Laurel A.", 
        "id": "sg:person.01004034770.05", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01004034770.05"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Minneapolis VA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.491585.4", 
          "name": [
            "Minneapolis VA Medical Center, Minneapolis, MN, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Billington", 
        "givenName": "Charles", 
        "id": "sg:person.01022052225.65", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01022052225.65"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "VA Southern Nevada Health Care System, Las Vegas, NV, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ferguson", 
        "givenName": "U. Inge", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Cornell University", 
          "id": "https://www.grid.ac/institutes/grid.5386.8", 
          "name": [
            "Comprehensive Weight Control Program, Weill-Cornell Medicine, New York, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Aronne", 
        "givenName": "Louis J.", 
        "id": "sg:person.0747571730.00", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0747571730.00"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pennsylvania", 
          "id": "https://www.grid.ac/institutes/grid.25879.31", 
          "name": [
            "Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wadden", 
        "givenName": "Thomas A.", 
        "id": "sg:person.0761244115.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0761244115.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Birmingham VA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.280808.a", 
          "name": [
            "Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, USA", 
            "Geriatric Research, Education and Clinical Center, Birmingham VA Medical Center, Birmingham, AL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Garvey", 
        "givenName": "W. Timothy", 
        "id": "sg:person.0676632371.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0676632371.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Boston University School of Medicine", 
          "id": "https://www.grid.ac/institutes/grid.475010.7", 
          "name": [
            "Boston University School of Medicine, Nutrition and Weight Management and Nutrition and Support Service at Boston Medical Center, Boston, MA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Apovian", 
        "givenName": "Caroline M.", 
        "id": "sg:person.0610412114.95", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0610412114.95"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "United States Department of Veterans Affairs", 
          "id": "https://www.grid.ac/institutes/grid.418356.d", 
          "name": [
            "Health Service Research and Development, US Department of Veterans Affairs, Washington, DC, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Atkins", 
        "givenName": "David", 
        "id": "sg:person.01024352725.07", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024352725.07"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1056/nejmoa0909809", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000164602"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmsa1504267", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002930459"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2013.281361", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005699514"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(11)60205-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005859027"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s13142-011-0077-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006509855", 
          "https://doi.org/10.1007/s13142-011-0077-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4158/ep161365.gl", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006527701"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2337/dc13-0234", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007209171"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.psc.2016.01.008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010072408"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jamainternmed.2015.7189", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010211737"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/oby.20309", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013565635"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1210/jc.2014-3415", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014195414"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1038/oby.2011.330", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023050014"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2015.1617", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026862299"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/ijo.2013.120", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028581701", 
          "https://doi.org/10.1038/ijo.2013.120"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1038/oby.2010.147", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032315623"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2016.7602", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037398354"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(10)60888-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037695649"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmoa1411892", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041194759"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1038/oby.2007.136", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041667953"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jacc.2013.11.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042247168"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/oby.20596", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047722000"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1038/oby.2012.66", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049019992"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(09)61375-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051062453"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/phar.1342", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053048573"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1210/jc.2011-1256", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064292885"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2017-04", 
    "datePublishedReg": "2017-04-01", 
    "description": "Weight management medications (WMM) are underutilized as an adjunct to behavioral and lifestyle interventions. In fiscal years 2014-2015, a total of approximately 2500 veterans-a mere 2% of veterans receiving care from the Veterans Health Administration (VHA)-eligible for a WMM received a prescription for one. A State of the Art Conference on Weight Management workgroup, focused on pharmacotherapy, developed evidence-based recommendations and strategies to foster the appropriate use of WMM in the VHA. The workgroup identified patient, prescriber, and health system barriers to and facilitators for prescribing WMM. Barriers included patient and provider concerns about medication safety and efficacy, limited involvement of primary care, restrictive medication criteria for use (CFU), and skepticism among providers regarding the safety and efficacy of WMM and the perception of obesity as a disease. Potential facilitators for removing barriers included patient and provider education about WMM and the health benefits of weight loss, increased engagement of primary care providers in weight management, relaxation of the CFU, and creation of a system to help patients navigate through weight management treatment options. Several research questions were framed with regard to WMM in general, and specifically to the care of obese veterans. While some of the workgroup's conclusions reflect issues specific to the VHA, many are likely to be applicable to other health organizations.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11606-016-3949-y", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.2439005", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1096256", 
        "issn": [
          "0884-8734", 
          "1525-1497"
        ], 
        "name": "Journal of General Internal Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "Suppl 1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "32"
      }
    ], 
    "name": "Pharmacotherapy for Weight Management in the VHA", 
    "pagination": "70-73", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "e3f4e12cf90e84b6eb3c4f7ada087da0220b58c39a6093810171c4be667571db"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "28271432"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8605834"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11606-016-3949-y"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1084032044"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11606-016-3949-y", 
      "https://app.dimensions.ai/details/publication/pub.1084032044"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T13:47", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000371_0000000371/records_130792_00000005.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11606-016-3949-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11606-016-3949-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11606-016-3949-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11606-016-3949-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11606-016-3949-y'


 

This table displays all metadata directly associated to this object as RDF triples.

306 TRIPLES      21 PREDICATES      63 URIs      30 LITERALS      18 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11606-016-3949-y schema:about N10d3aca925074d49b9cea949f05d1264
2 N2c94b40ce01841cea3767fdd9e93765b
3 N5095d311a7174c0aa10864980831da9c
4 N77838f50d6394e188fe3682c3da9ca34
5 N8386e2fd034949049b29b46423752e6e
6 N881acd0b54f44fd7b17ef230a640365c
7 Nb024c6aac7a0462d9f5ee5a2d23cb6ba
8 Ncc6db307ebb54db48d5ed9006538e666
9 Ne3e2a3d56f024153a4ef700f12468c83
10 anzsrc-for:11
11 anzsrc-for:1117
12 schema:author Nb986b5608a4341b8abcc7526ca741fa4
13 schema:citation sg:pub.10.1007/s13142-011-0077-4
14 sg:pub.10.1038/ijo.2013.120
15 https://doi.org/10.1001/jama.2013.281361
16 https://doi.org/10.1001/jama.2015.1617
17 https://doi.org/10.1001/jama.2016.7602
18 https://doi.org/10.1001/jamainternmed.2015.7189
19 https://doi.org/10.1002/oby.20309
20 https://doi.org/10.1002/oby.20596
21 https://doi.org/10.1002/phar.1342
22 https://doi.org/10.1016/j.jacc.2013.11.004
23 https://doi.org/10.1016/j.psc.2016.01.008
24 https://doi.org/10.1016/s0140-6736(09)61375-1
25 https://doi.org/10.1016/s0140-6736(10)60888-4
26 https://doi.org/10.1016/s0140-6736(11)60205-5
27 https://doi.org/10.1038/oby.2007.136
28 https://doi.org/10.1038/oby.2010.147
29 https://doi.org/10.1038/oby.2011.330
30 https://doi.org/10.1038/oby.2012.66
31 https://doi.org/10.1056/nejmoa0909809
32 https://doi.org/10.1056/nejmoa1411892
33 https://doi.org/10.1056/nejmsa1504267
34 https://doi.org/10.1210/jc.2011-1256
35 https://doi.org/10.1210/jc.2014-3415
36 https://doi.org/10.2337/dc13-0234
37 https://doi.org/10.4158/ep161365.gl
38 schema:datePublished 2017-04
39 schema:datePublishedReg 2017-04-01
40 schema:description Weight management medications (WMM) are underutilized as an adjunct to behavioral and lifestyle interventions. In fiscal years 2014-2015, a total of approximately 2500 veterans-a mere 2% of veterans receiving care from the Veterans Health Administration (VHA)-eligible for a WMM received a prescription for one. A State of the Art Conference on Weight Management workgroup, focused on pharmacotherapy, developed evidence-based recommendations and strategies to foster the appropriate use of WMM in the VHA. The workgroup identified patient, prescriber, and health system barriers to and facilitators for prescribing WMM. Barriers included patient and provider concerns about medication safety and efficacy, limited involvement of primary care, restrictive medication criteria for use (CFU), and skepticism among providers regarding the safety and efficacy of WMM and the perception of obesity as a disease. Potential facilitators for removing barriers included patient and provider education about WMM and the health benefits of weight loss, increased engagement of primary care providers in weight management, relaxation of the CFU, and creation of a system to help patients navigate through weight management treatment options. Several research questions were framed with regard to WMM in general, and specifically to the care of obese veterans. While some of the workgroup's conclusions reflect issues specific to the VHA, many are likely to be applicable to other health organizations.
41 schema:genre research_article
42 schema:inLanguage en
43 schema:isAccessibleForFree true
44 schema:isPartOf N3e0914ef1d564b9fa7f078f3d7a13544
45 N62afe8e1857e458eabd98f4043b88b8a
46 sg:journal.1096256
47 schema:name Pharmacotherapy for Weight Management in the VHA
48 schema:pagination 70-73
49 schema:productId N5f56d8802ea34852abf5354c0ff6b959
50 N7207899b279045df910b5d8cfa84f0ae
51 N8d98707de41d4955a72b7d6d777a4b9d
52 Nbc6ad91784a34b0bbe881feee54f4171
53 Nd275bb94559c45598cdbbc9d1a1e6f88
54 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084032044
55 https://doi.org/10.1007/s11606-016-3949-y
56 schema:sdDatePublished 2019-04-11T13:47
57 schema:sdLicense https://scigraph.springernature.com/explorer/license/
58 schema:sdPublisher N095e3774bd0341dfa7947086929b3093
59 schema:url https://link.springer.com/10.1007%2Fs11606-016-3949-y
60 sgo:license sg:explorer/license/
61 sgo:sdDataset articles
62 rdf:type schema:ScholarlyArticle
63 N01195e2263fb4567ab6a92e58283f04f rdf:first sg:person.0610412114.95
64 rdf:rest Ndff4a42c67f24e3283ed34438084d24d
65 N095e3774bd0341dfa7947086929b3093 schema:name Springer Nature - SN SciGraph project
66 rdf:type schema:Organization
67 N10d3aca925074d49b9cea949f05d1264 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
68 schema:name Humans
69 rdf:type schema:DefinedTerm
70 N238ba3e43ce542ad8d67e7868e41f737 rdf:first sg:person.01022052225.65
71 rdf:rest Na43e962b2d95458ea0b1b6720313f35f
72 N2c94b40ce01841cea3767fdd9e93765b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
73 schema:name Congresses as Topic
74 rdf:type schema:DefinedTerm
75 N3532a0e2ccdc470aae3221d2693eb085 rdf:first N3c6700db980d4d288cb536ef6d0e9553
76 rdf:rest N7fb5c43ede4a4a5faf59959c44c49f3d
77 N3c6700db980d4d288cb536ef6d0e9553 schema:affiliation https://www.grid.ac/institutes/grid.47100.32
78 schema:familyName Ruser
79 schema:givenName Chris
80 rdf:type schema:Person
81 N3e0914ef1d564b9fa7f078f3d7a13544 schema:issueNumber Suppl 1
82 rdf:type schema:PublicationIssue
83 N5095d311a7174c0aa10864980831da9c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
84 schema:name United States
85 rdf:type schema:DefinedTerm
86 N5f56d8802ea34852abf5354c0ff6b959 schema:name doi
87 schema:value 10.1007/s11606-016-3949-y
88 rdf:type schema:PropertyValue
89 N62afe8e1857e458eabd98f4043b88b8a schema:volumeNumber 32
90 rdf:type schema:PublicationVolume
91 N7195a70cefac444aa79ce5a477fba0a3 rdf:first sg:person.01004034770.05
92 rdf:rest N238ba3e43ce542ad8d67e7868e41f737
93 N7207899b279045df910b5d8cfa84f0ae schema:name pubmed_id
94 schema:value 28271432
95 rdf:type schema:PropertyValue
96 N77838f50d6394e188fe3682c3da9ca34 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
97 schema:name Obesity
98 rdf:type schema:DefinedTerm
99 N7fb5c43ede4a4a5faf59959c44c49f3d rdf:first sg:person.01024035210.48
100 rdf:rest Necfa9e1d3fe04f7a88cb0ab5136ef51a
101 N8386e2fd034949049b29b46423752e6e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Obesity Management
103 rdf:type schema:DefinedTerm
104 N881acd0b54f44fd7b17ef230a640365c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Veterans Health
106 rdf:type schema:DefinedTerm
107 N8d98707de41d4955a72b7d6d777a4b9d schema:name nlm_unique_id
108 schema:value 8605834
109 rdf:type schema:PropertyValue
110 N92cfae6b3d844cce8ff7fec52aba0c4c rdf:first sg:person.0747571730.00
111 rdf:rest Nae6608d4003e4c19ab5120a0667a9fe6
112 Na43e962b2d95458ea0b1b6720313f35f rdf:first Nf37c38f3167045c7940789714cadeb5b
113 rdf:rest N92cfae6b3d844cce8ff7fec52aba0c4c
114 Nae6608d4003e4c19ab5120a0667a9fe6 rdf:first sg:person.0761244115.68
115 rdf:rest Ne10c6c848435455f88ee97207d2eef87
116 Nb024c6aac7a0462d9f5ee5a2d23cb6ba schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
117 schema:name Anti-Obesity Agents
118 rdf:type schema:DefinedTerm
119 Nb9275d6eee4145c1967a05ed6a456a2c schema:name VA Central Western Massachusetts, Leeds, MA, USA
120 rdf:type schema:Organization
121 Nb986b5608a4341b8abcc7526ca741fa4 rdf:first sg:person.0666175204.97
122 rdf:rest N3532a0e2ccdc470aae3221d2693eb085
123 Nbc6ad91784a34b0bbe881feee54f4171 schema:name readcube_id
124 schema:value e3f4e12cf90e84b6eb3c4f7ada087da0220b58c39a6093810171c4be667571db
125 rdf:type schema:PropertyValue
126 Ncc6db307ebb54db48d5ed9006538e666 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
127 schema:name United States Department of Veterans Affairs
128 rdf:type schema:DefinedTerm
129 Nd275bb94559c45598cdbbc9d1a1e6f88 schema:name dimensions_id
130 schema:value pub.1084032044
131 rdf:type schema:PropertyValue
132 Ndff4a42c67f24e3283ed34438084d24d rdf:first sg:person.01024352725.07
133 rdf:rest rdf:nil
134 Ne10c6c848435455f88ee97207d2eef87 rdf:first sg:person.0676632371.68
135 rdf:rest N01195e2263fb4567ab6a92e58283f04f
136 Ne3e2a3d56f024153a4ef700f12468c83 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Drug Utilization
138 rdf:type schema:DefinedTerm
139 Necfa9e1d3fe04f7a88cb0ab5136ef51a rdf:first sg:person.01141175331.41
140 rdf:rest Ned061dddd0f54c1c891253c5046b5b41
141 Ned061dddd0f54c1c891253c5046b5b41 rdf:first sg:person.01126435746.41
142 rdf:rest N7195a70cefac444aa79ce5a477fba0a3
143 Nf37c38f3167045c7940789714cadeb5b schema:affiliation Nf881323a46534f53835337bf8c348b6c
144 schema:familyName Ferguson
145 schema:givenName U. Inge
146 rdf:type schema:Person
147 Nf881323a46534f53835337bf8c348b6c schema:name VA Southern Nevada Health Care System, Las Vegas, NV, USA
148 rdf:type schema:Organization
149 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
150 schema:name Medical and Health Sciences
151 rdf:type schema:DefinedTerm
152 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
153 schema:name Public Health and Health Services
154 rdf:type schema:DefinedTerm
155 sg:grant.2439005 http://pending.schema.org/fundedItem sg:pub.10.1007/s11606-016-3949-y
156 rdf:type schema:MonetaryGrant
157 sg:journal.1096256 schema:issn 0884-8734
158 1525-1497
159 schema:name Journal of General Internal Medicine
160 rdf:type schema:Periodical
161 sg:person.01004034770.05 schema:affiliation Nb9275d6eee4145c1967a05ed6a456a2c
162 schema:familyName Copeland
163 schema:givenName Laurel A.
164 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01004034770.05
165 rdf:type schema:Person
166 sg:person.01022052225.65 schema:affiliation https://www.grid.ac/institutes/grid.491585.4
167 schema:familyName Billington
168 schema:givenName Charles
169 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01022052225.65
170 rdf:type schema:Person
171 sg:person.01024035210.48 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
172 schema:familyName Good
173 schema:givenName Chester B.
174 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024035210.48
175 rdf:type schema:Person
176 sg:person.01024352725.07 schema:affiliation https://www.grid.ac/institutes/grid.418356.d
177 schema:familyName Atkins
178 schema:givenName David
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01024352725.07
180 rdf:type schema:Person
181 sg:person.01126435746.41 schema:affiliation https://www.grid.ac/institutes/grid.416792.f
182 schema:familyName Ames
183 schema:givenName Donna
184 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01126435746.41
185 rdf:type schema:Person
186 sg:person.01141175331.41 schema:affiliation https://www.grid.ac/institutes/grid.419635.c
187 schema:familyName Yanovski
188 schema:givenName Susan Z.
189 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01141175331.41
190 rdf:type schema:Person
191 sg:person.0610412114.95 schema:affiliation https://www.grid.ac/institutes/grid.475010.7
192 schema:familyName Apovian
193 schema:givenName Caroline M.
194 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0610412114.95
195 rdf:type schema:Person
196 sg:person.0666175204.97 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
197 schema:familyName Semla
198 schema:givenName Todd P.
199 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666175204.97
200 rdf:type schema:Person
201 sg:person.0676632371.68 schema:affiliation https://www.grid.ac/institutes/grid.280808.a
202 schema:familyName Garvey
203 schema:givenName W. Timothy
204 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0676632371.68
205 rdf:type schema:Person
206 sg:person.0747571730.00 schema:affiliation https://www.grid.ac/institutes/grid.5386.8
207 schema:familyName Aronne
208 schema:givenName Louis J.
209 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0747571730.00
210 rdf:type schema:Person
211 sg:person.0761244115.68 schema:affiliation https://www.grid.ac/institutes/grid.25879.31
212 schema:familyName Wadden
213 schema:givenName Thomas A.
214 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0761244115.68
215 rdf:type schema:Person
216 sg:pub.10.1007/s13142-011-0077-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006509855
217 https://doi.org/10.1007/s13142-011-0077-4
218 rdf:type schema:CreativeWork
219 sg:pub.10.1038/ijo.2013.120 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028581701
220 https://doi.org/10.1038/ijo.2013.120
221 rdf:type schema:CreativeWork
222 https://doi.org/10.1001/jama.2013.281361 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005699514
223 rdf:type schema:CreativeWork
224 https://doi.org/10.1001/jama.2015.1617 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026862299
225 rdf:type schema:CreativeWork
226 https://doi.org/10.1001/jama.2016.7602 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037398354
227 rdf:type schema:CreativeWork
228 https://doi.org/10.1001/jamainternmed.2015.7189 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010211737
229 rdf:type schema:CreativeWork
230 https://doi.org/10.1002/oby.20309 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013565635
231 rdf:type schema:CreativeWork
232 https://doi.org/10.1002/oby.20596 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047722000
233 rdf:type schema:CreativeWork
234 https://doi.org/10.1002/phar.1342 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053048573
235 rdf:type schema:CreativeWork
236 https://doi.org/10.1016/j.jacc.2013.11.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042247168
237 rdf:type schema:CreativeWork
238 https://doi.org/10.1016/j.psc.2016.01.008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010072408
239 rdf:type schema:CreativeWork
240 https://doi.org/10.1016/s0140-6736(09)61375-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051062453
241 rdf:type schema:CreativeWork
242 https://doi.org/10.1016/s0140-6736(10)60888-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037695649
243 rdf:type schema:CreativeWork
244 https://doi.org/10.1016/s0140-6736(11)60205-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005859027
245 rdf:type schema:CreativeWork
246 https://doi.org/10.1038/oby.2007.136 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041667953
247 rdf:type schema:CreativeWork
248 https://doi.org/10.1038/oby.2010.147 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032315623
249 rdf:type schema:CreativeWork
250 https://doi.org/10.1038/oby.2011.330 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023050014
251 rdf:type schema:CreativeWork
252 https://doi.org/10.1038/oby.2012.66 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049019992
253 rdf:type schema:CreativeWork
254 https://doi.org/10.1056/nejmoa0909809 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000164602
255 rdf:type schema:CreativeWork
256 https://doi.org/10.1056/nejmoa1411892 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041194759
257 rdf:type schema:CreativeWork
258 https://doi.org/10.1056/nejmsa1504267 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002930459
259 rdf:type schema:CreativeWork
260 https://doi.org/10.1210/jc.2011-1256 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064292885
261 rdf:type schema:CreativeWork
262 https://doi.org/10.1210/jc.2014-3415 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014195414
263 rdf:type schema:CreativeWork
264 https://doi.org/10.2337/dc13-0234 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007209171
265 rdf:type schema:CreativeWork
266 https://doi.org/10.4158/ep161365.gl schema:sameAs https://app.dimensions.ai/details/publication/pub.1006527701
267 rdf:type schema:CreativeWork
268 https://www.grid.ac/institutes/grid.16753.36 schema:alternateName Northwestern University
269 schema:name Department of Medicine, and Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
270 Pharmacy Benefits Management Services, Department of Veterans Affairs, 1st Ave. – 1 Block N. of Cermak Rd, Building 37 (10P4P), 60141, Hines, IL, USA
271 rdf:type schema:Organization
272 https://www.grid.ac/institutes/grid.21925.3d schema:alternateName University of Pittsburgh
273 schema:name Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
274 Division of General Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
275 Pharmacy Benefits Management Services, Department of Veterans Affairs, 1st Ave. – 1 Block N. of Cermak Rd, Building 37 (10P4P), 60141, Hines, IL, USA
276 rdf:type schema:Organization
277 https://www.grid.ac/institutes/grid.25879.31 schema:alternateName University of Pennsylvania
278 schema:name Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
279 rdf:type schema:Organization
280 https://www.grid.ac/institutes/grid.280808.a schema:alternateName Birmingham VA Medical Center
281 schema:name Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, USA
282 Geriatric Research, Education and Clinical Center, Birmingham VA Medical Center, Birmingham, AL, USA
283 rdf:type schema:Organization
284 https://www.grid.ac/institutes/grid.416792.f schema:alternateName VA West Los Angeles Medical Center
285 schema:name David Geffen School of Medicine, University of California, Los Angeles, CA, USA
286 West Los Angeles VA Medical Center, Los Angeles, CA, USA
287 rdf:type schema:Organization
288 https://www.grid.ac/institutes/grid.418356.d schema:alternateName United States Department of Veterans Affairs
289 schema:name Health Service Research and Development, US Department of Veterans Affairs, Washington, DC, USA
290 rdf:type schema:Organization
291 https://www.grid.ac/institutes/grid.419635.c schema:alternateName National Institute of Diabetes and Digestive and Kidney Diseases
292 schema:name National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA
293 rdf:type schema:Organization
294 https://www.grid.ac/institutes/grid.47100.32 schema:alternateName Yale University
295 schema:name VA Connecticut Healthcare System, New Haven, CT, USA
296 Yale University School of Medicine, New Haven, CT, USA
297 rdf:type schema:Organization
298 https://www.grid.ac/institutes/grid.475010.7 schema:alternateName Boston University School of Medicine
299 schema:name Boston University School of Medicine, Nutrition and Weight Management and Nutrition and Support Service at Boston Medical Center, Boston, MA, USA
300 rdf:type schema:Organization
301 https://www.grid.ac/institutes/grid.491585.4 schema:alternateName Minneapolis VA Medical Center
302 schema:name Minneapolis VA Medical Center, Minneapolis, MN, USA
303 rdf:type schema:Organization
304 https://www.grid.ac/institutes/grid.5386.8 schema:alternateName Cornell University
305 schema:name Comprehensive Weight Control Program, Weill-Cornell Medicine, New York, NY, USA
306 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...