减重与代谢外科领域临床研究的发展和历史使命

Mission and vision of clinical research in bariatric and metabolic surgery

减重与代谢外科的临床研究已经广泛地推动了该领域的发展和临床实践。在欧美等国家,早在20世纪80年代,就已经通过临床研究尝试回答减重代谢手术的科学问题,推动了行业指南的不断更新,实现了临床实践的标准化,进而推动了手术的广泛应用,也推动了关键证据的积累,使得减重手术的代谢获益得到认可。在领域内的重大问题形成共识之后,临床研究又进一步促进了学科的深度和广度的发展。我国的减重与代谢外科临床实践相较于国外开展较晚,临床研究仍处于起步阶段,高质量的临床研究较少,且对该领域的贡献有限。但是我国的临床实践开展广泛、患者群体大、手术质量高,可通过开展临床研究的标准化引领、广泛的合作以及规范化数据管理等方式,探索临床研究发展的道路。

Clinical research progress in bariatric and metabolism research had promoted the development in clinical practice.In U.S and Europe,pivotal scientific questions had been explored by clinical researchers,which brought the updating of guidelines,accumulation in key evidences,promotion of the consensus of metabolic benefits,following further development in scientific area.Compared to U.S and Europe,clinical practice in bariatric and metabolic surgery development in China started later.Clinical research in China just developed into initial phase with few achievements with high quality and breakthrough contribution.However,with wider practice,larger patient population and higher quality of surgery,clinical research in bariatric and metabolic surgery in China will go to a new stage through clinical research with standardized guidance,broad cooperation and clinical data digitalization and standardization.