Evaluation of Pharmacologic Interventions for Weight Management in a Veteran Population

Hood, Sarah R.; Berkeley, Ashley W; Moore, Emily A

doi:10.12788/fp.0117

Federal Practitioner 2021

DOI: 10.12788/fp.0117

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Evaluation of Pharmacologic Interventions for Weight Management in a Veteran Population

Sarah R. Hood¹,

Ashley W Berkeley

Emily A Moore³

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2024

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Cited by 2 publications

References 15 publications

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Weight management medications for chronic use in 37 veterans affairs medical centers—A medication use evaluation

Walczuk,

Burk,

Furmaga

et al. 2024

Obesity Science & Practice

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RationaleControlled trials have demonstrated successful weight loss associated with certain weight management medications (WMMs). However, there are limited real‐world data on prescribing patterns and efficacy and safety profiles of WMMs in Veterans Affairs (VA) patients.ObjectiveTo evaluate: utilization patterns of WMMs liraglutide, naltrexone/bupropion, orlistat, phentermine, phentermine/topiramate, and semaglutide; weight loss at three, six, twelve, and more than 12 months; safety; and treatment barriers.MethodsA retrospective, cross‐sectional medication use evaluation (MUE) was conducted using electronic health records of outpatient Veterans newly initiated on WMMs at 37 VA Medical Centers between 1 March 2020 and 31 March 2022. Chart review was used to identify WMM utilization and capture rates of clinical response, defined as 5% and 10% or greater weight loss at the final weight, adverse drug events (ADEs), non‐adherence, and discontinuations. Site‐specific surveys evaluated local practices and barriers.ResultsAmong 1959 eligible Veterans, semaglutide, phentermine/topiramate, and orlistat were most frequently prescribed. The clinical response was highest among phentermine/topiramate, liraglutide, and semaglutide. Naltrexone/bupropion and phentermine demonstrated the highest and lowest ADE rates, respectively. Potential barriers to WMM utilization and successful treatment by site reports were drug shortages, patient perceptions of therapeutic course, personal preferences, and VA WMM use criteria.ConclusionsSmaller weight loss and higher discontinuation rates were observed relative to clinical trials. The MUE data allow for better assessment of benefits and risks for Veterans prescribed WMMs.

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Weight management medications for chronic use in 37 veterans affairs medical centers—A medication use evaluation

Walczuk,

Burk,

Furmaga

et al. 2024

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

Real World Use of Anti-Obesity Medications and Weight Change in Veterans

Hung,

Wong,

Dennis

et al. 2023

J GEN INTERN MED

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Evaluation of Pharmacologic Interventions for Weight Management in a Veteran Population

Cited by 2 publications

References 15 publications

Weight management medications for chronic use in 37 veterans affairs medical centers—A medication use evaluation

Weight management medications for chronic use in 37 veterans affairs medical centers—A medication use evaluation

Real World Use of Anti-Obesity Medications and Weight Change in Veterans

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