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Medical Disability Advisor  >  Obesity  >  Failure To Recover

Obesity

Related Terms

  • Adiposity
  • Corpulence
  • Overweight

Differential Diagnoses

  • Cushing's syndrome
  • Deficiency in thyroid activity (hypothyroidism)
  • Genetic disorders (e.g., Down syndrome)
  • Severe familial high cholesterol (hyperlipidemia)
  • Severe familial obesity
  • Tumors of the adrenal or pituitary gland

Specialists

  • Clinical Psychologist
  • Endocrinologist
  • General Surgeon
  • Internal Medicine Physician
  • Neurologist
  • Psychiatrist

Comorbid Conditions

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Factors Influencing Duration

Factors that may influence length of disability include type of job and compliance with treatment protocol.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 278, 278.0, 278.00, 278.01  
CasesMeanMinMaxNo Lost TimeOver 6 Months
119123901240.1%0%
 
  
 
Percentile:5th25thMedian75th95th
Days:1427384773
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
278 - Obesity and Other Hyperalimentation
278.0 - Obesity, Simple
278.00 - Obesity, Unspecified
278.01 - Obesity, Morbid
278.1 - Localized Adiposity; Fat Pad

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does individual have genetic predisposition to obesity?
  • Does individual have history of hypothyroidism, Cushing's syndrome, depression, or certain neurological problems?
  • Is individual taking drugs that may cause weight gain, such as steroids or certain antidepressants?
  • What does individual eat? Is individual active?
  • Does individual eat in response to negative emotions, such as boredom, sadness, or anger?
  • Is individual binge eater?
  • Is individual very conscious of being overweight?
  • Does individual complain of shortness of breath (dyspnea); fatigue; joint pains in the hips, knees, and ankles; or a general dissatisfaction with state of health?
  • Was individual's body mass index (BMI) measured? Was it 30 or greater?
  • Was blood sugar (glucose) measured at various times, including after a fast or ingestion of glucose (glucose tolerance)?
  • Were blood tests taken to measure fats (lipids) and uric acid levels?
  • Was diagnosis of obesity confirmed?

Regarding treatment:

  • Was caloric intake reduced by about 500 to 1,000 calories per day?
  • Was fat intake kept to no more than 30% of total calories per day? Does individual avoid saturated fats?
  • Is individual involved in exercise program that promotes recommended amount of physical activity?
  • Would individual benefit from enrollment in community exercise or weight-loss program?
  • Did individual maintain weight loss? Was individual compliant with treatment regimen? What could be done to increase compliance?
  • Would behavior modification program be beneficial?
  • Did individual with more than 180% overweight or with a BMI greater than 40 have surgery?
  • What surgical procedure was performed? Gastric bypass or lap band? How effective was procedure?

Regarding prognosis:

  • Has individual depended on diet alone to lose weight?
  • Does individual understand importance of keeping exercise regimen?
  • How successful was individual in keeping weight off?
  • How much is obesity impacting individual's health?
  • Is individual candidate for more stringent, multidisciplinary weight-loss program or for surgical intervention?
  • Do benefits of surgery outweigh risks?
  • If weight does not decrease, can individual still perform daily activities?

Source: Medical Disability Advisor


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