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Table 4 Ranked physician-reported barriers to weight loss conversations (Huang et al.,2004)

From: Preoperative communication between anaesthetists and patients with obesity regarding perioperative risks and weight management: a structured narrative review

Ranked physician-reported barriers to weight loss conversations:

1. Pessimism about patient's desire and ability to lose weight

2. Pessimism about effectiveness of weight loss counselling

3. Lack of comprehensive obesity management resources (e.g. weight loss clinic)

4. Insufficient time due to high patient volume

5. Underuse of dieticians or lack of experience working with dieticians

6. Lack of skills in providing brief counselling

7. Insufficient knowledge of best clinical practices