When to refer
Please note the RCH Complex Obesity Assessment Service has recently changed their referral criteria.
The RCH Complex Obesity Assessment Service is a quaternary multidisciplinary service providing assessment for children and young people with complex clinical obesity.
Consistent with internationally
accepted criteria, the Complex Obesity Assessment Service only accepts referrals for complex clinical
obesity.
Referral criteria:
Youth is aged
<17 years at time of referral
BMI >95th percentile
AND has
- Neurodevelopmental disability (ASD, ID) or physical disability OR other medical diagnosis necessitating ongoing specialist paediatric care
- AND diagnosed obesity related comorbidity
requiring tertiary hospital care:
|
Comorbidity
|
Criteria
|
Referrals/investigations to be completed by the referring
GP/Paediatrician in addition to Complex Clinical Obesity Service referral if these services are not already being accessed |
|
LFT abnormality
|
ALT higher than 2x the upper laboratory limit
|
Gastroenterology
|
|
Impaired glucose tolerance
|
HbA1c > 5.7
|
OGTT (please forward results to Complex Clinical Obesity Service)
|
|
Hyperlipidaemia
|
- Total cholesterol > 6
- LDL cholesterol > 3.5
|
|
|
Hypertension
|
As per RCH hypertension clinical practice guideline
|
Nephrology
|
|
Obstructive sleep apnoea
|
Demonstrated on overnight oximetry or sleep study
|
Respiratory Medicine
|
|
Orthopaedic
|
SUFE
|
- Orthopaedics
- Physiotherapist and/or exercise physiologist
|
Baseline data to be included in
referral:
- Weight (kg), height (cm) and BMI (kg/m2) collected within last three (3) months and additional serial measurements if available.
- Results of investigations demonstrating obesity related comorbidity
- Standard family history and physical examination, including blood pressure with an appropriately sized BP cuff and medications.
If your referral does not meet the eligibility criteria above but there are high risk concerns for it to be considered as an exception, please contact us on 9345 4765 to discuss.
How to refer
Please FAX your referral to (03) 9345 5034.
Click
here if you wish to download a referral form
For clinical advice or to discuss an urgent referral, please call the Weight Management Service on 9345 4765 (health professionals only).