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Bariatric surgery is developing parallel to the increasing prevalence of severe obesity. Patient' care is guided by professional recommendations highlighting the key-role of multidisciplinary team in perioperative management. The clinical pathway, particularly adapted for bariatric surgery, allows the optimization of resources allocation and healthcare planning while improving the quality and efficiency (performance) of healthcare. The assessment (and adjustments) of clinical pathways allows measuring the impact of quality of care, patients' outcome and the effectiveness of healthcare. Additionally, the development of a clinical pathway fosters multidisciplinary team cohesion around the project., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

The complexity of the preparation of patients for bariatric surgery, combined with the requirement for the lifelong follow-up of all patients having undergone such a procedure, show the need for the coordination of the patient pathway by a specific healthcare professional: the bariatric nurse coordinator. A pilot experiment carried out in two integrated obesity centres provides perspectives for the care, research, training and certification of nurses involved in these programmes., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)