
Title: Adipositas Care & Health Therapy for structured, interdisciplinary and intersectoral care after bariatric-metabolic surgery
Funding Body: Innovation fund – G-BA
Funding Period: 2019-2023
Partners:
German Foundation for the Chronically Ill
Universitätsklinikum Würzburg
Klinikum Nürnberg
Klinikum Passau
Chirurgische Klinik München-Bogenhausen
AMC Wolfahrt Klinik
Klinikum Memmingen
KVB, AOK Bayern
Symeda
Objectives:
The aim of ACHT is to ensure the success of therapy and to improve the quality of life of patients by establishing a digitally supported, structured, cross-sectoral and close-to-home aftercare program. In this project, we are evaluating the implementation of a digitally supported, structured, cross-sectoral and local aftercare program.
Background:
- Severely obese people, who cannot achieve sufficient weight loss with conventional therapies, can receive effective help with bariatric-metabolic surgery (OP). A lifelong follow-up care is necessary to ensure the success of the therapy. A structured follow-up program has not been available in Germany thus far.

Methods:
The care concept in ACHT consists of eight interlocking building blocks:
- The evaluation includes the outcome evaluation (the primary end point of the study is the improvement in the general state of health of the patients, measured using the modified King's Score), the process evaluation (patient adherence, structural effects, strengthening of aftercare structures in the outpatient sector, securing those close to home care, satisfaction with the aftercare concept) and the health economic evaluation (comparison of care and program costs).
Impact:
The project will provide valuable information regarding the effects of a post-surgical care program regarding outcomes, processes and costs.
Further Information: https://www.dsck.de/en/activities/current-projects/acht
Publications: Stark R, Renz A, Hanselmann M, Haas C, Neumann A, Martini O, Seyfried F, Laxy M, Stier C, Zippel-Schultz B, Fassnacht M, Koschker AC. ACHT - Adipositas Care & Health Therapy after bariatric-metabolic surgery: a prospective, non-randomized intervention study. Obes Facts. 2024 Mar 27. doi: 10.1159/000538264
Contact: Dr. Renee Stark
