Evidence map›Paper›PMID 21719357›Full record

Trial reportSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Optimizing long-term weight control after bariatric surgery: a pilot study.

Melissa A Kalarchian, Marsha D Marcus, Anita P Courcoulas, Yu Cheng, Michele D Levine, Deborah Josbeno

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  11. Cognitive function is linked to adherence to bariatric postoperative guidelines.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
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  18. The limits and challenges of antiobesity pharmacotherapy.Expert opinion on pharmacotherapy · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Melissa A KalarchianWestern Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA. kalarchianma@upmc.edu
Marsha D Marcus
Anita P Courcoulas
Yu Cheng
Michele D Levine
Deborah Josbeno
University of Pittsburgh Medical Center · USUniversity of Pittsburgh · US

Funding

Behavioral Intervention for Weight Loss Failure After Bariatric SurgeryR03DK078562 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KALARCHIAN, MELISSA A · 2007 to 2008
$147k
NIDDK NIH HHS R03 DK078562NIDDK NIH HHS R03DK078562
6 · The paper itself

Abstract

backgroundAlthough bariatric surgery is associated with significant overall weight loss, many patients experience suboptimal outcomes. Our objective was to document the preliminary efficacy of a behavioral intervention for bariatric surgery patients with relatively poor long-term weight loss and to explore the factors related to outcome at an academic medical center in the United States.

methodsPatients with a body mass index (BMI) ≥ 30 kg/m(2) who had undergone bariatric surgery ≥ 3 years before study entry and had <50% excess weight loss were enrolled. The participants were randomly assigned to a 6-month behavioral intervention or wait list control group. The assessments were conducted at baseline (before intervention) and 6 months (after intervention) and 12 months (6-mo follow-up).

resultsOn average, the participants (n = 36) had undergone surgery 6.6 years before study entry. The average age was 52.5 ± 7.1 years, and the BMI was 43.1 ± 6.2 kg/m(2); most participants were women (75%) and white (88.9%). The intervention patients had a greater percentage of excess weight loss than did the wait list control group at 6 (6.6% ± 3.4% versus 1.6% ± 3.1%) and 12 (5.8% ± 3.5% versus .9% ± 3.2%) months. However, the differences were not significant and the results varied. The intervention patients with more depressive symptoms (P = .005) and less weight regain before study entry (P = .05) experienced a greater percentage of excess weight loss.

conclusionBehavioral intervention holds promise in optimizing long-term weight control after bariatric surgery. More research is needed on when to initiate the intervention and to identify which patients will benefit from this type of approach.

Indexed as

Weight LossBehavior TherapyCombined Modality TherapyFemaleGastroplastyHumansMaleMiddle AgedObesity, MorbidPilot ProjectsPostoperative CareRisk Reduction BehaviorSecondary PreventionTreatment Outcome

Identifiers

PMID21719357
PMCPMC3189441
OpenAlexW2115470608

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.