SynthesisObesity surgery2012
Bariatric surgery is effective and safe in patients over 55: a systematic review and meta-analysis.
Synthesis in Obesity surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
47 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Risk of gastric cancer after bariatric surgery: a meta-analysis of retrospective studies.Frontiers in surgery · 2025Pooled it
- Pooled it
- Is Laparoscopic Bariatric Surgery Safe and Effective in Patients over 60 Years of Age?" an Updated Systematic Review and Meta-Analysis.Obesity surgery · 2020Pooled it
- Effects of Bariatric Surgery on Cancer Risk: Evidence from Meta-analysis.Obesity surgery · 2020Pooled it
- Effects of bariatric surgery on incidence of obesity-related cancers: a meta-analysis.Medical science monitor : international medical journal of experimental and clinical research · 2015Pooled it
- Bariatric surgery in elderly patients: a systematic review.Clinical interventions in aging · 2015Pooled it
- The effects of bariatric surgery on colorectal cancer risk: systematic review and meta-analysis.Obesity surgery · 2014Pooled it
- Systematic review of economic evaluation of laparotomy versus laparoscopy for patients submitted to Roux-en-Y gastric bypass.PloS one · 2014Pooled it
- Effect of Bariatric Surgery on Risk of Complications After Total Knee Arthroplasty: A Randomized Clinical Trial.JAMA network open · 2022Trial
- The use of a fibrin glue with a low concentration of thrombin decreases seroma formation in postbariatric patients undergoing circular abdominoplasty.Obesity surgery · 2015Trial
- Association of Older Age with Early Postoperative Outcomes in Bariatric Surgery: The Role of Muscle Mass.Obesity surgery · 2026Article
- Improvement of Microvascular Function in Patients with Morbid Obesity After Bariatric Surgery Revealed by Imaging Photoplethysmography.Obesity surgery · 2025Article
- Comparative analysis of metabolic and bariatric surgery outcomes and complications in patients under and over 50 years of age.Langenbeck's archives of surgery · 2025Article
- Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Weight management treatment modalities in patients with overweight or obesity: A retrospective cohort study of administrative claims data.Obesity pillars · 2023Article
- Safety and Efficacy of Metabolic Surgery in Patients with Type 2 Diabetes in the Middle East and North Africa Region: An Analysis of Primary Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Outcomes.Journal of clinical medicine · 2023Article
- Safety and efficacy of roux-en-y gastric bypass in older aged patients.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Impact of bariatric surgery in elderly patients with obesity.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Postoperative 4-Year Outcomes in Septuagenarians Following Bariatric Surgery.Obesity surgery · 2021Article
- Comparing the Effectiveness of Laparoscopic Gastric Plication in Younger and Older Patients: a 3-Year Prospective Longitudinal Evaluation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Effective weight loss and reduction in comorbidities has been convincingly demonstrated with bariatric surgery. Concerns regarding increased perioperative complications and poor results have led to a reluctance to offer such surgery to older patients. We performed a systematic review and meta-analysis of the published evidence for those in the ≥55-year age group. An electronic search was conducted of MEDLINE, EMBASE, and the Cochrane Library databases from 1990 to December 2010. We included laparoscopic studies published in English where the results were broken down by surgical procedure, reporting a minimum 6-month follow-up for ≥10 patients aged ≥55. After an initial screen of 2,543 titles, 298 abstracts were reviewed. Eighteen studies were included in the analysis. Of these, 10 included patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) (663 patients), and 11 included patients undergoing laparoscopic adjustable gastric banding (LAGB) (543 patients). Meta-analyses of body mass index (BMI) reductions indicated sustained and clinically significant BMI reductions for both RYGB (mean percentage of excess weight loss at 1 year, 72.6 %) and LAGB (mean percentage of excess weight loss at 1 year, 39.1 %). The 30-day mortality was 0.30 and 0.18 % for LRYGB and LAGB, respectively. Meta-analysis of old versus young patients revealed better comorbidity and mortality outcomes for younger patients. Bariatric surgery for patients ≥55 years achieves weight loss and reduction in comorbidities and mortality comparable to the general bariatric surgery population. Based on the above findings, patients should not be denied bariatric surgery on the basis of age alone.
Indexed as
Identifiers
22718467What OpenQuestion holds
Registered trials
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.