Evidence map›Paper›PMID 23260805›Full record

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

Attitudes about the safety and efficacy of bariatric surgery among patients with type 2 diabetes and a body mass index of 30-40 kg/m2.

David B Sarwer, Scott Ritter, Thomas A Wadden, Jacqueline C Spitzer, Marion L Vetter, Reneé H Moore

Open access · greenAbstract readRandomized Controlled Trial
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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Goals of cure: Perspectives on the concept of cure in type 2 diabetes.Journal of evaluation in clinical practice · 2022
    Article
  13. Review
  14. Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    Review
  15. Article
  16. Article
  17. Reasons for underutilization of bariatric surgery: The role of insurance benefit design.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

David B SarwerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: dsarwer@mail.med.upenn.edu.
Scott Ritter
Thomas A Wadden
Jacqueline C Spitzer
Marion L Vetter
Reneé H Moore
University of Pennsylvania · US

Funding

Lifestyle Modification versus Bariatric Surgery for Type 2 DiabetesRC1DK086132 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SARWER, DAVID B, WADDEN, THOMAS A. · 2009 to 2010
$1.0M
NIDDK NIH HHS 1RC1DK086132NIDDK NIH HHS RC1 DK086132
6 · The paper itself

Abstract

backgroundDespite increasing awareness within the medical community about the benefits of bariatric surgery for type 2 diabetes mellitus (T2DM), little is known about patients' attitudes toward bariatric surgery as a treatment for T2DM. The objective of this study was to investigate the attitudes of individuals with T2DM and a body mass index of 30 to 40 kg/m(2) concerning bariatric surgery for the treatment of T2DM.

methodsPatients identified from the Pennsylvania Integrated Clinical and Administrative Research Database (PICARD) were surveyed about perceptions of the safety profile and efficacy of bariatric surgery as a treatment for obesity and T2DM and their willingness to be randomly assigned to receive a surgical procedure.

resultsA total of 130 individuals of 513 (25.3%) responded. Respondents had a median (interquartile range) age of 58.0 (range 51.0-63.0) years and self-reported body mass index of 32.9 (range 30.9-35.2) kg/m(2). Roughly half (66 of 130) were female. Overall, only 20.3% of respondents had positive views of bariatric surgery, with few reporting that it is a safe (14.3%) and effective (28.5%) treatment for T2DM. Less than 20% of respondents were willing to be randomly assigned to undergo a surgical procedure for the treatment of diabetes (16.1%) or obesity (17.5%).

conclusionsFew obese individuals with T2DM who responded to the survey had positive views about bariatric surgery. Patients' concerns about the procedure's safety profile and efficacy must be addressed to improve the acceptability of bariatric surgery as well as the feasibility of randomized, controlled trials of bariatric surgery for these individuals.

Indexed as

Attitude to HealthBariatric SurgeryBody Mass IndexPatient SafetyAdolescentAdultAgedDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedObesity, MorbidPennsylvaniaSurveys and QuestionnairesPatients’ attitudesType 2 diabetes

Identifiers

PMID23260805
PMCPMC3866014
OpenAlexW1974369772

What OpenQuestion holds

Textmetadata
LicenceTDM
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.