ReviewBMC medical ethics2013
Bariatric surgery for obese children and adolescents: a review of the moral challenges.
Review in BMC medical ethics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis 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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Psychosocial Outcomes Following Adolescent Metabolic and Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity surgery · 2019Pooled it
- Reversal of type 2 diabetes in youth who adhere to a very-low-energy diet: a pilot study.Diabetologia · 2017Trial
- A comprehensive review of genetic causes of obesity.World journal of pediatrics : WJP · 2024Review
- 'A radical operation' - a thematic analysis of newspaper framing of bariatric surgery in adolescents.BMC public health · 2023Article
- Development and application of an ethical framework for pediatric metabolic and bariatric surgery evaluation.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Article
- Exploring new frontiers: Organ transplant anaesthesia or bariatric anaesthesia.Indian journal of anaesthesia · 2021Article
- Novel Insights into the Pathogenesis and Management of the Metabolic Syndrome.Pediatric gastroenterology, hepatology & nutrition · 2020Review
- The role of ethics consultation in decision making for bariatric surgery in pediatrics.Seminars in pediatric surgery · 2020Article
- Short- and long-term safety and efficacy of bariatric surgery for severely obese adolescents: a narrative review.Pediatric research · 2020Review
- Obesity and the Mediterranean Diet: A Review of Evidence of the Role and Sustainability of the Mediterranean Diet.Nutrients · 2019Review
- Gastric bypass surgery in lean adolescent mice prevents diet-induced obesity later in life.Scientific reports · 2019Article
- Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics.Italian journal of pediatrics · 2018Review
- Five-year Outcomes of Laparoscopic Sleeve Gastrectomy: a Comparison Between Adults and Adolescents.Obesity surgery · 2018Article
- ASMBS pediatric metabolic and bariatric surgery guidelines, 2018.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018Review
- Health Disparities in Adolescent Bariatric Surgery: Nationwide Outcomes and Utilization.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017Article
- Acanthosis nigricans in obese adolescents: prevalence, impact, and management challenges.Adolescent health, medicine and therapeutics · 2017Review
- Ethical considerations in bariatric surgery in a developing country.Clujul medical (1957) · 2017Article
- Physical activity and health in adolescence.Clinical medicine (London, England) · 2015Article
- Conspicuous Consumption and Sedentary Living: Is this our legacy to our children?Sultan Qaboos University medical journal · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery for children and adolescents is becoming widespread. However, the evidence is still scarce and of poor quality, and many of the patients are too young to consent. This poses a series of moral challenges, which have to be addressed both when considering bariatric surgery introduced as a health care service and when deciding for treatment for young individuals. A question based (Socratic) approach is applied to reveal underlying moral issues that can be relevant to an open and transparent decision making process. DISCUSSION: A wide range of moral issues with bariatric surgery for children and adolescents is identified in the literature. There is a moral imperative to help obese minors avoiding serious health problems, but there is little high quality evidence on safety, outcomes, and cost-effectiveness for bariatric surgery in this group. Lack of maturity and family relations poses a series of challenges with autonomy, informed consent, assent, and assessing the best interest of children and adolescents. Social aspects of obesity, such as medicalization, prejudice, and discrimination, raise problems with justice and trust in health professionals. Conceptual issues, such as definition of obesity and treatment end-points, present moral problems. Hidden interests of patients, parents, professionals, industry, and society need to be revealed. SUMMARY: Performing bariatric surgery for obese children and adolescents in order to discipline their behavior warrants reflection and caution. More evidence on outcomes is needed to be able to balance benefits and risks, to provide information for a valid consent or assent, and to advise minors and parents.
Indexed as
Identifiers
What 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.