Evidence map›Paper›PMID 24083911›Full record

Trial reportJournal of the American College of Surgeons2013

Patient factors associated with undergoing laparoscopic adjustable gastric banding vs Roux-en-Y gastric bypass for weight loss.

Caroline M Apovian, Karen W Huskey, Sarah Chiodi, Donald T Hess, Benjamin E Schneider, George L Blackburn, Daniel B Jones, Christina C Wee

Abstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of the American College of Surgeons, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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

8 authors at 3 institutions in 1 country.

Caroline M ApovianEvans Department of Medicine, Section of Endocrinology, Diabetes and Nutrition, Boston Medical Center and Boston University School of Medicine, Boston, MA.
Karen W Huskey
Sarah Chiodi
Donald T Hess
Benjamin E Schneider
George L Blackburn
Daniel B Jones
Christina C Wee
Harvard University · USBoston Medical Center · USBeth Israel Deaconess Medical Center · US

Funding

Understanding How Patients Value Bariatric SurgeryR01DK073302 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WEE, CHRISTINA C · 2007 to 2011
$3.3M
Patient Oriented Research and Mentorship Program in ObesityK24DK087932 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WEE, CHRISTINA C · 2011 to 2015
$955k
NIDDK NIH HHS K24 DK087932NIDDK NIH HHS K24DK087932NIDDK NIH HHS R01 DK073302NIDDK NIH HHS R01DK073302
6 · The paper itself

Abstract

backgroundRoux-en-Y gastric bypass and laparoscopic adjustable gastric banding are 2 commonly performed bariatric procedures in the US with different profiles for risk and effectiveness. Little is known about factors that might lead patients to proceed with one procedure over the other. STUDY

designWe recruited and interviewed patients seeking bariatric surgery from 2 academic centers in Boston (response rate 70%). We conducted multivariable analyses to identify patient perceptions and clinical and behavioral characteristics that correlated with undergoing gastric banding (n = 239) vs gastric bypass (n = 297).

resultsAfter adjustment for socio-demographic and clinical factors, we found that older patients (odds ratio [OR] 1.03; 95% CI 1.00 to 1.05) and those with higher quality of life scores and higher levels of uncontrolled eating were more likely to undergo gastric banding as opposed to gastric bypass. In contrast, patients with type 2 diabetes (OR 0.46; 95% CI 0.28 to 0.77), those who desired greater weight loss, and those who were willing to assume higher mortality risk to achieve their ideal weight were less likely to proceed with gastric banding. After initial adjustment, male sex and lower body mass index were associated with a likelihood of undergoing gastric banding; however, these factors were no longer significant after adjustment for other significant correlates such as patients' perceived ideal weight, predilection to assume risk to lose weight, and eating behavior.

conclusionsPatients' diabetes status, quality of life, eating behavior, ideal weight loss, and willingness to assume mortality risk to lose weight were associated with whether patients proceeded with gastric banding as opposed to gastric bypass. Other clinical factors were less important.

Indexed as

Patient PreferenceAdolescentAdultAgedBody Mass IndexFemaleGastric BypassGastroplastyHealth BehaviorHumansLaparoscopyLogistic ModelsMaleMiddle AgedMotivationMultivariate AnalysisBMIbody mass indexImpact of Weight on Quality of Life-lite QuestionnaireIWQOL-liteSOS-TFEQ-18Swedish Obese Subjects Three Factor Eating Questionnaire

Identifiers

PMID24083911
PMCPMC3919465
OpenAlexW2108368766

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.