Evidence map›Paper›PMID 24454339›Full record

ReviewGastroenterology research and practice2013

The economic impact of weight regain.

Caroline E Sheppard, Erica L W Lester, Anderson W Chuck, Daniel W Birch, Shahzeer Karmali, Christopher J de Gara

Open access · goldAbstract readReview
In one paragraph

Review in Gastroenterology research and practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 pooled it
2.6field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 7 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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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 2 institutions in 1 country.

Caroline E SheppardCentre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada T5H 3V9.
Erica L W LesterUniversity of Alberta, Edmonton, AB, Canada T6G 2C9.
Anderson W ChuckUniversity of Alberta, Institute of Health Economics, Edmonton, AB, Canada T5J 3N4.
Daniel W BirchCentre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada T5H 3V9.
Shahzeer KarmaliCentre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada T5H 3V9.
Christopher J de GaraFaculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB, Canada T6G 2C9.
University of Alberta · CAInstitute of Health Economics · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Obesity is well known for being associated with significant economic repercussions. Bariatric surgery is the only evidence-based solution to this problem as well as a cost-effective method of addressing the concern. Numerous authors have calculated the cost effectiveness and cost savings of bariatric surgery; however, to date the economic impact of weight regain as a component of overall cost has not been addressed. Methods. The literature search was conducted to elucidate the direct costs of obesity and primary bariatric surgery, the rate of weight recidivism and surgical revision, and any costs therein. Results. The quoted cost of obesity in Canada was $2.0 billion-$6.7 billion in 2013 CAD. The median percentage of bariatric procedures that fail due to weight gain or insufficient weight loss is 20% (average: 21.1% ± 10.1%, range: 5.2-39, n = 10). Revision of primary surgeries on average ranges from 2.5% to 18.4%, and depending on the procedure accounts for an additional cost between $14,000 and $50,000 USD per patient. Discussion. There was a significant deficit of the literature pertaining to the cost of revision surgery as compared with primary bariatric surgery. As such, the cycle of weight recidivism and bariatric revisions has not as of yet been introduced into any previous cost analysis of bariatric surgery.

Identifiers

PMID24454339
PMCPMC3888714
OpenAlexW2095442012

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.