Evidence map›Paper›PMID 24831462›Full record

ArticleObesity surgery2014

Is social deprivation associated with weight loss outcomes following bariatric surgery? A 10-year single institutional experience.

Maryam Alfa Wali, Hutan Ashrafian, Kerry L Schofield, Leanne Harling, Abdullah Alkandari, Ara Darzi, Thanos Athanasiou, Thanos Athansiou, Evangelos Efthimiou

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In one paragraph

Article in Obesity surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

  • Erratum issued
    Athansiou, Thanos [corrected to Athanasiou, Thanos]
5 · Who and what money

Authors and funding

9 authors.

Maryam Alfa WaliThe Department of Bariatric and Metabolic Surgery, Chelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Hutan Ashrafian
Kerry L Schofield
Leanne Harling
Abdullah Alkandari
Ara Darzi
Thanos Athanasiou
Thanos Athansiou
Evangelos Efthimiou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial deprivation is associated with a greater morbidity and shorter life expectancy. This study evaluates differences in weight loss following bariatric surgery and deprivation, based on UK deprivation measures in a London bariatric centre.

methodsAll patients undergoing bariatric surgery between 2002 and 2012 were retrospectively identified. Demographic details, type of surgery and percentage excess weight loss data were collected. UK Index of Multiple Deprivation (IMD, 2010) and IMD domain of the Health Deprivation and Disability (HDD) scores were used to assess deprivation (where 1 is the most deprived in rank order and 32,482 is the least deprived). Two-way between-subjects analysis of variance (ANOVA) was performed to examine the effect of IMD score, deprivation, procedure type and gender on percentage excess weight loss.

resultsData were included from 983 patients (178 male, 805 female) involving 3,663 patient episodes. Treatments comprised laparoscopic gastric bands (n=533), gastric bypass (n=362) and gastric balloons (n=88). The average percentage excess weight loss across all procedures was 38 % over a follow-up period (3 months-9 years). There was no correlation between weight loss and IMD/HDD rank scores. Gastric bypass was significantly more effective at achieving weight loss than the other two procedures at 3-, 6- and 9-month and 1-year follow-up.

conclusionsSocial deprivation does not influence weight loss after bariatric surgery, suggesting that all socioeconomic groups may equally benefit from surgical intervention. Social deprivation should not therefore negatively influence the decision for surgical intervention in these patients.

Indexed as

Social IsolationWeight LossAdultBariatric SurgeryDatabases, FactualEnglandFemaleHumansLaparoscopyMaleMiddle AgedObesity, MorbidRetrospective StudiesState MedicineTreatment Outcome

Identifiers

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Registered trials

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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.