Evidence map›Paper›PMID 25164369›Full record

ReviewBMJ (Clinical research ed.)2014

Bariatric surgery for obesity and metabolic conditions in adults.

David E Arterburn, Anita P Courcoulas

Registry-linked trialAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02710370 (Intestinal Metabolic Reprogramming as a Key Mechanism of Gastric Bypass in Humans), which is not on this map. Cited by 185 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 13 pooled it
27.0field-weighted citation impact, top 1% 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.

NCT02710370 active not recruitingnot on this mapstarted 2016, after this paper: background citation

Intestinal Metabolic Reprogramming as a Key Mechanism of Gastric Bypass in Humans

TypeobservationalSponsorUniversity of PittsburghRan2016 to 2028Enrolled46ConditionsObesity, Diabetes Mellitus, Type 2, Endocrine System Diseases, Glucose Metabolism Disorders
3 · Its place in the literature

Who cites it

185 citing papers in PubMed, 13 syntheses or guidelines pooled it, 383 citations in OpenAlex.

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  18. Relationship among physical activity, sedentary behaviors, and cardiometabolic risk factors during gastric bypass surgery-induced weight loss.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2017
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125 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

David E ArterburnGroup Health Research Institute, Group Health Cooperative, Seattle, WA 98101, USA arterburn.d@ghc.org.
Anita P CourcoulasUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Kaiser Permanente Washington Health Research Institute · USUniversity of Pittsburgh Medical Center · US

Funding

Impact of Bariatric Surgery on Long-term Diabetes Remission and ComplicationsR01DK092317 · NIDDK · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI ARTERBURN, DAVID ERIC · 2012 to 2015
$2.3M
NIDDK NIH HHS R01 DK092317
6 · The paper itself

Abstract

This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.

Indexed as

Postoperative ComplicationsBariatric SurgeryCardiovascular DiseasesDiabetes Mellitus, Type 2HumansMalnutritionObesityQuality of LifeReoperationSubstance-Related DisordersSuicideTreatment Outcome

Identifiers

PMID25164369
PMCPMC4707708
OpenAlexW2108501878

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.