Evidence map›Paper›PMID 25990379›Full record

Trial reportObesity surgery2016

The Effect of Weight Loss on Indigenous Australians with Diabetes: a study of Feasibility, Acceptability and Effectiveness of Laparoscopic Adjustable Gastric Banding.

Paul E O'Brien, Dawn E DeWitt, Cheryl Laurie, Leah Brennan, John M Wentworth, Margaret Anderson, Kerin O'Dea, Felicia Dean, Andrew Smith, David P Dalton

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 6 institutions in 1 country.

Paul E O'BrienCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia. paul.obrien@monash.edu.
Dawn E DeWittSchool of Rural Health, The University of Melbourne, Shepparton, VIC, Australia.
Cheryl LaurieCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia.
Leah BrennanCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia.
John M WentworthCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia.
Margaret AndersonCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia.
Kerin O'DeaSchool of Population Health, University of South Australia, Adelaide, SA, Australia.
Felicia DeanRumbalara Aboriginal Co-operative Pty. Ltd, Mooropna, VIC, Australia.
Andrew SmithCentre for Obesity Research and Education, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, VIC, Australia.
David P DaltonSchool of Rural Health, The University of Melbourne, Shepparton, VIC, Australia.
Monash University · AUUniversity of Melbourne · AUAustralian Catholic University · AUTharawal Aboriginal · AUThe Alfred Hospital · AUUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDiabetes and obesity are common and serious health challenges for indigenous people worldwide. The feasibility of achieving substantial weight loss, leading to remission of diabetes, was evaluated in a regional indigenous Australian community. SUBJECTS/

methodsA prospective cohort study of 30 obese indigenous adults from the Rumbalara Aboriginal Co-operative in Central Victoria was performed. Inclusion criteria included aboriginality, BMI > 30 kg/m(2) and diabetes diagnosed within the last 10 years. Weight loss was achieved using laparoscopic adjustable gastric banding (LAGB). Participants were treated in their community and followed for 2 years. Outcomes were compared with those of non-indigenous Australians from an earlier randomized controlled trial (RCT) using a similar protocol.

results30 participants (26 females, mean age 44.6 years; mean BMI 44.3) had LAGB at the regional hospital. Twenty-six participants completed diabetes assessment at 2 years follow-up. They showed diabetes remission (fasting blood glucose < 7.0 mmol/L and haemoglobin A1c (HbA1c) < 6.2 % while off all therapy except metformin) in 20 of the 26 and a mean weight loss (SD) of 26.0 (14) kilograms. Based on intention-to-treat, remission rate was 66 %. Quality of life improved. There was one early event and 12 late adverse events. The outcomes for weight loss and diabetes remission were not different from the LAGB group of the RCT.

conclusionsFor obese indigenous people with diabetes, a regionalized model of care centred on the LAGB is an effective approach to a serious health problem. The model proved feasible and acceptable to the indigenous people.

trial registrationAustralian New Zealand Clinical Trials Registry (ACTRN 12609000319279).

Indexed as

AdultAgedAustraliaCohort StudiesDiabetes Mellitus, Type 2Feasibility StudiesFemaleGastroplastyGlycated HemoglobinHumansLaparoscopyMaleMiddle AgedObesity, MorbidPatient Acceptance of Health CareProspective StudiesGlycated HemoglobinAboriginalBariatric surgeryGastric bandingIndigenousLAGBObesityRemission of diabetesType 2 diabetesWeight loss

Identifiers

PMID25990379
OpenAlexW2138994912

What OpenQuestion holds

Textmetadata
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.