Evidence map›Paper›PMID 26574702›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2016

Financial costs and patients' perceptions of medical tourism in bariatric surgery.

David H Kim, Caroline E Sheppard, Christopher J de Gara, Shahzeer Karmali, Daniel W Birch

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 1 institution in 1 country.

David H KimFrom the Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Kim); the Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. ( Sheppard); the Bariatric Revision Clinic, University of Alberta, Edmonton, Alta. (De Gara); and the Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, Edmonton, Alta. (Karmali, Birch).
Caroline E SheppardFrom the Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Kim); the Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. ( Sheppard); the Bariatric Revision Clinic, University of Alberta, Edmonton, Alta. (De Gara); and the Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, Edmonton, Alta. (Karmali, Birch).
Christopher J de GaraFrom the Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Kim); the Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. ( Sheppard); the Bariatric Revision Clinic, University of Alberta, Edmonton, Alta. (De Gara); and the Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, Edmonton, Alta. (Karmali, Birch).
Shahzeer KarmaliFrom the Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Kim); the Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. ( Sheppard); the Bariatric Revision Clinic, University of Alberta, Edmonton, Alta. (De Gara); and the Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, Edmonton, Alta. (Karmali, Birch).
Daniel W BirchFrom the Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Kim); the Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. ( Sheppard); the Bariatric Revision Clinic, University of Alberta, Edmonton, Alta. (De Gara); and the Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, Edmonton, Alta. (Karmali, Birch).
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryMany Canadians pursue surgical treatment for severe obesity outside of their province or country - so-called "medical tourism." We have managed many complications related to this evolving phenomenon. The costs associated with this care seem substantial but have not been previously quantified. We surveyed Alberta general surgeons and postoperative medical tourists to estimate costs of treating complications related to medical tourism in bariatric surgery and to understand patients' motivations for pursuing medical tourism. Our analysis suggests more than $560 000 was spent treating 59 bariatric medical tourists by 25 surgeons between 2012 and 2013. Responses from medical tourists suggest that they believe their surgeries were successful despite some having postoperative complications and lacking support from medical or surgical teams. We believe that the financial cost of treating complications related to medical tourism in Alberta is substantial and impacts existing limited resources.

Indexed as

AdultAlbertaBariatric SurgeryCosts and Cost AnalysisHumansMedical TourismPatient SatisfactionPostoperative ComplicationsSurgeons

Identifiers

PMID26574702
PMCPMC4734921
OpenAlexW2395606052

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.