Evidence map›Paper›PMID 26630951›Full record

ArticleObesity surgery2016

Sex, Race, and the Quality of Life Factors Most Important to Patients' Well-Being Among Those Seeking Bariatric Surgery.

Christina C Wee, Roger B Davis, Dan B Jones, Caroline A Apovian, Sarah Chiodi, Karen W Huskey, Mary B Hamel

Abstract readMulticenter Study
In one paragraph

Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020
    Pooled it
  2. Review
  3. Article
  4. Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    Review
  5. Article
  6. Article
  7. Article
  8. Motivations of Males with Severe Obesity, Who Pursue Medical Weight Management or Bariatric Surgery.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2019
    Article
  9. 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

7 authors.

Christina C WeeDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA. cwee@bidmc.harvard.edu.ORCID 0000-0002-0439-5746
Roger B DavisDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.
Dan B JonesDivision of Minimally Invasive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Caroline A ApovianEvans Department of Medicine and Department of Surgery, Boston Medical Center, Boston, MA, USA.
Sarah ChiodiDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.
Karen W HuskeyDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.
Mary B HamelDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.

Funding

Understanding How Patients Value Bariatric SurgeryR01DK073302 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WEE, CHRISTINA C · 2007 to 2011
$3.3M
Patient Oriented Research and Mentorship Program in ObesityK24DK087932 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WEE, CHRISTINA C · 2011 to 2015
$955k
Managing Obesity--Cost, Quality of Life,&InterventionsK23DK002962 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WEE, CHRISTINA C · 2001 to 2005
$626k
NIDDK NIH HHS K23 DK002962NIDDK NIH HHS K24 DK087932NIDDK NIH HHS R01 DK073302
6 · The paper itself

Abstract

backgroundEvidence suggests obesity-related social stigma and impairment in work function may be the two most detrimental quality of life (QOL) factors to overall well-being among patients seeking weight loss surgery (WLS); whether the relative importance of QOL factors varies across patient sex and race/ethnicity is unclear.

methodsWe interviewed 574 patients seeking WLS at two centers. We measured patient's health utility (preference-based well-being measure) as determined via standard gamble scenarios assessing patients' willingness to risk death to achieve weight loss or perfect health. Multivariable models assessed associations between patients' utility and five weight-related QOL domains stratified by gender and race: social stigma, self-esteem, physical function, public distress (weight stigma), and work life.

resultsDepending on patients' sex and race/ethnicity, mean utilities ranged from 0.85 to 0.91, reflecting an average willingness to assume a 9-15 % risk of death to achieve their most desired health/weight state. After adjustment, African Americans (AAs) reported higher utility than Caucasians (+0.054, p = 0.03), but utilities did not vary significantly by sex. Among Caucasian and AA men, impairment in physical functioning was the most important factor associated with diminished utility; social stigma was also a leading factor for Caucasian men. Among Caucasian women, self-esteem and work function appeared equally important. Social stigma was the leading contributor to utility among AA women; QOL factors did not appear as important among Hispanic patients.

conclusionAAs reported higher utilities than Caucasian patients. Individual QOL domains that drive diminished well-being varied across race/ethnicity and sex.

Indexed as

Quality of LifeAdultAttitude to HealthBariatric SurgeryBlack or African AmericanBostonFemaleHispanic or LatinoHumansLongitudinal StudiesMaleMiddle AgedMotivationObesity, MorbidPatient PreferencePsychometricsBariatric surgeryHealth utilityObesityQuality of lifeRace

Identifiers

PMID26630951
PMCPMC4860149

What OpenQuestion holds

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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.