Evidence map›Paper›PMID 26757921›Full record

ArticleObesity surgery2016

Changing Epidemiology of Bariatric Surgery in the UK: Cohort Study Using Primary Care Electronic Health Records.

Helen P Booth, Omar Khan, Alison Fildes, A Toby Prevost, Marcus Reddy, Judith Charlton, Martin C Gulliford, King’s Bariatric Surgery Study Group

Open access · hybridAbstract read
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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  14. Obesity management for the gastroenterologist.Frontline gastroenterology · 2021
    Article
  15. Article
  16. Article
  17. Article
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  19. Review
  20. Costs and Outcomes of Increasing Access to Bariatric Surgery: Cohort Study and Cost-Effectiveness Analysis Using Electronic Health Records.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2017
    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

8 authors at 2 institutions in 1 country.

Helen P BoothDepartment of Primary Care and Public Health Sciences, King's College London, 6th Floor, Capital House, 42 Weston St, London, SE1 3QD, UK. helen.booth@kcl.ac.uk.
Omar KhanDepartment of Surgery, St George's Hospital, Blackshaw Rd, London, SW17 0QT, UK.
Alison FildesDepartment of Primary Care and Public Health Sciences, King's College London, 6th Floor, Capital House, 42 Weston St, London, SE1 3QD, UK.
A Toby PrevostDepartment of Primary Care and Public Health Sciences, King's College London, 6th Floor, Capital House, 42 Weston St, London, SE1 3QD, UK.
Marcus ReddyDepartment of Surgery, St George's Hospital, Blackshaw Rd, London, SW17 0QT, UK.
Judith CharltonDepartment of Primary Care and Public Health Sciences, King's College London, 6th Floor, Capital House, 42 Weston St, London, SE1 3QD, UK.
Martin C GullifordDepartment of Primary Care and Public Health Sciences, King's College London, 6th Floor, Capital House, 42 Weston St, London, SE1 3QD, UK.
King’s Bariatric Surgery Study Group
King's College London · GBSt George's Hospital · GB

Funding

Department of Health 12/5005/12
6 · The paper itself

Abstract

backgroundThis study aimed to use primary care electronic health records to evaluate the epidemiology of bariatric surgery in the UK.

methodsA cohort comprising all obese patients with a bariatric surgical procedure was drawn from the Clinical Practice Research Datalink (CPRD). Rates of bariatric surgery were estimated using the registered CPRD population as denominator.

resultsThere were 3039 adult obese patients with first bariatric surgery procedures between 2002 and 2014, including laparoscopic adjustable gastric banding (LAGB), 1297; gastric bypass (GBP), 1265; and sleeve gastrectomy (SG), 477. Annual procedures increased from one in 2002 to a maximum of 525 in 2010. Intervention rates were greatest among those aged 35-54, with a peak of 37 procedures per 100,000 population per year in women and 10 per 100,000 per year in men. The mean age and body mass index of participants increased, as did the proportion of men and proportion with diabetes. Between 2002 and 2006, LAGB accounted for >90 % of procedures; in 2014, GBP accounted for 52 % and SG 26 %. Among patients initially receiving LAGB, the rate of band removal was 1.6 (95 % confidence interval 1.3-2.0) per 100 patient years; the rate of a second procedure of a different type was 1.2 (0.9-1.5) per 100 patient years.

conclusionsNumbers of bariatric surgical procedures have increased with increasing use of GBP and SG. Rates of bariatric surgery per 100,000 population remain low and provide evidence of limited access to bariatric surgical procedures in relation to need.

Indexed as

Practice Patterns, Physicians'Primary Health CareAdultAgedAged, 80 and overAge FactorsBariatric SurgeryCohort StudiesElectronic Health RecordsFemaleHumansLaparoscopyMaleMiddle AgedObesity, MorbidUnited KingdomBariatric surgeryBody weightDiabetes mellitusGastric bandingGastric bypassObesityPrimary careSleeve gastrectomy

Identifiers

PMID26757921
PMCPMC4951499
OpenAlexW2234511194

What OpenQuestion holds

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LicenceCC BY
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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.