Evidence map›Paper›PMID 26852397›Full record

ArticleObesity surgery2016

A Pre-Hospital Patient Education Program Improves Outcomes of Bariatric Surgery.

Wendy A Brown, Paul R Burton, Kalai Shaw, Brittany Smith, Shelley Maffescioni, Bernadette Comitti, Michael A Cowley, Cheryl Laurie, Andrew Way, Peter Nottle

Abstract read
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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 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Observational
  8. Article
  9. Article
  10. Postoperative outcomes based on patient participation in a presurgery education and weight management program.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018
    Article
  11. Article
  12. Observational
  13. The knowledge of Polish primary care physicians about bariatric surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016
    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.

Wendy A BrownUpper Gastrointestinal Surgical Service, The Alfred, Commercial Road, Melbourne, 3004, Australia. Wendy.Brown@monash.edu.
Paul R BurtonUpper Gastrointestinal Surgical Service, The Alfred, Commercial Road, Melbourne, 3004, Australia.
Kalai ShawUpper Gastrointestinal Surgical Service, The Alfred, Commercial Road, Melbourne, 3004, Australia.
Brittany SmithCentre for Obesity Research and Education, Monash University School of Public Health and Preventative Medicine, Level 6, 99 Commercial Road, Melbourne, 3004, Australia.
Shelley MaffescioniUpper Gastrointestinal Surgical Service, The Alfred, Commercial Road, Melbourne, 3004, Australia.
Bernadette ComittiCEO's office/Surgical Services, The Alfred, Commercial Road, Melbourne, 3004, Australia.
Michael A CowleyMonash Obesity and Diabetes Institute, Monash University, Wellington Road, Clayton, 3800, Australia.
Cheryl LaurieCentre for Obesity Research and Education, Monash University School of Public Health and Preventative Medicine, Level 6, 99 Commercial Road, Melbourne, 3004, Australia.
Andrew WayCEO's office/Surgical Services, The Alfred, Commercial Road, Melbourne, 3004, Australia.
Peter NottleUpper Gastrointestinal Surgical Service, The Alfred, Commercial Road, Melbourne, 3004, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe designed an assessment and education program which was delivered to patients prior to first outpatient appointment for bariatric surgery. We hypothesised that this program would streamline care and would lead to improved weight loss following bariatric surgery.

methodsThe program incorporates a structured general practitioners (GP) review, a patient information evening and an on-line learning package. It was introduced in September 2012. Patient flow through the program was recorded. Outcomes of the new program were compared with contemporaneously treated patients who did not undertake the pre-hospital program.

resultsAll 636 patients on the waiting list for first appointment at the Alfred Health bariatric surgery clinic were invited to participate. There were 400 patients ultimately removed from the waiting list for first appointment. Of the remaining 236 patients, 229 consented to participate in the new program. The mean BMI was 47.8 ± 9.2. The fail to attend first appointment rate dropped from 12 to 2.1 %. At 12 months post-bariatric surgery, patients who undertook the new program (n = 82) had a mean excess weight loss (EWL) of 41.1 ± 20.3 % where as those treated on the standard pathway (n = 61) had a mean EWL 32 ± 18.0 % (p = 0.012).

conclusionsThe introduction of a pre-hospital education program has led to an improvement in attendance rates and early weight loss post-bariatric surgery.

Indexed as

Patient Education as TopicAdultBariatric SurgeryFemaleHumansMaleMiddle AgedObesity, MorbidPreoperative PeriodQuality ImprovementWeight LossEducationHealth service deliveryObesityPreconditioningWeight loss

Identifiers

PMID26852397

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.