Evidence map›Paper›PMID 27138600›Full record

ArticleObesity surgery2016

A Comparison of Health Professionals' and Patients' Views of the Importance of Outcomes of Bariatric Surgery.

Karen D Coulman, Noah Howes, James Hopkins, Katie Whale, Katy Chalmers, Sara Brookes, Alex Nicholson, Jelena Savovic, Yasmin Ferguson, Amanda Owen-Smith and 12 more

2 registry-linked trialsOpen access · hybridAbstract readComparative 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. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% 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.

NCT02841527 nacompletednot on this map

Gastric Bypass, Adjustable Gastric Banding or Sleeve Gastrectomy Surgery to Treat Severe and Complex Obesity: a Multi-centre Randomised Controlled Trial

TypeinterventionalSponsorUniversity of BristolRan2012 to 2023Enrolled1,351ConditionsObesity, Surgery, Quality of Life, Weight LossArmsGastric Band, Gastric Bypass, Sleeve Gastrectomy
NCT06020105 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Design and Development of a Nurse-led Program for the Management of Bariatric Surgery Patients - The NURLIFE Program

TypeinterventionalSponsorUniversity of ÉvoraRan2024 to 2025Enrolled80ConditionsBariatric Surgery Candidate, Nurse-Patient RelationsArmsNURLIFE
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Patient experiences of outcomes of bariatric surgery: a systematic review and qualitative synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017
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  12. Development of a core outcome set for traumatic brachial plexus injury.The Journal of hand surgery, European volume · 2024
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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

22 authors at 2 institutions in 1 country.

Karen D CoulmanSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK. karen.coulman@bristol.ac.uk.
Noah HowesSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
James HopkinsDepartment of Upper GI and Bariatric Surgery, Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, TA1 5DA, UK.
Katie WhaleSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Katy ChalmersSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Sara BrookesSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Alex NicholsonSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Jelena SavovicSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Yasmin FergusonDepartment of Upper GI and Bariatric Surgery, Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, TA1 5DA, UK.
Amanda Owen-SmithSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Jane BlazebySchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
By-Band-Sleeve Trial Management Group
Jane Blazeby
Richard Welbourn
James Byrne
Jenny Donovan
Barnaby C Reeves
Sarah Wordsworth
Robert Andrews
Janice L Thompson
Graziella Mazza
Chris A Rogers
University of Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Department of Health 09/127/53Department of Health DRF-2011-04-032Medical Research Council MR/K025643/1Medical Research Council MR/L004933/2
6 · The paper itself

Abstract

backgroundA comprehensive evaluation of bariatric surgery is required to inform decision-making. This will include measures of benefit and risk. It is possible that stakeholders involved with surgery value these outcomes differently, although this has not previously been explored. This study aimed to investigate and compare how professionals and patients prioritise outcomes of bariatric surgery.

methodsSystematic reviews and qualitative interviews created an exhaustive list of outcomes. This informed the development of a 130-item questionnaire, structured in four sections (complications of surgery; clinical effectiveness; signs, symptoms, and other measures; quality of life). Health professionals and patients rated the importance of each item on a 1-9 scale. Items rated 8-9 by at least 70 % of the participants were considered prioritised. Items prioritised in each section were compared between professionals and patients and interrater agreement assessed using kappa statistics (ĸ).

resultsOne hundred sixty-eight out of four hundred fifty-nine professionals (36.6 %) and 90/465 patients (19.4 %) completed the questionnaire. Professionals and patients prioritised 18 and 25 items, respectively, with 10 overlapping items and 23 discordant items (ĸ 0.363). Examples of items prioritised by both included 'diabetes' and 'leakage from bowel joins'. Examples of discordant items included 're-admission rates' (professionals only) and 'excess skin' (patients only). Poor agreement was seen in the 'quality of life' section (0 overlapping items, 8 discordant, ĸ -0.036).

conclusionsAlthough there was some overlap of outcomes prioritised by professionals and patients, there were important differences. We recommend that the views of all relevant health professionals and patients are considered when deciding on outcomes to evaluate bariatric surgery.

Indexed as

Attitude of Health PersonnelAttitude to HealthQuality of LifeAdultAgedBariatric SurgeryDecision MakingFemaleHumansMaleMiddle AgedObesity, MorbidSurveys and QuestionnairesTreatment OutcomeCore outcome setsHealth professional viewsOutcomesPatient viewsQuality of lifeSurvey

Identifiers

PMID27138600
PMCPMC5069338
OpenAlexW2343227342

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.