Evidence map›Paper›PMID 27429019›Full record

ArticleAnnals of surgery2017

Substantial Decrease in Comorbidity 5 Years After Gastric Bypass: A Population-based Study From the Scandinavian Obesity Surgery Registry.

Magnus Sundbom, Jakob Hedberg, Richard Marsk, Lars Boman, Ami Bylund, Jan Hedenbro, Anna Laurenius, Göran Lundegårdh, Peter Möller, Torsten Olbers and 4 more

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Annals of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03341429 (BARI-OPTIMISE), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
7.8field-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.

NCT03341429 phase4completedstarted 2018, after this paper: background citation

BARI-OPTIMISE: a Double-blinded, Randomised, Placebo-controlled Trial of Liraglutide 3.0 mg in Patients With Poor Weight-loss and a Suboptimal Glucagon-like Peptide-1 Response Following Bariatric Surgery

Ran2018Enrolled70Registered outcomes18Posted comparisons0ConditionsObesityArmsLiraglutide Pen Injector [Saxenda], Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

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  14. Bariatric surgery tourism in the COVID-19 era.The Ulster medical journal · 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

14 authors at 5 institutions in 1 country.

Magnus Sundbom*Department of Surgical Sciences, Upper Gastrointestinal Surgery, Uppsala University, Uppsala, Sweden †Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden ‡Department of Surgery, Lycksele Hospital, Lycksele, Sweden §Department of Surgery, Ersta Hospital, Stockholm, Sweden ¶Aleris Obesity & Clinical Sciences, Lund University, Lund, Sweden ||Department of Gastrosurgical Research and Education, Institute of Clinical Sciences, The Sahlgrenska Academy, Gothenburg, Sweden **Österlenskirurgin, Simrishamn Hospital, Simrishamn, Sweden ††Department of Surgery, Kalmar County Hospital, Kalmar, Sweden ‡‡Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Jakob Hedberg
Richard Marsk
Lars Boman
Ami Bylund
Jan Hedenbro
Anna Laurenius
Göran Lundegårdh
Peter Möller
Torsten Olbers
Johan Ottosson
Ingmar Näslund
Erik Näslund
Scandinavian Obesity Surgery Registry Study Group
Karolinska Institutet · SEUppsala University · SEUniversity of Gothenburg · SEErsta sjukhus · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate effect on comorbid disease and weight loss 5 years after Roux-en-Y gastric bypass (RYGB) surgery for morbid obesity in a large nationwide cohort.

backgroundThe number patients having surgical procedures to treat obesity and obesity-related disease are increasing. Yet, population-based, long-term outcome studies are few.

methodsData on 26,119 individuals [75.8% women, 41.0 years, and body mass index (BMI) 42.8 kg/m] undergoing primary RYGB between May 1, 2007 and June 30, 2012, were collected from 2 Swedish quality registries: Scandinavian Obesity Surgery Registry and the Prescribed Drug Registry. Weight, remission of type 2 diabetes mellitus, hypertension, dyslipidemia, depression, and sleep apnea, and changes in corresponding laboratory data were studied. Five-year follow-up was 100% (9774 eligible individuals) for comorbid diseases.

resultsBMI decreased from 42.8 ± 5.5 to 31.2 ± 5.5 kg/m at 5 years, corresponding to 27.7% reduction in total body weight. Prevalence of type 2 diabetes mellitus (15.5%-5.9%), hypertension (29.7%-19.5%), dyslipidemia (14.0%-6.8%), and sleep apnea (9.6%-2.6%) was reduced. Greater weight loss was a positive prognostic factor, whereas increasing age or BMI at baseline was a negative prognostic factor for remission. The use of antidepressants increased (24.1%-27.5%). Laboratory status was improved, for example, fasting glucose and glycated hemoglobin decreased from 6.1 to 5.4 mmol/mol and 41.8% to 37.7%, respectively.

conclusionsIn this nationwide study, gastric bypass resulted in large improvements in obesity-related comorbid disease and sustained weight loss over a 5-year period. The increased use of antidepressants warrants further investigation.

Indexed as

ComorbidityGastric BypassWeight LossAdultAntidepressive AgentsBody Mass IndexDepressionDiabetes Mellitus, Type 2DyslipidemiasFemaleHumansHypertensionMaleObesity, MorbidPrevalenceRegistriesAntidepressive Agents

Identifiers

PMID27429019
OpenAlexW2479098790

What OpenQuestion holds

Textmetadata
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.