Evidence map›Paper›PMID 27626180›Full record

SynthesisOncotarget2016

Meta-analysis of bariatric surgery versus non-surgical treatment for type 2 diabetes mellitus.

Guo-Zhong Wu, Bing Cai, Feng Yu, Zheng Fang, Xing-Li Fu, Hai-Sen Zhou, Wen Zhang, Zhi-Qiang Tian

Open access · diamondAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  9. Review
  10. Reversal and Remission of T2DM - An Update for Practitioners.Vascular health and risk management · 2022
    Review
  11. Article
  12. Observational
  13. Article
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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

8 authors at 4 institutions in 1 country.

Guo-Zhong WuDepartment of General Surgery, The 101st Hospital of Chinese PLA, Wuxi, Jiangsu, China.
Bing CaiDepartment of General Surgery, Wuxi People's Hospital, Nanjing Medical University, Wuxi, Jiangsu, China.
Feng YuDepartment of General Surgery, The 101st Hospital of Chinese PLA, Wuxi, Jiangsu, China.
Zheng FangDepartment of General Surgery, The 101st Hospital of Chinese PLA, Wuxi, Jiangsu, China.
Xing-Li FuHealth Science Center, Jiangsu University, Zhenjiang, Jiangsu, China.
Hai-Sen ZhouNanjing Lishui People's Hospital, Nanjing, Jiangsu, China.
Wen ZhangHealth Science Center, Jiangsu University, Zhenjiang, Jiangsu, China.
Zhi-Qiang TianDepartment of General Surgery, The 101st Hospital of Chinese PLA, Wuxi, Jiangsu, China.
Jiangsu University · CNLishui City People's Hospital · CNNanjing Medical University · CNWuxi People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare short-term and long-term results of bariatric surgery vs non-surgical treatment for type 2 diabetes mellitus (T2DM).

methodsA systematic search was conducted in the PubMed, Embase, and Cochrane Library databases for randomized controlled trials (RCTs). All statistical analysis was performed using Review Manager version 5.3. The dichotomous data was calculated using risk ratio (RR) and continuous data was using mean differences (MD) along with 95% confidence intervals (CI).

resultsA total of 8 RCTs with 619 T2DM patients were analyzed. Compared with non-surgical treatment group, bariatric surgery group was associated with higher rate T2DM remission (RR = 5.76, 95%CI:3.15-10.55, P < 0.00001), more reduction HbA1C (MD = 1.29, 95%CI: -1.70 to -0.87, P < 0.00001), more decrease fasting plasma glucose (MD = -36.38, 95%CI: -51.76 to -21.01, P < 0.00001), greater loss body weight (MD = -16.93, 95%CI: 19.78 to -14.08, P < 0.00001), more reduction body mass index (MD = -5.80, 95%CI: -6.95 to -4.64, P < 0.00001), more decrease triglyceride concentrations (MD = -51.27, 95%CI: -74.13 to -28.41, P < 0.0001), and higher increase density lipoprotein cholesterol (MD = 9.10, 95%CI: 7.99 to 10.21; P < 0.00001). But total and low density lipoprotein cholesterol were no significant changes.

conclusionBariatric surgery for T2DM is efficacious and improves short- and long-term outcomes as compared with non-surgical treatment.

Indexed as

Bariatric SurgeryBlood GlucoseBody Mass IndexCholesterolDiabetes Mellitus, Type 2HumansQuality of LifeTriglyceridesBlood GlucoseCholesterolTriglyceridesbariatric surgerymeta-analysisnon-surgical treatmenttype 2 diabetes mellitus

Identifiers

PMID27626180
PMCPMC5350006
OpenAlexW2517705015

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.