Evidence map›Paper›PMID 28058616›Full record

ArticleObesity surgery2017

Is there a Reason Why Obese Patients Choose Either Conservative Treatment or Surgery?

Lars Fischer, Anna-Laura Wekerle, Johannes Sander, Felix Nickel, Adrian T Billeter, Ulrike Zech, Thomas Bruckner, Beat P Müller-Stich

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Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. Bariatric surgery barriers: a review using Andersen's Model of Health Services Use.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018
    Review
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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.

Lars FischerDepartment of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. lars.fischer@med.uni-heidelberg.de.
Anna-Laura WekerleDepartment of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Johannes SanderObesity Clinic, Schön Klinik Hamburg Eilbek, 22081, Hamburg, Germany.
Felix NickelDepartment of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Adrian T BilleterDepartment of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Ulrike ZechDepartment of Internal Medicine, Endocrinology and Metabolism, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
Thomas BrucknerInstitute for Medical Biometry and Informatics, University Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Beat P Müller-StichDepartment of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of bariatric surgery on excess weight loss (EWL) and comorbidities are proven. Still, a significant number of patients prefer conservative therapy (ConsP).

objectivesThe goal of this study was to examine why ConsP and patients awaiting bariatric surgery (SurgP) choose which therapy, and to define the differences in their expectations.

settingProspective study, 1 university hospital, 1 general hospital, Germany.

methodsConsP and SurgP were asked to complete a questionnaire. Statistical analysis including all patients and a BMI-matched cohort was performed using the chi-square and Wilcoxon rank-sum test.

resultsOverall, 151 patients participated in this study (50 ConsP, 101 SurgP, 69.4% females). The mean age was 41.1 years (SD ± 12.2 years). ConsP had a significant lower body mass index (BMI, 44.7 kg/m

conclusionA higher BMI and a greater prevalence of comorbidities had driven patients to seek a more radical solution for their obesity, i.e., surgery. The BMI-matched analysis suggests that fear of surgery is a relevant factor in why obese patients do not decide to undergo bariatric surgery lightly.

Indexed as

AdultBariatric SurgeryBody Mass IndexComorbidityConservative TreatmentDecision MakingFemaleHumansMaleMiddle AgedObesityProspective StudiesSurveys and QuestionnairesWeight LossBariatric surgeryConservative treatmentObesityPatient expectations

Identifiers

What OpenQuestion holds

Textmetadata
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.