Evidence map›Paper›PMID 28169206›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017

Bariatric surgery in patients with bipolar spectrum disorders: Selection factors, postoperative visit attendance, and weight outcomes.

Kelli E Friedman, Katherine Applegate, Dana Portenier, Megan A McVay

Open access · greenAbstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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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

4 authors at 2 institutions in 1 country.

Kelli E FriedmanDepartment of Surgery, Duke University Medical Center, Durham, NC, USA; Department of Psychiatry & Behavioral Science, Duke University Medical Center, Durham, NC, USA.
Katherine ApplegateDepartment of Psychiatry & Behavioral Science, Duke University Medical Center, Durham, NC, USA.
Dana PortenierDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Megan A McVayDepartment of Psychiatry & Behavioral Science, Duke University Medical Center, Durham, NC, USA. Electronic address: megan.mcvay@duke.edu.
Duke Medical Center · USDuke University Hospital · US

Funding

Increasing uptake of behavioral weight loss programs among primary care patientsK23HL127334 · NHLBI · UNIVERSITY OF FLORIDA · PI MCVAY, MEGAN APPERSON · 2015 to 2019
$805k
NHLBI NIH HHS K23 HL127334
6 · The paper itself

Abstract

backgroundAs many as 3% of bariatric surgery candidates are diagnosed with a bipolar spectrum disorder.

objectives1) To describe differences between patients with bipolar spectrum disorders who are approved and not approved for surgery by the mental health evaluator and 2) to examine surgical outcomes of patients with bipolar spectrum disorders.

settingAcademic medical center, United States.

methodsA retrospective record review was conducted of consecutive patients who applied for bariatric surgery between 2004 and 2009. Patients diagnosed with bipolar spectrum disorders who were approved for surgery (n = 42) were compared with patients with a bipolar spectrum disorder who were not approved (n = 31) and to matched control surgical patients without a bipolar spectrum diagnosis (n = 29) on a variety of characteristics and surgical outcomes.

resultsOf bariatric surgery candidates diagnosed with a bipolar spectrum disorder who applied for surgery, 57% were approved by the psychologist and 48% ultimately had surgery. Patients with a bipolar spectrum disorder who were approved for surgery were less likely to have had a previous psychiatric hospitalization than those who were not approved for surgery. Bariatric surgery patients diagnosed with a bipolar spectrum disorder were less likely to attend follow-up care appointments 2 or more years postsurgery compared to matched patients without bipolar disorder. Among patients with available data, those with a bipolar spectrum disorder and matched patients had similar weight loss at 12 months (n = 21 for bipolar; n = 24 for matched controls) and at 2 or more years (mean = 51 mo; n = 11 for bipolar; n = 20 for matched controls).

conclusionPatients diagnosed with a bipolar spectrum disorder have a high rate of delay/denial for bariatric surgery based on the psychosocial evaluation and are less likely to attend medical follow-up care 2 or more years postsurgery. Carefully screened patients with bipolar disorder who engage in long-term follow-up care may benefit from bariatric surgery.

Indexed as

Weight LossAdultBariatric SurgeryBipolar DisorderFemaleHumansIncidenceMaleMiddle AgedNorth CarolinaObesity, MorbidPatient CompliancePsychological TestsRetrospective StudiesTreatment OutcomeAdherenceBariatric surgeryBipolar disorderWeight loss

Identifiers

PMID28169206
PMCPMC5400728
OpenAlexW2537777505

What OpenQuestion holds

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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.