Evidence map›Paper›PMID 28273694›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2017

Patient experiences of outcomes of bariatric surgery: a systematic review and qualitative synthesis.

Karen D Coulman, Fiona MacKichan, Jane M Blazeby, Amanda Owen-Smith

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05207917 (How Gastric Bypass and Sleeve Gastrectomy Change Social Experiences and Biomarkers of Well-being), which is not on this map. Cited by 71 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 6 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.

NCT05207917 naenrolling by invitationnot on this mapstarted 2022, after this paper: background citation

How Gastric Bypass and Sleeve Gastrectomy Change Social Experiences and Biomarkers of Well-being

TypeinterventionalSponsorThe Hospital of VestfoldRan2022 to 2026Enrolled113ConditionsObesityArmsGastric bypass, Sleeve gastrectomy, Single anastomosis sleeve ileal (SASI) bypass
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. The complexity of body image following bariatric surgery: a systematic review of the literature.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Pooled it
  6. 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
    Pooled it
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11 more citing papers are in PubMed but not listed here.

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.

Karen D CoulmanSchool of Social and Community Medicine, University of Bristol, Bristol, UK.ORCID 0000-0003-0510-4290
Fiona MacKichanSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Jane M BlazebySchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Amanda Owen-SmithSchool of Social and Community Medicine, University of Bristol, Bristol, UK.

Funding

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

Abstract

Although bariatric surgery is the most effective treatment for severe and complex obesity, less is known about its psychosocial impact. This systematic review synthesizes qualitative studies investigating the patient perspective of living with the outcomes of surgery. A total of 2,604 records were screened, and 33 studies were included. Data extraction and thematic synthesis yielded three overarching themes: control, normality and ambivalence. These were evident across eight organizing sub-themes describing areas of life impacted by surgery: weight, activities of daily living, physical health, psychological health, social relations, sexual life, body image and eating behaviour and relationship with food. Throughout all these areas, patients were striving for control and normality. Many of the changes experienced were positive and led to feeling more in control and 'normal'. Negative changes were also experienced, as well as changes that were neither positive nor negative but were nonetheless challenging and required adaptation. Thus, participants continued to strive for control and normality in some aspects of their lives for a considerable time, contributing to a sense of ambivalence in accounts of life after surgery. These findings demonstrate the importance of long-term support, particularly psychological and dietary, to help people negotiate these challenges and maintain positive changes achieved after bariatric surgery.

Indexed as

Bariatric SurgeryPatient SatisfactionHumansObesityTreatment Outcomebariatric surgerypatient experiencequalitativesynthesis

Identifiers

PMID28273694
PMCPMC5709707

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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.