Evidence map›Paper›PMID 28474319›Full record

Trial reportObesity surgery2017

Quality of Life 1 Year After Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-en-Y Gastric Bypass: a Randomized Controlled Trial Focusing on Gastroesophageal Reflux Disease.

L Ulas Biter, Michiel M A van Buuren, Guido H H Mannaerts, Jan A Apers, Martin Dunkelgrün, Guy H E J Vijgen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 15 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

43 citing papers in PubMed, 15 syntheses or guidelines 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

6 authors.

L Ulas BiterDepartment of Surgery, Franciscus Gasthuis, Kleiweg 500, 3045 PM, Rotterdam, Netherlands.
Michiel M A van BuurenDepartment of Surgery, Franciscus Gasthuis, Kleiweg 500, 3045 PM, Rotterdam, Netherlands. M.Buuren2@franciscus.nl.ORCID http://orcid.org/0000-0001-7290-0145
Guido H H MannaertsDepartment of Surgery, Tawam Hospital Johns Hopkins, 15258, Al Ain, United Arab Emirates.
Jan A ApersDepartment of Surgery, Franciscus Gasthuis, Kleiweg 500, 3045 PM, Rotterdam, Netherlands.
Martin DunkelgrünDepartment of Surgery, Franciscus Gasthuis, Kleiweg 500, 3045 PM, Rotterdam, Netherlands.
Guy H E J VijgenDepartment of Surgery, Franciscus Gasthuis, Kleiweg 500, 3045 PM, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric surgery is the only treatment option that achieves sustained weight loss in obese patients and that also has positive effects on obesity-related comorbidities. Laparoscopic sleeve gastrectomy (LSG) seems to achieve equal weight loss as laparoscopic Roux-en-Y gastric bypass (LRYGB), but there is still much debate about the quality of life (QOL) after LSG, mainly concerning the association with gastroesophageal reflux. Our hypothesis is that QOL after LSG is comparable with QOL after LRYGB. MATERIALS AND

methodsBetween February 2013 and February 2014, 150 patients were randomized to undergo either LSG or LRYGB in our clinic. Differences in QOL were compared between groups by using multiple QOL questionnaires at follow-up moments preoperatively and 2 and 12 months after surgery.

resultsAfter 12 months of follow-up, 128 patients had returned the questionnaires. Most QOL questionnaires showed significant improvement in scores between the preoperative moment and after 12 months of follow-up. The Gastroesophageal Reflux Disease Questionnaire (GerdQ) score deteriorated in the LSG group after 2 months, but recovered again after 12 months. After 2 months of follow-up, the mean GerdQ score was 6.95 ± 2.14 in the LSG group versus 5.50 ± 1.49 in the LRYGB group (p < 0.001). After 1 year, the mean GerdQ score was 6.63 ± 2.26 in the LSG group and 5.60 ± 1.07 in the LRYGB group (p = 0.001).

conclusionThis randomized controlled trial shows that patients who underwent LSG have significantly higher GerdQ scores at both 2 and 12 months postoperatively than patients who underwent LRYGB, whereas overall QOL did not differ significantly.

Indexed as

Quality of LifeAdultComorbidityFemaleFollow-Up StudiesGastrectomyGastric BypassGastroesophageal RefluxHumansLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative ComplicationsSurveys and QuestionnairesWeight LossBariatric surgeryBypassGastroesophageal reflux diseaseQuality of lifeSleeve

Identifiers

PMID28474319

What OpenQuestion holds

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Read underepoch 390

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.