Evidence map›Paper›PMID 29053709›Full record

ArticlePloS one2017

Changes in utilization and peri-operative outcomes of bariatric surgery in large U.S. hospital database, 2011-2014.

Lu Zhang, John Scott, Lu Shi, Khoa Truong, Qingwei Hu, Joseph A Ewing, Liwei Chen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Lu ZhangDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina, United States of America.
John ScottDepartment of Surgery, Greenville Health System, Greenville, South Carolina, United States of America.
Lu ShiDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina, United States of America.
Khoa TruongDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina, United States of America.
Qingwei HuDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina, United States of America.
Joseph A EwingDepartment of Surgery, Greenville Health System, Greenville, South Carolina, United States of America.
Liwei ChenDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina, United States of America.ORCID http://orcid.org/0000-0002-8458-5661
Clemson University · USPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the epidemic of morbid obesity, bariatric surgery has been accepted as one of the most effective treatments of obesity.

objectiveTo investigate recent changes in the utilization of bariatric surgery, patients and hospital characteristics, and in-hospital complications in a nationwide hospital database in the United States.

settingThis is a secondary data analysis of the Premier Perspective database.

methodsICD-9 codes were used to identify bariatric surgeries performed between 2011 and 2014. Descriptive statistics were computed and regression was used.

resultsA total of 74,774 bariatric procedures were identified from 436 hospitals between 2011 and 2014. During this time period, the proportion of gastric bypass (from 44.8% to 31.3%; P for trend < 0.0001) and gastric banding (from 22.8% to 5.2%; P for trend < 0.0001) decreased, while the proportion of sleeve gastrectomy (from 13.7% to 56.9%; P for trend < 0.0001) increased substantially. The proportion of bariatric surgery performed for outpatients decreased from 17.15% in 2011 to 8.11% in 2014 (P for trend < 0.0001). The majority of patients undergoing surgery were female (78.5%), white (65.6%), younger than 65 years (93.8%), and insured with managed care (53.6%). In-hospital mortality rate and length of hospital stay remained stable. The majority of surgeries were performed in high-volume (71.8%) and urban (91.6%) hospitals.

conclusionsResults based on our study sample indicated that the popularity of various bariatric surgery procedures changed significantly from 2011 to 2014. While the rates of in-hospital complications were stable, disparities in the use of bariatric surgery regarding gender, race, and insurance still exist.

Indexed as

AdultAgedFemaleGastric BypassHumansMaleMiddle AgedTreatment OutcomeUnited States

Identifiers

PMID29053709
PMCPMC5650154
OpenAlexW2766099160

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.