Evidence map›Paper›PMID 29127577›Full record

ArticleObesity surgery2018

Predictors of Success in Bariatric Surgery: the Role of BMI and Pre-operative Comorbidities.

Magda Rosa Ramos da Cruz, Alcides José Branco-Filho, Marília Rizzon Zaparolli, Nathalia Farinha Wagner, José Simão de Paula Pinto, Antônio Carlos Ligocki Campos, Cesar Augusto Taconeli

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Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Magda Rosa Ramos da CruzPontifical Catholic University of Paraná, Curitiba, Brazil. magda.cruz@pucpr.br.
Alcides José Branco-FilhoSurgery Department, Cevip-Paraná Laparoscopy Center, Curitiba, Brazil.
Marília Rizzon ZaparolliPositivo University, Curitiba, Brazil.
Nathalia Farinha WagnerNutrition Department, Federal University of Parana, Curitiba, Brazil.
José Simão de Paula PintoSurgery Department, Federal University of Parana, Curitiba, Brazil.
Antônio Carlos Ligocki CamposClinical Surgery Department, Federal University of Parana, Curitiba, Brazil.
Cesar Augusto TaconeliDepartment of Statistics, Federal University of Paraná, Curitba, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis is a retrospective review of 204 patients who underwent bariatric surgery. The impact of weight regain (WR), pre-operative comorbidities and BMI values on the recurrence of comorbidities was evaluated, and an equation was elaborated to estimate BMI at 5 years of bariatric surgery.

methodsPre-operative data, after 1 year and after 5 years, was collected from the medical records. Descriptive analyses and bivariate hypothesis tests were performed first, and then, a generalised linear regression model with Tweedie distribution was adjusted. The hit rate and the Kendall coefficient of concordance (Kendall's W) of the equation were calculated. At the end, the Mann-Whitney test was performed between the BMI, WR and the presence of comorbidities, after a post-operative period of 5 years.

resultsThe adjustment of the model resulted in an equation that estimates the mean value of BMI 5 years after surgery. The hit rate was 82.35% and the value of Kendall's W was 0.85 for the equation. It was found that patients with comorbidities presented a higher median WR (10.13%) and a higher mean BMI (30.09 kg/m

conclusionsIt is concluded that the equation is useful for estimating the mean BMI at 5 years of surgery and that patients with low pre-operative HDL and folic acid levels, with depression and/or anxiety and a higher BMI, have a higher BMI at 5 years of surgery and higher incidence of comorbid return and dissatisfaction with post-operative results.

Indexed as

Body Mass IndexAdultBariatric SurgeryComorbidityFemaleHumansMaleMiddle AgedObesity, MorbidPostoperative PeriodPreoperative PeriodPrognosisRecurrenceRetrospective StudiesRisk FactorsTreatment OutcomeBariatric surgeryBMIComorbiditiesMorbid obesity

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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.