Evidence map›Paper›PMID 29127578›Full record

ArticleObesity surgery2018

Comparative Outcomes of Bariatric Surgery in Patients With and Without Human Immunodeficiency Virus.

Gautam Sharma, Andrew T Strong, Mena Boules, Chao Tu, Samuel Szomstein, Raul Rosenthal, John Rodriguez, Alan J Taege, Matthew Kroh

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Weight Gain After HIV Therapy Initiation: Pathophysiology and Implications.The Journal of clinical endocrinology and metabolism · 2024 · on this map
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Obesity and Weight Gain in Persons with HIV.Current HIV/AIDS reports · 2020 · on this map
    Review
  9. Article
  10. Article
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

9 authors at 2 institutions in 2 countries.

Gautam SharmaSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA.ORCID 0000-0003-1512-640X
Andrew T StrongSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA.
Mena BoulesSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA.
Chao TuSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA.
Samuel SzomsteinBariatric and Metabolic Institute, Cleveland Clinic, Tampa, Florida, USA.
Raul RosenthalBariatric and Metabolic Institute, Cleveland Clinic, Tampa, Florida, USA.
John RodriguezSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA.
Alan J TaegeLerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Matthew KrohSection of Surgical Endoscopy, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA. krohm@ccf.org.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParadoxically, advances in anti-retroviral therapy that has increased survival for patients with human immunodeficiency virus (HIV) have resulted in greater numbers of HIV+ patients developing other chronic diseases, including obesity. Little comparative literature exists detailing perioperative or metabolic outcomes of bariatric surgery in the HIV+ population compared to HIV negative (HIV-) controls.

methodsThis is a retrospective case-control study with both HIV+ (case) and HIV- control patients. Individuals undergoing sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) between January 1, 2006 and December 31, 2015 were included. HIV+ status was defined as any individual with documented history of HIV.

resultsEleven HIV+ patients underwent RYGB or SG during the study period. After matching (1:5 HIV+: HIV-) both cohorts had similar mean age (42 years), gender distribution (63% female), and preoperative BMI (48 kg/m2), as well as comorbidities. There were no differences in postoperative length of stay, or all cause 30-day morbidity. There were 63.7% HIV+ and 76.4% with 1-year follow-up available. Both percent excess weight loss (56% HIV+ vs. 60% HIV-) and BMI (32 HIV+ vs. 34 kg/m2 HIV-) were similar in both groups. There were minimal changes to CD4 count or HIV viral load in the patients during the follow-up period.

conclusionBariatric surgery is safe and feasible in HIV-infected population well controlled on anti-retroviral medication. The short-term surgical and metabolic outcomes are similar to HIV- controls with minimal effect on the CD4 count and viral load in HIV+ cohort for long-term follow-up.

Indexed as

Weight LossAdultBariatric SurgeryCase-Control StudiesCD4 Lymphocyte CountFemaleGastrectomyHIV InfectionsHumansLaparoscopyMaleMiddle AgedObesity, MorbidRetrospective StudiesTreatment OutcomeBariatric complicationsBariatric surgeryCD4 countHuman immunodeficiency virusRoux-en-Y gastric bypassSleeve gastrectomyViral load

Identifiers

PMID29127578
OpenAlexW2767777152

What OpenQuestion holds

Textmetadata
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.