Evidence map›Paper›PMID 29551698›Full record

ArticleJournal of the American College of Surgeons2018

One-Year Mortality after Contemporary Laparoscopic Bariatric Surgery: An Analysis of the Bariatric Outcomes Longitudinal Database.

Colette S Inaba, Christina Y Koh, Sarath Sujatha-Bhaskar, Jack P Silva, Yanjun Chen, Danh V Nguyen, Ninh T Nguyen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American College of Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04854317 (Endoscopic Gastroplasty for Treatment of Obesity), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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.

NCT04854317 narecruitingnot on this mapstarted 2020, after this paper: background citation

Endoscopic Gastroplasty for Treatment of Obesity: a Single Centre, Randomized Trial

TypeinterventionalSponsorMater Olbia HospitalRan2020 to 2025Enrolled189ConditionsObesityArmsEndoscopic gastroplasty
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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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.

Colette S InabaDepartment of Surgery, University of California Irvine Medical Center, Orange, CA.
Christina Y KohDepartment of Surgery, University of California Irvine Medical Center, Orange, CA.
Sarath Sujatha-BhaskarDepartment of Surgery, University of California Irvine Medical Center, Orange, CA.
Jack P SilvaDepartment of Surgery, University of California Irvine Medical Center, Orange, CA.
Yanjun ChenInstitute for Clinical and Translational Science, University of California Irvine, Orange, CA.
Danh V NguyenDepartment of Medicine, University of California Irvine Medical Center, Orange, CA; Institute for Clinical and Translational Science, University of California Irvine, Orange, CA.
Ninh T NguyenDepartment of Surgery, University of California Irvine Medical Center, Orange, CA. Electronic address: ninhn@uci.edu.

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
NCATS NIH HHS UL1 TR001414
6 · The paper itself

Abstract

backgroundContemporary mortality after bariatric surgery is low and has been decreasing over the past 2 decades. Most studies have reported inpatient or 30-day mortality, which may not represent the true risk of bariatric surgery. The objective of this study was to examine 1-year mortality and factors predictive of 1-year mortality after contemporary laparoscopic bariatric surgery. STUDY

designUsing the 2008 to 2012 Bariatric Outcomes Longitudinal Database (BOLD), data from 158,606 operations were analyzed, including 128,349 (80.9%) laparoscopic Roux-en-Y gastric bypass (LRYGB) and 30,257 (19.1%) laparoscopic sleeve gastrectomy (LSG) operations. Multivariate logistic regression was used to determine independent risk factors associated with 1-year mortality for each type of procedure.

resultsThe 30-day and 1-year mortality rates for LRYGB were 0.13% and 0.23%, respectively, and for LSG were 0.06% and 0.11%, respectively. Risk factors for 1-year mortality included older age (LRYGB: adjusted odds ratio [AOR] 1.05 per year, p < 0.001; LSG: AOR 1.08 per year, p < 0.001); male sex (LRYGB: AOR 1.88, p < 0.001); higher BMI (LRYGB: AOR 1.04 per unit, p < 0.001; LSG: AOR 1.05 per unit, p = 0.009); and the presence of 30-day leak (LRYGB: AOR 25.4, p < 0.001; LSG: AOR 35.8, p < 0.001), 30-day pulmonary embolism (LRYGB: AOR 34.5, p < 0.001; LSG: AOR 252, p < 0.001), and 30-day hemorrhage (LRYGB: AOR 2.34, p = 0.001).

conclusionsContemporary 1-year mortality after laparoscopic bariatric surgery is much lower than previously reported, at <0.25%. It is important to continually refine techniques and perioperative management in order to minimize leaks, hemorrhage, and pulmonary embolus after bariatric surgery because these complications contribute to a higher risk of mortality.

Indexed as

Bariatric SurgeryDatabases, FactualFemaleHumansLaparoscopyLongitudinal StudiesMaleMiddle AgedPostoperative ComplicationsRisk FactorsTreatment Outcome

Identifiers

PMID29551698
PMCPMC6145142

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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.