Evidence map›Paper›PMID 29663253›Full record

ArticleObesity surgery2018

Older Age Confers a Higher Risk of 30-Day Morbidity and Mortality Following Laparoscopic Bariatric Surgery: an Analysis of the Metabolic and Bariatric Surgery Quality Improvement Program.

Ivy N Haskins, Tammy Ju, Ashlyn E Whitlock, Lisbi Rivas, Richard L Amdur, Paul P Lin, Khashayar Vaziri

Abstract read
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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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  7. Article
  8. Therapeutic and lifestyle approaches to obesity in older persons.Current opinion in clinical nutrition and metabolic care · 2019
    Review
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.

Ivy N HaskinsDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA. ihaskins@gwu.edu.
Tammy JuDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA.
Ashlyn E WhitlockSchool of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Lisbi RivasDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA.
Richard L AmdurDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA.
Paul P LinDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA.
Khashayar VaziriDepartment of Surgery, George Washington University, 2150 Pennsylvania Avenue NW, Suite 6B, Washington, DC, 20037, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a paucity of literature describing the association of age with the risk of adverse events following bariatric surgery. The purpose of this study is to investigate the association of age with 30-day morbidity and mortality following laparoscopic bariatric surgery using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.

methodsAll adult patients undergoing laparoscopic Roux-en-Y gastric bypass (RNGYB) or sleeve gastrectomy (SG) were identified within the MBSAQIP database. Patients were divided into five equal age quintiles. Binary outcomes of interest, including cardiac, pulmonary, wound, septic, clotting, and renal events, in addition to the incidence of related 30-day unplanned reintervention, related 30-day mortality, and a composite morbidity and mortality outcome were compared across the age quintiles and procedures.

resultsA total of 266,544 patients met inclusion criteria. Older age was associated with an increased risk of all morbidity outcomes except venous thromboembolism events, 30-day mortality, and the composite morbidity and mortality outcome. Patients who underwent Roux-en-Y gastric bypass had worse outcomes per quintile for almost every outcome of interest when compared to patients who underwent sleeve gastrectomy.

conclusionOlder patients and patients who undergo Roux-en-Y gastric bypass are at an increased risk of perioperative morbidity and mortality following laparoscopic bariatric surgery. Additional studies are needed to determine the association of age with long-term weight loss and cardiometabolic comorbidity resolution following bariatric surgery in order to determine if the increased perioperative risk is offset by improved long-term outcomes in older patients undergoing bariatric surgery.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidAdultAge FactorsCohort StudiesComorbidityFemaleHumansMaleMiddle AgedQuality ImprovementAgeBariatric surgeryMorbidityMortalityRoux-en-Y gastric bypassSleeve gastrectomy

Identifiers

PMID29663253

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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.