ReviewObesity surgery2018
How Ethical Is Our Current Delivery of Care to Patients with Severe and Complicated Obesity?
Review 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, 2 of them syntheses that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social justice for adults with high body weight: a systematic review.International journal for equity in health · 2026Pooled it
- Sleeve Gastrectomy in Patients with Continuous-Flow Left Ventricular Assist Devices: a Systematic Review and Meta-Analysis.Obesity surgery · 2020Pooled it
- Ethical Dimensions of Bariatric Surgery: A Narrative Review of Principles, Challenges, and Practice Implications.Obesity surgery · 2026Review
- Knowledge and perceptions of obesity care among general practice nurses in the Republic of Ireland.Primary health care research & development · 2026Article
- Cost-Effectiveness Analysis of Bariatric Surgery and Pharmacological Treatments for People with Obesity and Type 2 Diabetes Mellitus.Obesity surgery · 2026Article
- Factors influencing patients to choose one obesity treatment over another: a qualitative study.International journal of obesity (2005) · 2025Article
- Article
- Artificial Intelligence and Patient Autonomy in Obesity Treatment Decisions: An Empirical Study of the Challenges.Cureus · 2023Article
- Review
- Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice.International journal of environmental research and public health · 2023Review
- Weight stigma and fat phobia in Poland - attitudes towards people living with obesity and the level of knowledge about obesity among the social media internet respondents and medical professionals.Frontiers in nutrition · 2023Article
- Structured Lifestyle Modification Prior to Bariatric Surgery: How Much is Enough?Obesity surgery · 2021Review
- Severe obesity in a specialist type 2 diabetes outpatient clinic: an Australian retrospective cohort study.BMC endocrine disorders · 2021Article
- Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men.JAMA network open · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite overwhelming evidence that bariatric interventions reduce morbidity and mortality and are cost-effective, access for affected patients is limited. We sought to describe the extent to which health policy makers and publically funded health services have an ethical obligation to provide bariatric care. We conducted a narrative review of the literature pertaining to the efficacy, safety, and cost-effectiveness of bariatric surgical interventions, in the context of the core principles of medical ethics. We found that in relation to autonomy (i.e., the right to self-determination), beneficence, non-maleficence, and justice (i.e., the obligation to provide fair and equitable treatment to all patients), the current provision of bariatric surgical care fell short of meeting internationally recognized medical ethical standards. These findings have important implications for government policy and healthcare resource allocation. Respecting the individual's right of self-determination, to do good, prevent harm, and provide equity in access to services is paramount, even when that individual is obese.
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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.