Evidence map›Paper›PMID 29769254›Full record

ArticleBMJ open2018

Long-term effects of bariatric surgery on acute kidney injury: a propensity-matched cohort in the UK Clinical Practice Research Datalink.

Uwe Koppe, Dorothea Nitsch, Kathryn E Mansfield, Rohini Mathur, Krishnan Bhaskaran, Rachel L Batterham, Liam Smeeth, Ian J Douglas

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Prevalence and risk factors of acute kidney injury in adults with obesity undergoing bariatric surgery: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026
    Review
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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

8 authors at 4 institutions in 2 countries.

Uwe KoppeFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-9718-5811
Dorothea NitschFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Kathryn E MansfieldFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-2551-410X
Rohini MathurFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-3817-8790
Krishnan BhaskaranFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Rachel L BatterhamCentre for Obesity Research, Rayne Institute, Department of Medicine, University College London, London, UK.
Liam SmeethFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Ian J DouglasFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBRobert Koch Institute · DERoyal Free London NHS Foundation Trust · GBUniversity College Hospital · GB

Funding

Department of Health RP-2015-06-005Medical Research Council G0802403Wellcome TrustWellcome Trust 098504/Z/12/ZWellcome Trust 107731/Z/15/ZWellcome Trust 201375/Z/16/Z
6 · The paper itself

Abstract

objectiveBariatric surgery is an effective method of weight reduction and has been associated with acute kidney injury (AKI) as a perioperative event. However, the long-term effects of the weight reduction after surgery on AKI are unknown. The objective of this study is to quantify the association of bariatric surgery with later risk of AKI.

designThis study uses a propensity score-matched cohort of patients from the UK Clinical Practice Research Datalink database with and without bariatric surgery to compare rates of AKI episodes derived from linkage to the Hospital Episode Statistics.

settingEngland, UK.

participantsWe included 2643 patients with bariatric surgery and 2595 patients without.

resultsResults were compatible with an increased risk of AKI in the first 30 days following surgery compared with patients without surgery, but AKI incidence was substantially decreased in patients with bariatric surgery during long-term follow-up (rate ratio 0.37, 95% CI 0.23 to 0.61) even after accounting for chronic kidney disease status at baseline. Over the whole period of follow-up, bariatric surgery had a net protective effect on risk of AKI (rate ratio 0.45, 95% CI 0.28 to 0.72).

conclusionsBariatric surgery was associated with protective effects on AKI incidence during long-term follow-up. While the risk of AKI may be increased within the first 30 days, the net effect seen was beneficial.

Indexed as

Acute Kidney InjuryAdolescentAdultAgedAged, 80 and overBariatric SurgeryDatabases, FactualEnglandFemaleHumansIncidenceMaleMiddle AgedOutcome Assessment, Health CarePropensity ScoreRegression Analysisacute kidney injurybariatric surgeryclinical practice research datalinkobesity

Identifiers

PMID29769254
PMCPMC5961582
OpenAlexW2804665131

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.