Evidence map›Paper›PMID 29774453›Full record

ArticleObesity surgery2018

Predictors for Adherence to Multidisciplinary Follow-Up Care after Sleeve Gastrectomy.

Ariela Goldenshluger, R Elazary, M J Cohen, M Goldenshluger, T Ben-Porat, J Nowotni, H Geraisi, M Amun, A J Pikarsky, L Keinan-Boker

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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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Ariela GoldenshlugerDepartment of Nutrition, Hadassah-Hebrew University Medical Center, 91120, Jerusalem, Israel. arielitaw@gmail.com.ORCID 0000-0002-3574-5067
R ElazaryDepartment of General Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
M J CohenClalit Health Services, Jerusalem District, Israel.
M GoldenshlugerGeneral and Oncological Department C, Chaim Sheba Medical Center-Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Hashomer, Israel.
T Ben-PoratDepartment of Nutrition, Hadassah-Hebrew University Medical Center, 91120, Jerusalem, Israel.
J NowotniDepartment of Vascular Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
H GeraisiDepartment of General Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
M AmunDepartment of General Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
A J PikarskyDepartment of General Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
L Keinan-BokerIsrael Ministry of Health, Center for Disease Control, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA considerable proportion of patients who undergo bariatric surgeries (BS) do not attend routine postoperative follow-up despite recommendations for such. Data are sparse regarding the various aspects of patient adherence to consultations following sleeve gastrectomy (SG).

objectivesTo examine predictors of adherence to SG follow-up, reasons for attrition from follow-up, and the relationship between adherence to follow-up and weight loss results.

methodsA retrospective cohort study was performed with a mean follow-up of 3 years. Data were collected from electronic medical records and telephone questionnaires. Adherence was defined both as a numerical variable (ranking 0-9 according to the number of pre-scheduled postoperative visits) and as a dichotomous variable (adherent and non-adherent groups).

resultsOf 178 patients, 46.63% were defined as "adherent," according to the dichotomous definition. Compared to the "non-adherent group," patients in the "adherent group" more regularly used vitamin D after the surgery, had fewer rehospitalizations, and reported a lower intake of sweetened beverages. The main reasons for attrition were work-related and difficulties in mobility. Adherence to postoperative follow-up was not found to be correlated to weight loss. Older age (OR = 1.04; p = 0.026) and postoperative side effects (OR = 2.33; p = 0.035) were found to be positive predictors for adherence, whereas rehospitalizations (OR = 0.08; p = 0.028) and ethnical minority status were negative predictors (OR = 0.42; p = 0.019).

conclusionAdherence to postoperative follow-up was found to be associated with positive lifestyle behaviors; however, no correlation was found to mid-term weight loss outcomes.

Indexed as

Obesity, MorbidAftercareBariatric SurgeryHumansPatient CompliancePostoperative PeriodRetrospective StudiesWeight LossAdherenceBariatric surgeryFollow-upPredictors of adherenceReasons for attritionSleeve gastrectomy

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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.