Evidence map›Paper›PMID 29951614›Full record

ArticleBJS open2017

Mortality related to primary bariatric surgery in England.

M Alam, S Bhanderi, J H Matthews, D McNulty, D Pagano, P Small, R Singhal, R Welbourn

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Obesity surgery makes patients healthier and more functional: real world results from the United Kingdom National Bariatric Surgery Registry.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018
    Article
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 1 country.

M AlamUpper Gastrointestinal and Bariatric Unit, Heartlands Hospital, Heart of England NHS Foundation Trust Birmingham UK.ORCID 0000-0001-9924-8791
S BhanderiUpper Gastrointestinal and Bariatric Unit, Heartlands Hospital, Heart of England NHS Foundation Trust Birmingham UK.
J H MatthewsUpper Gastrointestinal and Bariatric Unit, Heartlands Hospital, Heart of England NHS Foundation Trust Birmingham UK.
D McNultyHealth Informatics University Hospital Birmingham NHS Foundation Trust Birmingham UK.
D PaganoQuality and Outcomes Research Unit University Hospital Birmingham NHS Foundation Trust Birmingham UK.
P SmallDirectorate of General Surgery, City Hospitals Sunderland NHS Foundation Trust Sunderland UK.
R SinghalUpper Gastrointestinal and Bariatric Unit, Heartlands Hospital, Heart of England NHS Foundation Trust Birmingham UK.
R WelbournDepartment of Upper Gastrointestinal and Bariatric Surgery Musgrove Park Hospital Taunton UK.ORCID 0000-0002-8228-526X
Heart of England NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBMusgrove Park Hospital · GBSouth Tyneside and Sunderland NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery is an accepted treatment option for severe obesity. Previous analysis of the independently collected Hospital Episode Statistics (HES) data for outcomes after bariatric surgery demonstrated a 30-day postoperative mortality rate of 0·3 per cent in the English National Health Service (NHS). However, there have been no published mortality data for bariatric procedures performed since 2008. This study aimed to assess mortality related to bariatric surgery in England from 2009.

methodsHES data were used to identify all patients who had primary bariatric surgery from 2009 to 2016. Clinical codes were used selectively to identify all primary bariatric procedures but exclude revision or conversion procedures and operations for malignant or other benign disease. The primary outcome measures were HES in-hospital and Office for National Statistics (ONS) 30-day mortality after discharge.

resultsA total of 41 241 primary bariatric procedures were carried out in the NHS between 2009 and 2016, with 29 in-hospital deaths (0·07 per cent). The 30-day mortality rate after discharge was 0·08 per cent (32 of 41 241). Both the in-hospital and 30-day mortality rates after discharge demonstrated a downward trend over the study period.

conclusionOverall in-hospital and 30-day mortality rates remain very low after primary bariatric surgery. An increased uptake of bariatric surgery within the English NHS has been safe.

Identifiers

PMID29951614
PMCPMC5989948
OpenAlexW2765416539

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.