Evidence map›Paper›PMID 30182266›Full record

ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2019

[The German snowball effect : An increasing aftercare problem in bariatric treatment].

G Marjanovic, G Seifert, C Läßle, G Nenova, J Höppner, S Fichtner-Feigl, J M Fink

Abstract read
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In one paragraph

Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

G MarjanovicZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland. goran.marjanovic@uniklinik-freiburg.de.
G SeifertZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.
C LäßleZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.
G NenovaZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.
J HöppnerZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.
S Fichtner-FeiglZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.
J M FinkZentrum für Adipositas und Metabolische Chirurgie, Klinik für Allgemein- und Viszeralchirurgie, Hugstetterstraße 55, 79106, Freiburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical treatment of obesity in Germany is a rapidly developing field which is strictly controlled by national guidelines.

objectiveDepiction of the burden on obesity centers by the exponential increase in numbers of patients following bariatric treatment.

methodsIn a retrospective study the numbers of outpatients at this university obesity center (founded 2007) were descriptively analyzed. Outpatient visits were documented annually and divided into two groups: primary visit and follow-up visit. The frequency of bariatric operations as well as their acceptance/cost coverage by health insurances were evaluated.

resultsOverall 318 patients were seen in 2007: 156 primary and 162 follow-up visits. The health insurance rejection rate for cost coverage was 16.8%. There were 1691 outpatient visits in 2016 (2016 vs. 2007: +532%), of which 487 (+312%) were primary and 1204 (+743%) follow-up visits. The health insurance rejection rate dropped to 1.8%, while the frequency of operations increased nearly tenfold.

conclusionWith the increasing acceptance of bariatric surgery, a relatively low number of specialized centers have to deal with an exponentially rising follow-up frequency. In consideration of the extent of the obesity epidemic an adequate follow-up constitutes a socioeconomic problem, which can only be solved in an interdisciplinary setting under structural integration.

Indexed as

AftercareBariatric SurgeryObesity, MorbidGermanyHumansRetrospective StudiesAftercareBariatric surgeryCertified centersCost coverageOutpatient treatment

Identifiers

What OpenQuestion holds

Textmetadata
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.