Evidence map›Paper›PMID 30383139›Full record

Observational studyAnnals of internal medicine2018

Comparative Effectiveness and Safety of Bariatric Procedures for Weight Loss: A PCORnet Cohort Study.

David Arterburn, Robert Wellman, Ana Emiliano, Steven R Smith, Andrew O Odegaard, Sameer Murali, Neely Williams, Karen J Coleman, Anita Courcoulas, R Yates Coley and 9 more

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Annals of internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 162 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 3 pooled it
25.3field-weighted citation impact, top 1% 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.

NCT02741674 completednot on this map

National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study

TypeobservationalSponsorKaiser PermanenteRan2016 to 2018Enrolled65,093ConditionsObesity, Bariatrics, Body Weight, Diabetes MellitusArmsRoux-en-y gastric bypass (RYGB) - historical, Adjustable gastric banding (AGB) - historical, Sleeve gastrectomy (SG) - historical
NCT06292936 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of a Remotely-Delivered Behavioral Intervention for Post-Bariatric Surgery Weight Regain

TypeinterventionalSponsorTemple UniversityRan2024 to 2028Enrolled200ConditionsObesity, Bariatric Surgery CandidateArmsAcceptance-Based Behavioral Intervention
3 · Its place in the literature

Who cites it

162 citing papers in PubMed, 3 syntheses or guidelines pooled it, 302 citations in OpenAlex.

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102 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 8 institutions in 1 country.

David ArterburnKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Robert WellmanKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Ana EmilianoRockefeller University, New York, New York (A.E.).
Steven R SmithThe Translational Research Institute for Metabolism and Diabetes, Florida Hospital, Orlando, Florida (S.R.S.).
Andrew O OdegaardUniversity of California, Irvine, School of Medicine, Irvine, California (A.O.O.).
Sameer MuraliKaiser Permanente Southern California, Pasadena, California (S.M., K.J.C.).
Neely WilliamsCommunity Partners' Network, Nashville, Tennessee (N.W.).
Karen J ColemanKaiser Permanente Southern California, Pasadena, California (S.M., K.J.C.).
Anita CourcoulasUniversity of Pittsburgh, Pittsburgh, Pennsylvania (A.C., K.M.M.).
R Yates ColeyKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Jane AnauKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Roy PardeeKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Sengwee TohHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts (S.T., J.S., C.H.).
Cheri JanningDuke Clinical & Translational Science Institute, Durham, North Carolina (C.J.).
Andrea CookKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A., R.W., R.Y.C., J.A., R.P., A.C.).
Jessica SturtevantHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts (S.T., J.S., C.H.).
Casie HorganHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts (S.T., J.S., C.H.).
Kathleen M McTigueUniversity of Pittsburgh, Pittsburgh, Pennsylvania (A.C., K.M.M.).
PCORnet Bariatric Study Collaborative
Kaiser Permanente Washington Health Research Institute · USHarvard Pilgrim Health Care · USKaiser Permanente · USUniversity of Pittsburgh · USCommunity Partners · USRockefeller University · USTranslational Research Institute for Metabolism and Diabetes · USUniversity of California, Irvine · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Translational Research Enhancement CoreP30DK089502 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ZACHOS, NICHOLAS CONSTANTINE · 2011 to 2020
$12.0M
NCATS NIH HHS UL1 TR001414NIDDK NIH HHS P30 DK089502
6 · The paper itself

Abstract

Background: There has been a dramatic shift in use of bariatric procedures, but little is known about their long-term comparative effectiveness. Objective: To compare weight loss and safety among bariatric procedures. Design: Retrospective observational cohort study, January 2005 to September 2015. (ClinicalTrials.gov: NCT02741674). Setting: 41 health systems in the National Patient-Centered Clinical Research Network. Participants: 65 093 patients aged 20 to 79 years with body mass index (BMI) of 35 kg/m2 or greater who had bariatric procedures. Intervention: 32 208 Roux-en-Y gastric bypass (RYGB), 29 693 sleeve gastrectomy (SG), and 3192 adjustable gastric banding (AGB) procedures. Measurements: Estimated percent total weight loss (TWL) at 1, 3, and 5 years; 30-day rates of major adverse events. Results: Total numbers of eligible patients with weight measures at 1, 3, and 5 years were 44 978 (84%), 20 783 (68%), and 7159 (69%), respectively. Thirty-day rates of major adverse events were 5.0% for RYGB, 2.6% for SG, and 2.9% for AGB. One-year mean TWLs were 31.2% (95% CI, 31.1% to 31.3%) for RYGB, 25.2% (CI, 25.1% to 25.4%) for SG, and 13.7% (CI, 13.3% to 14.0%) for AGB. At 1 year, RYGB patients lost 5.9 (CI, 5.8 to 6.1) percentage points more weight than SG patients and 17.7 (CI, 17.3 to 18.1) percentage points more than AGB patients, and SG patients lost 12.0 (CI, 11.6 to 12.5) percentage points more than AGB patients. Five-year mean TWLs were 25.5% (CI, 25.1% to 25.9%) for RYGB, 18.8% (CI, 18.0% to 19.6%) for SG, and 11.7% (CI, 10.2% to 13.1%) for AGB. Patients with diabetes, those with BMI less than 50 kg/m2, those aged 65 years or older, African American patients, and Hispanic patients lost less weight than patients without those characteristics. Limitation: Potential unobserved confounding due to nonrandomized design; electronic health record databases had missing outcome data. Conclusion: Adults lost more weight with RYGB than with SG or AGB at 1, 3, and 5 years; however, RYGB had the highest 30-day rate of major adverse events. Small subgroup differences in weight loss outcomes were observed. Primary Funding Source: Patient-Centered Outcomes Research Institute.

Indexed as

Weight LossAdultAgedBariatric SurgeryComparative Effectiveness ResearchFemaleFollow-Up StudiesGastrectomyGastric BypassGastroplastyHumansLaparoscopyMaleMiddle AgedObesity, MorbidPostoperative Complications

Identifiers

PMID30383139
PMCPMC6652193
OpenAlexW2898794004

What OpenQuestion holds

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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.