Evidence map›Paper›PMID 30421849›Full record

ArticleObesity (Silver Spring, Md.)2019

Geographic Variation in Obesity, Behavioral Treatment, and Bariatric Surgery for Veterans.

Matthew L Maciejewski, David E Arterburn, Theodore S Z Berkowitz, Hollis J Weidenbacher, Chuan-Fen Liu, Maren K Olsen, Luke M Funk, James E Mitchell, Valerie A Smith

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 26 citations in OpenAlex.

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  8. Adult obesity treatment and prevention: A trans-agency commentary on the research landscape, gaps, and future opportunities.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024
    Review
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  18. Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Matthew L MaciejewskiCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.ORCID 0000-0003-1765-5938
David E ArterburnKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Theodore S Z BerkowitzCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Hollis J WeidenbacherCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Chuan-Fen LiuCenter for Health Services Research in Older Adults, Puget Sound Health Care System, Seattle, Washington, USA.
Maren K OlsenCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Luke M FunkWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, USA.
James E MitchellDepartment of Psychiatry and Behavioral Science, University of North Dakota, Fargo, North Dakota, USA.
Valerie A SmithCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Duke University · USDurham VA Health Care System · USKaiser Permanente Washington Health Research Institute · USUniversity of North Dakota · USUniversity of Washington · USUniversity of Wisconsin–Madison · US

Funding

Long-term Mental Health Outcomes of Bariatric SurgeryR01DA040056 · NIDA · DUKE UNIVERSITY · PI MACIEJEWSKI, MATTHEW L · 2016 to 2020
$2.3M
Identifying and Addressing Barriers to Bariatric Surgery within VAIK2HX002064 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI FUNK, LUKE M · 2018 to 2020
–
HSRD VA IK2 HX002064HSRD VA IK6 HX003157NIDA NIH HHS R01 DA040056
6 · The paper itself

Abstract

objectiveThis study aims to describe geographic variation in veterans' prevalence of obesity, participation in Veterans Health Administration's behavioral weight management program (MOVE!), and receipt of bariatric surgery in fiscal year (FY) 2016.

methodsIn this retrospective cohort study of veterans with obesity who received Veterans Health Administration care in FY2016, electronic health record data were obtained on weight, height, outpatient visits to the MOVE! program, and bariatric surgeries. For each Veterans Integrated Service Network (VISN) region, the prevalence rate of veterans with obesity (BMI ≥ 30 kg/m

resultsThe prevalence of obesity in veterans ranged from 30.5% to 40.5% across VISNs in FY2016. MOVE! participation among veterans with obesity was low (2.8%-6.9%) across all VISNs, but veterans with class II and III obesity (BMI ≥ 35) had higher MOVE! participation rates (4.3%-10.8%) than veterans with class I obesity. There was 20-fold variation across VISNs in receipt of bariatric surgery among veterans with BMI ≥ 35, ranging from 0.01% to 0.2%. Among veterans with BMI ≥ 35 participating in MOVE!, there was 46-fold variation in bariatric surgery provision, ranging from 0.07% to 3.27%.

conclusionsDespite veterans' high prevalence of obesity, behavioral and surgical weight management participation is low and varies across regions.

Indexed as

Bariatric SurgeryBehavior TherapyFemaleHumansMaleObesityRetrospective StudiesUnited StatesVeteransVeterans Health

Identifiers

PMID30421849
PMCPMC6309247
OpenAlexW2904467143

What OpenQuestion holds

Textmetadata
LicenceTDM
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.