Evidence map›Paper›PMID 30536201›Full record

ArticleObesity surgery2019

Bariatric Surgery in the Elderly Patient: Safety and Short-time Outcome. A Case Match Analysis.

Myrian Vinan-Vega, Tamara Diaz Vico, Enrique F Elli

Abstract read
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In one paragraph

Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  5. SKIN COLOR DIFFERENCES AND HEALTH-RELATED QUALITY OF LIFE PERCEPTION AFTER GASTRIC BYPASS ROUX-EN-Y: A CROSS-SECTIONAL STUDY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Myrian Vinan-VegaGeneral Surgery, Mayo Clinic, Jacksonville, FL, USA.
Tamara Diaz VicoGeneral Surgery, Mayo Clinic, Jacksonville, FL, USA.
Enrique F ElliGeneral Surgery, Mayo Clinic, Jacksonville, FL, USA. elli.enrique@mayo.edu.ORCID http://orcid.org/0000-0001-6563-9540
Mayo Clinic in Florida · USJacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndications and outcomes of bariatric surgery in the elderly remain controversial. We aimed to evaluate and compare safety and early outcomes of bariatric procedures in this age group. STUDY

designWe performed a retrospective case-control study of Mayo Clinic bariatric surgery patients from January 1, 2016, to January 31, 2018. Data collection included surgery type, sex, age, body mass index (BMI), and comorbidities (hypertension, diabetes mellitus, hyperlipidemia, and obstructive sleep apnea (OSA)). Patients aged 65 years old or older were matched with controls younger than 65 years by body mass index (BMI). We assessed length of stay (LOS), perioperative and early postoperative outcomes, short-term weight loss, and complications.

resultsWe included 150 bariatric patients, with a case-to-control ratio of 1:2. After laparoscopic sleeve gastrectomy, no significant difference was found in LOS between groups (2.4 vs 2.6 days; P = 0.52), 1-month BMI difference (3.35 vs 3.88; P = 0.17), mean nadir excess BMI loss (%EBL) (22.14 vs 23.2; P = 0.75), or complication rate (0% vs 3.3%; P > 0.99). Similarly, the laparoscopic or robotic-assisted Roux-en-Y gastric bypass (RYGB) cohort showed no difference in LOS (2.65 vs 2.54 days; P = 0.68), 1-month BMI difference (4.72 vs 4.53; P = 0.68), %EBL (31.7 vs 26.6; P = 0.13), or complication rate (11.7% vs 5.71%; P = 0.43).

conclusionAlthough the sample size is small to draw definitive conclusions, bariatric surgery in patients 65 years or older seems to be safe, with similar outcomes and complication rates as in younger patients, regardless of procedure performed.

Indexed as

Bariatric SurgeryAgedAged, 80 and overAge of OnsetBody Mass IndexCase-Control StudiesComorbidityFemaleGeriatric AssessmentHumansLaparoscopyLength of StayMaleObesity, MorbidPrognosisRetrospective StudiesBariatric surgeryBody mass indexElderly patientLaparoscopic robotic-assisted Roux-en-Y gastric bypassLaparoscopic Roux-en-Y gastric bypassLaparoscopic sleeve gastrectomy

Identifiers

PMID30536201
OpenAlexW2903986726

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.