ArticleCardiovascular diabetology2018
A 23-year study of mortality and development of co-morbidities in patients with obesity undergoing bariatric surgery (laparoscopic gastric banding) in comparison with medical treatment of obesity.
Article in Cardiovascular diabetology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Systematic Review and Meta-Analysis of the Impact of Bariatric Surgery on Future Cancer Risk.International journal of molecular sciences · 2023Pooled it
- Effect of Prolonged and Substantial Weight Loss on Incident Atrial Fibrillation: A Systematic Review and Meta-Analysis.Nutrients · 2023Pooled it
- Association of bariatric surgery with all-cause mortality and incidence of obesity-related disease at a population level: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- Compared with Controls, Bariatric Surgery Prevents Long-Term Mortality in Persons with Obesity Only Above Median Age of Cohorts: a Systematic Review and Meta-Analysis.Obesity surgery · 2020Pooled it
- Effects of Bariatric Surgery on Cancer Risk: Evidence from Meta-analysis.Obesity surgery · 2020Pooled it
- Metabolic surgery versus usual care effects on mortality among patients with obesity and type 2 diabetes: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025Review
- Bariatric surgery and all-cause mortality: A methodological review of studies using a non-surgical comparator.Diabetes, obesity & metabolism · 2024Review
- Cohort study on incidence of new-onset type 2 diabetes in patients after bariatric surgery and matched controls.The British journal of surgery · 2024Article
- Alanine transferase levels (ALT) and triglyceride-glucose index are risk factors for type 2 diabetes mellitus in obese patients.Acta diabetologica · 2024Article
- Observational cohort investigating health outcomes and healthcare costs after metabolic and bariatric surgery: a study protocol.BMJ open · 2024Article
- Article
- Clinical Perspectives, Eligibility, and Success Criteria for Bariatric/Metabolic Surgery.Advances in experimental medicine and biology · 2024Review
- Long-term clinical outcomes of bariatric surgery in adults with severe obesity: A population-based retrospective cohort study.PloS one · 2024Article
- Clinical outcomes and adverse events of bariatric surgery in adults with severe obesity in Scotland: the SCOTS observational cohort study.Health technology assessment (Winchester, England) · 2024Observational
- Long-term all-cause and cause-specific mortality for four bariatric surgery procedures.Obesity (Silver Spring, Md.) · 2023Article
- Review
- The effect of bariatric surgery in comparison with the control group on the prevention of comorbidities in people with severe obesity: a prospective cohort study.BMC surgery · 2022Article
- Baseline conditions and nutritional state upon hospitalization are the greatest risks for mortality for cardiovascular diseases and for several classes of diseases: a retrospective study.Scientific reports · 2022Article
- Effect of bariatric surgery on cardiac function in obese patients: An echocardiographic assessment.Saudi medical journal · 2022Article
- Bariatric surgery for the management of type 2 diabetes mellitus-current trends and challenges: a review article.American journal of translational research · 2022Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimSeveral studies have shown that bariatric surgery reduces long term mortality compared to medical weight loss therapy. In a previous study we have demonstrated that gastric banding (LAGB) is associated with reduced mortality in patients with and without diabetes, and with reduced incidence of obesity co-morbidities (cardiovascular disease, diabetes, and cancer) at a 17 year follow-up. The aim of this study was to verify at a longer time interval (23 years) mortality and incidence of co-morbidities in patients undergoing LAGB or medical weight loss therapy. PATIENTS AND
methodsAs reported in the previous shorter-time study, medical records of obese patients [body mass index (BMI) > 35 kg/m
resultsFinal observation period was 19.5 ± 1.87 years (13.4-23.5). Compared to controls, LAGB was associated with reduced mortality [HR = 0.52, 95% CI 0.33-0.80, p = 0.003], significant in patients with diabetes [HR = 0.46, 95% CI 0.22-0.94, p = 0.034], borderline significant in patients without diabetes [HR = 0.61, 95% CI = 0.35-1.05, p = 0.076]. LAGB was associated with lower incidence of diabetes (15 vs 75 cases, p = 0.001), of CV diseases (61 vs 226 cases, p = 0.009), of cancer (10 vs 35, p = 0.01), and of renal diseases (0 vs 35, p = 0.001), and of hospital admissions (92 vs 377, p = 0.001).
conclusionThe preventive effect of LAGB on mortality is maintained up to 23 years, even with a decreased efficacy compared with the shorter-time study, while the preventive effect of LAGB on co-morbidities and on hospital admissions increases with time.
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