Evidence map›Paper›PMID 30612326›Full record

ArticleObesity surgery2019

Adolescent Bariatric Surgery: Effects of Socioeconomic, Demographic, and Hospital Characteristics on Cost, Length of Stay, and Type of Procedure Performed.

Claire B Cummins, Omar Nunez Lopez, Byron D Hughes, Deepak Adhikari, Christopher A Guidry, Samantha Stubbs, Ravi S Radhakrishnan, Kanika A Bowen-Jallow

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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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  5. Ethical Considerations and Equipoise in Cancer Surgery.Indian journal of surgical oncology · 2024
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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

8 authors at 2 institutions in 1 country.

Claire B CumminsDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Omar Nunez LopezDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Byron D HughesDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Deepak AdhikariCenter for Gerontology and Healthcare Research, Brown University, Providence, RI, USA.
Christopher A GuidryDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Samantha StubbsDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Ravi S RadhakrishnanDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Kanika A Bowen-JallowDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA. kabowen@utmb.edu.ORCID http://orcid.org/0000-0003-0512-8284
The University of Texas Medical Branch at Galveston · USBrown University · US

Funding

SURGICAL TRAINING IN GASTROINTESTINAL ENDOCRINOLOGYT32DK007639 · NIDDK · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI RADHAKRISHNAN, RAVI S. · 1992 to 2022
$3.6M
NIDDK NIH HHS T32 DK007639
6 · The paper itself

Abstract

backgroundDespite the efficacy of bariatric surgery in adolescents and the increasing rates of adolescent obesity, the use of bariatric surgery remains low. Treatment cost and length of stay (LOS) could be influencing the utilization of bariatric surgery.

methodsWe used the Kids' Inpatient Database (KID) from 2006, 2009, and 2012. Adolescents with a primary diagnosis of obesity who underwent bariatric surgery were included. Multinomial logistic and linear regression modeling was used to determine the association of the predictor variables with type of procedure and treatment cost and LOS, respectively.

resultsWe identified 1799 adolescents who underwent bariatric surgery. The majority of the subjects were female (77%) and White (60%). The most commonly performed procedure was Roux-en-Y gastric bypass (56%). Race, region, hospital teaching status, and hospital ownership affected the type of procedure performed. Self-pay patients were less likely to undergo Roux-en-Y gastric bypass (RYGB) than sleeve gastrectomy (SG) when compared to patients with private insurance. Teaching hospitals were less likely to perform RYGB or AGB than SG when compared to non-teaching hospitals. Treatment cost was significantly affected by income, teaching hospital status, hospital size, and surgery type. LOS was affected by income quartile, region, and surgery type.

conclusionSocioeconomic and demographic factors as well as hospital characteristics affect not only the LOS and treatment cost, but also the type of bariatric surgery performed in adolescents. Identifying and understanding the factors influencing procedure choice, treatment cost, and LOS can improve care and healthcare resource utilization.

Indexed as

Bariatric SurgeryAdolescentFemaleHumansLength of StayMaleObesityRetrospective StudiesTreatment OutcomeAdolescent obesityBariatric surgeryChildhood obesityLength of stayTreatment cost

Identifiers

PMID30612326
PMCPMC6656361
OpenAlexW2907443343

What OpenQuestion holds

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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.