Evidence map›Paper›PMID 30632072›Full record

ArticleObesity surgery2019

Influence of Preoperative Weight Loss on Outcomes of Bariatric Surgery for Patients Under the Enhanced Recovery After Surgery Protocol.

Tomasz Stefura, Jakub Droś, Artur Kacprzyk, Mateusz Wierdak, Monika Proczko-Stepaniak, Michał Szymański, Magdalena Pisarska, Piotr Małczak, Mateusz Rubinkiewicz, Michał Wysocki and 4 more

Open access · hybridAbstract readMulticenter Study
PubMed Publisher
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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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  16. Preoperative Weight Loss as a Predictor of Bariatric Surgery Postoperative Weight Loss and Complications.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
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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

14 authors at 2 institutions in 1 country.

Tomasz StefuraStudents' Scientific Group at 2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Jakub DrośStudents' Scientific Group at 2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Artur KacprzykStudents' Scientific Group at 2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Mateusz Wierdak2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Monika Proczko-StepaniakDepartment of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland.
Michał SzymańskiDepartment of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland.
Magdalena Pisarska2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Piotr Małczak2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Mateusz Rubinkiewicz2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Michał Wysocki2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Anna Rzepa2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Michał Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Andrzej Budzyński2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.
Piotr Major2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland. piotr.major@uj.edu.pl.ORCID http://orcid.org/0000-0001-6552-7979
Jagiellonian University · PLGdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe enhanced recovery after surgery (ERAS) protocol, which emphasizes preoperative interventions, is safely implemented in patients undergoing bariatric surgery. Patients are additionally encouraged to achieve weight loss preoperatively. We aimed to identify factors contributing to preoperative weight loss and assess their influence on outcomes of bariatric surgery among patients under the ERAS protocol. MATERIALS AND

methodsWe reviewed a prospectively created database in two bariatric centers with 909 bariatric patients treated in accordance with ERAS principles. The database included demographic characteristics, factors related to the surgery or perioperative period, and short-term outcomes. Our endpoints included analyses of (1) factors potentially contributing to preoperative weight loss and (2) the influence of preoperative weight loss on short-term outcomes of bariatric treatment.

resultsDiabetes mellitus (p = 0.007), obstructive sleep apnea (p < 0.001), and previous surgery (p = 0.012) were identified as predictors of preoperative weight loss. Steatohepatitis (p < 0.001) and respiratory disorder (p = 0.004) decreased the chance of achieving satisfactory preoperative body mass reduction. Except for operative time, early outcomes of bariatric surgery were not influenced by preoperative weight loss. Patients who achieved preoperative weight loss were less likely to be lost to follow-up (p = 0.023). Postoperative weight loss was better in patients who could lose ≥ 5% total weight preoperatively (p = 0.009).

conclusionUnsatisfactory preoperative weight loss among patients treated under ERAS principles is not associated with increased risk of complications. Satisfactory preoperative weight loss predicts superior postoperative weight loss and follow-up participation.

Indexed as

Enhanced Recovery After SurgeryWeight LossAdultBariatric SurgeryDatabases, FactualDiabetes Mellitus, Type 2FemaleHumansLength of StayMaleMiddle AgedObesity, MorbidOperative TimePostoperative ComplicationsPreoperative PeriodPrognosisBariatric surgeryERASGastric bypassObesityOutcomesPerioperative carePreoperative weight lossSleeve gastrectomy

Identifiers

PMID30632072
OpenAlexW2908619021

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.