Evidence map›Paper›PMID 30652245›Full record

ArticleObesity surgery2019

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery.

Kamal K Mahawar, Ken Clare, Mary O'Kane, Yitka Graham, Lindes Callejas-Diaz, William R J Carr

Registry-linked trialAbstract read
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. It is linked to trial NCT04612088 (Cognitive Dissonance Based Intervention to Promote Multivitamin Adherence on Bariatric Patients), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT04612088 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Cognitive Dissonance Based Intervention to Promote Multivitamin Adherence on Bariatric Patients

TypeinterventionalSponsorUniversidad Autonoma de Baja CaliforniaRan2020 to 2021Enrolled34ConditionsAdherence, MedicationArmsCognitive Dissonance
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Kamal K MahawarBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. kamal_mahawar@hotmail.com.ORCID 0000-0003-2551-3462
Ken ClareWLS Info and Obesity Empowerment Network, Liverpool, UK.
Mary O'KaneObesity Centre, Leeds Teaching Hospitals NHS Trust, London, UK.
Yitka GrahamBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Lindes Callejas-DiazBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
William R J CarrBariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Sunderland Royal Hospital · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it.

methodsBariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®.

resultsA total of 529 patients (92.61% females, mean age 47.7 years) took part. Most of these patients had undergone either a Roux-en-Y gastric bypass (63.0%) or sleeve gastrectomy (24.0%). Most of the patients were in full-time (49.0%, n = 260/529) or part-time (15.7%, n = 83/529) employment. Approximately 54.0% (n = 287/529) of the respondents reported having trouble taking all their supplements. Males were significantly more likely to report complete compliance. The most important reported reason for poor compliance was difficulty in remembering (45.6%), followed by too many tablets (16.4%), side effects (14.3%), cost (11.5%), non-prescribing by GP (10.8%), bad taste (10.1%), and not feeling the need to take (9.4%). Patients suggested reducing the number of tablets (41.8%), patient education (25.7%), GP education (24.0%), reducing the cost (18.5%), and more information from a healthcare provider (12.5%) or a pharmacist (5.2%) to improve the compliance.

conclusionsThis study is the first attempt to understand patient perspectives on poor adherence to post-bariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it.

Indexed as

Dietary SupplementsMedication AdherenceAdultAgedBariatric SurgeryDeficiency DiseasesFemaleHumansMaleMicronutrientsMiddle AgedObesity, MorbidYoung AdultMicronutrientsAdherenceBariatric surgeryComplianceMicronutrient deficiencyObesity surgeryVitamin and mineral deficiency

Identifiers

PMID30652245
OpenAlexW2910322730

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.