Evidence map›Paper›PMID 30685835›Full record

ArticleObesity surgery2019

Severe Chronic Kidney Disease Is Associated with a Lower Efficiency of Bariatric Surgery.

Boris Hansel, Konstantinos Arapis, Diana Kadouch, Severine Ledoux, Muriel Coupaye, Simon Msika, François Vrtovsnik, Michel Marre, Anne Boutten, Blandine Cherifi and 4 more

Abstract 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Management of Obesity in Adults with CKD.Journal of the American Society of Nephrology : JASN · 2021
    Review
  6. Review
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 4 institutions in 1 country.

Boris HanselService d'Endocrinologie, Diabétologie et Nutrition, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, 46 Rue Henri Huchard, 75018, Paris, France. boris.hansel@aphp.fr.ORCID 0000-0002-9461-3523
Konstantinos ArapisINSERM, U-1138, Centre de Recherche des Cordeliers, Paris, France.
Diana KadouchService d'Endocrinologie, Diabétologie et Nutrition, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, 46 Rue Henri Huchard, 75018, Paris, France.
Severine LedouxUniversité Paris Diderot - Sorbonne Paris Cité, Paris, France.
Muriel CoupayeService des Explorations fonctionnelles, Hôpital Louis Mourier, HUPNVS, AP-HP, Colombes, France.
Simon MsikaUniversité Paris Diderot - Sorbonne Paris Cité, Paris, France.
François VrtovsnikUniversité Paris Diderot - Sorbonne Paris Cité, Paris, France.
Michel MarreService d'Endocrinologie, Diabétologie et Nutrition, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, 46 Rue Henri Huchard, 75018, Paris, France.
Anne BouttenService de Biochimie, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, Paris, France.
Blandine CherifiService d'Endocrinologie-Nutrition, CHU de Bordeaux, USN, Hôpital Haut-Lévêque, Pessac, France.
Sophie CambosService d'Endocrinologie-Nutrition, CHU de Bordeaux, USN, Hôpital Haut-Lévêque, Pessac, France.
Marie BeslayService d'Endocrinologie, Diabétologie et Nutrition, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, 46 Rue Henri Huchard, 75018, Paris, France.
Rodi CourieDépartement d'Hépato-Gastroentérologie et Nutrition, Hôpital Antoine Béclère, AP-HP, Clamart, France.
Ronan RousselService d'Endocrinologie, Diabétologie et Nutrition, Hôpital Bichat-Claude Bernard, HUPNVS, AP-HP, 46 Rue Henri Huchard, 75018, Paris, France.
Université Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire de Bordeaux · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a risk factor for chronic kidney disease (CKD) and a relative contraindication for renal transplantation. Bariatric surgery (BS) is an option to address this issue but we hypothesize that severe CKD is associated with a loss of efficacy of BS which could justify recommending it at an earlier stage of the CKD.

methodsA retrospective study (n = 101 patients) to test primarily for differences in weight loss at 6 and 12 months according to estimated glomerular filtration rate categories (eGFR < 30 including patients on dialysis, 30-60, 60-90, and ≥ 90 ml/min/1.73 m

resultsIn the first comparison, the multivariate analysis showed a significant positive association between eGFR and weight loss. However, after exclusion of the subgroup of patients with eGFR < 30 ml/min/1.73 m

conclusionThe efficacy of BS was reduced in patients with advanced CKD. These results support early BS in patients with early-to-moderate CKD.

Indexed as

AdultBariatric SurgeryBody Mass IndexFemaleGlomerular Filtration RateHumansMaleMiddle AgedObesityObesity, MorbidPrognosisRenal Insufficiency, ChronicRetrospective StudiesRisk FactorsSeverity of Illness IndexTreatment OutcomeBenefit/risk ratioChronic kidney disease stagesRoux-en-Y gastric bypassSleeve gastrectomyWeight loss

Identifiers

PMID30685835
OpenAlexW2911949420

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.