Evidence map›Paper›PMID 30691442›Full record

Trial reportBMC pediatrics2019

Bariatric surgery in adolescents: a prospective randomized controlled trial comparing laparoscopic gastric banding to combined lifestyle interventions in adolescents with severe obesity (BASIC trial).

Y G M Roebroek, G F Paulus, E G A H van Mil, A C E Vreugdenhil, B Winkens, C Nederkoorn, C D A Stehouwer, J W M Greve, N D Bouvy, L W E van Heurn

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01172899 (The BASIC Trial. Morbid Obesity in Children and Adolescents), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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.

NCT01172899 naunknown statusnot on this map

The BASIC Trial. Morbid Obesity in Children and Adolescents: a Prospective Randomised Trial of Conservative Treatment Versus Surgery

TypeinterventionalSponsorMaastricht University Medical CenterRan2011 to 2022Enrolled60ConditionsObesity, MorbidArmslaparoscopic adjustable gastric band, Combined life style interventions
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Surgery for the treatment of obesity in children and adolescents.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Preventing Premature Atherosclerotic Disease.Current hypertension reports · 2020
    Review
  8. Review
  9. Review
  10. 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

10 authors at 6 institutions in 1 country.

Y G M RoebroekDepartment of General Surgery, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, AZ, Maastricht, The Netherlands. y.roebroek@hotmail.com.
G F PaulusDepartment of General Surgery, Spaarne Gasthuis, Haarlem, The Netherlands.
E G A H van MilDepartment of Paediatrics, Jeroen Bosch Medical Centre, 's Hertogenbosch, The Netherlands.
A C E VreugdenhilDepartment of Paediatrics, Maastricht University Medical Centre, Maastricht, The Netherlands.
B WinkensDepartment of Methodolgy and Statistics and CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
C NederkoornDepartment of Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands.
C D A StehouwerDepartment of Internal Medicine and CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
J W M GreveDepartment of General Surgery, Zuyderland Medical Centre, Heerlen, The Netherlands.
N D BouvyDepartment of General Surgery, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, AZ, Maastricht, The Netherlands.
L W E van HeurnNUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLMaastricht University Medical Centre · NLEmma Kinderziekenhuis · NLJeroen Bosch Ziekenhuis · NLSpaarne Gasthuis · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity in children and adolescents is an increasing problem associated with multiple co-morbidities including metabolic and endocrine changes, cardiovascular abnormalities, and impaired quality of life. Combined lifestyle interventions are the current standard treatment for severe obesity in children. However, the medium- and long-term results of these interventions are relatively poor. Bariatric surgery shows substantial weight loss and health improvement in adults and retrospective studies in adolescents show similar outcomes. However, well-designed prospective studies in this young age group are rare. Our objectives are to determine whether combining surgery with lifestyle interventions in severely obese adolescents leads to a significant additional weight reduction compared to lifestyle interventions solely, and to assess its effect on obesity-associated co-morbidities in a prospective randomized controlled setting.

methodsPatients aged 14-16 years with sex- and age-adjusted BMI > 40 kg/m DISCUSSION: This randomized controlled trial is designed to provide important information about the safety and efficacy of laparoscopic adjustable gastric banding treatment in severely obese adolescents with unsuccessful combined lifestyle interventions. The reversibility of this surgical procedure forms a strong argument to decide for gastric banding over other surgical procedures, since bariatric surgery in adolescents is still in its infancy.

trial registrationThe BASIC trial is registered in the register of ClinicalTrials.gov since July 2010, Identifier: NCT01172899.

Indexed as

GastroplastyLife StyleAdolescentCombined Modality TherapyFemaleHumansMaleObesity, MorbidPediatric ObesityProspective StudiesSeverity of Illness IndexAdolescentsBariatric surgerySafetySevere obesityWeight loss

Identifiers

PMID30691442
PMCPMC6350363
OpenAlexW2914881910

What OpenQuestion holds

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LicenceCC BY
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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.