Evidence map›Paper›PMID 31044345›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2020

Sleeve Gastrectomy Compared with Gastric Bypass for Morbidly Obese Patients with End Stage Renal Disease: a Decision Analysis.

Rashikh A Choudhury, Gerard Hoeltzel, Kas Prins, Eric Chow, Hunter B Moore, Peter J Lawson, Dor Yoeli, Akshay Pratap, Peter L Abt, Kristoffel R Dumon and 2 more

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
3.1field-weighted citation impact, top 9% 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

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

  1. Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
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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

12 authors at 4 institutions in 1 country.

Rashikh A ChoudhuryDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA. Rashikh.choudhury@ucdenver.edu.
Gerard HoeltzelDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Kas PrinsDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
Eric ChowDepartment of Medicine- Quantitative Sciences Unit, Stanford University Medical Center, Palo Alto, CA, USA.
Hunter B MooreDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
Peter J LawsonDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
Dor YoeliDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
Akshay PratapDepartment Surgery, Division of MIS/Bariatric Surgery, University of Colorado Hospital, Aurora, CO, USA.
Peter L AbtDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Kristoffel R DumonDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Kendra D ConzenDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
Trevor L NydamDepartment of Surgery, Division of Transplant Surgery, University of Colorado Hospital, Aurora, CO, USA.
University of Colorado Denver · USUniversity of Colorado Hospital · USHospital of the University of Pennsylvania · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of bariatric surgery has increased for morbidly obese patients with end stage renal disease (ESRD) for whom listing on the waitlist is often restricted until a certain BMI threshold is achieved. Effective weight loss for this population improves access to life-saving renal transplantation. However, it is unclear whether sleeve gastrectomy (SG) vs Roux-en-Y gastric bypass (RYGB) is a more effective therapy for these patients.

methodsA decision analytic Markov state transition model was created to simulate the life of morbidly obese patients with ESRD who were deemed ineligible to be waitlisted for renal transplantation unless they achieved a BMI less than 35 kg/m

resultsRYGB improved survival compared with SG and MWM. RYGB patients had higher rates of transplantation, leading to improved mean long-term survival. Base case patients who underwent RYGB gained 1.3 additional years of life compared with patient's who underwent SG and 2.6 additional years of life compared with MWM.

conclusionsRYGB improves access to renal transplantation and thereby increases long-term survival compared with SG and MWM. The use of SG may be incongruent with the goal of improving access to renal transplantation for morbidly obese patients.

Indexed as

Gastric BypassKidney Failure, ChronicObesity, MorbidDecision Support TechniquesGastrectomyHumansBariatric surgeryDecision analysisKidney transplantationMarkov

Identifiers

PMID31044345
OpenAlexW2943461954

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.