Evidence map›Paper›PMID 31095581›Full record

ArticlePloS one2019

Ophthalmologic evaluation of severely obese patients undergoing bariatric surgery: A pilot, monocentric, prospective, open-label study.

Chiara Posarelli, Guido Salvetti, Paolo Piaggi, Francesca Guido, Giovanni Ceccarini, Ferruccio Santini, Michele Figus

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

7 authors at 2 institutions in 2 countries.

Chiara PosarelliOphthalmology, Department of Surgical, Medical, Molecular Pathology and of Critical Area, University Hospital of Pisa, Pisa, Italy.ORCID 0000-0003-0222-5177
Guido SalvettiObesity Center, at the Endocrine Unit, University Hospital of Pisa, Pisa, Italy.
Paolo PiaggiObesity Center, at the Endocrine Unit, University Hospital of Pisa, Pisa, Italy.ORCID 0000-0003-2774-9161
Francesca GuidoOphthalmology, Department of Surgical, Medical, Molecular Pathology and of Critical Area, University Hospital of Pisa, Pisa, Italy.
Giovanni CeccariniObesity Center, at the Endocrine Unit, University Hospital of Pisa, Pisa, Italy.
Ferruccio SantiniObesity Center, at the Endocrine Unit, University Hospital of Pisa, Pisa, Italy.
Michele FigusOphthalmology, Department of Surgical, Medical, Molecular Pathology and of Critical Area, University Hospital of Pisa, Pisa, Italy.
Azienda Ospedaliera Universitaria Pisana · ITNational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate the pathogenic role of obesity on blinding eye diseases in a population of severely obese patients with no history of eye diseases, and to verify whether weight loss induced by bariatric surgery may have a protective effect.

methodsThis was a pilot, monocentric, prospective, and open label study conducted at the University Hospital of Pisa. Fifty-seven severely obese patients with a mean body mass index value of 44.1 ± 6 kg/m2 were consecutively recruited and received a complete ophthalmological evaluation and optical coherence tomography. Twenty-nine patients who underwent gastric bypass were evaluated also 3 months, and 1 year after surgery.

resultsAt baseline, blood pressure value were directly and significantly related to intraocular pressure values (p<0.05, R = 0.35). Blood pressure values were also significantly and inversely related to retinal nerve fiber layer thickness, particularly in the temporal sector (RE p<0.05 r-0.30; LE p<0.01, R = -0.43). Moreover, minimum foveal thickness values were significantly and inversely associated with body mass index (RE p<0.02, R = -0.40; LE p<0.02, R = -0.30). A significant reduction of body mass index (p<0.05) and a significant (p<0.05) improvement of blood pressure was observed three months and one year after gastric bypass, which were significantly associated with an increase in retinal nerve fiber layer thickness and minimum foveal thickness values in both eyes (p<0.05).

conclusionsThe results of this study suggest that obese patients may have a greater susceptibility to develop glaucomatous optic nerve head damage and age-related macular degeneration. Moreover, weight reduction and improvement of comorbidities obtained by bariatric surgery may be effective in preventing eye disease development by improving retinal nerve fiber layer and foveal thickness.

Indexed as

Bariatric SurgeryAdolescentAdultAgedEye DiseasesGlaucomaHumansIntraocular PressureMacular DegenerationMiddle AgedObesityOphthalmologyOptic DiskPilot ProjectsProspective StudiesTomography, Optical Coherence

Identifiers

PMID31095581
PMCPMC6522100
OpenAlexW2945075192

What OpenQuestion holds

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LicenceCC BY
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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.