Evidence map›Paper›PMID 31240533›Full record

ArticleObesity surgery2019

Weight Loss Prior to Bariatric Surgery and 30-Day Mortality, Readmission, Reoperation, and Intervention: an MBSAQIP Analysis of 349,016 Cases.

Colleen Tewksbury, Nina Crowley, Julie M Parrott, Laura Andromalos, Kellene A Isom, Elizabeth Smith, Kelly C Allison

Abstract 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. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 35 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 3 institutions in 1 country.

Colleen TewksburyPerelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4th Floor, Silverstein Building, Philadelphia, PA, 19104, USA. Colleen.Tewksbury@uphs.upenn.edu.ORCID http://orcid.org/0000-0002-0832-1963
Nina CrowleyMedical University of South Carolina, Charleston, SC, USA.
Julie M ParrottPerelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4th Floor, Silverstein Building, Philadelphia, PA, 19104, USA.
Laura AndromalosNorthwest Weight & Wellness Center, Everett, WA, USA.
Kellene A IsomBrigham and Women's Hospital, Simmons University, Boston, MA, USA.
Elizabeth SmithPerelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4th Floor, Silverstein Building, Philadelphia, PA, 19104, USA.
Kelly C AllisonPerelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4th Floor, Silverstein Building, Philadelphia, PA, 19104, USA.
University of Pennsylvania · USBrigham and Women's Hospital · USMedical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite preoperative weight loss being a common prerequisite to metabolic and bariatric surgery, its relationship to 30-day postoperative outcomes is unclear. The aim of this study was to assess whether preoperative weight loss is associated with 30-day postoperative quality outcomes in adults undergoing metabolic and bariatric surgery.

methodsRetrospective cohort study assessing adults who underwent Roux-en-Y gastric bypass or sleeve gastrectomy in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Participant Use File, years 2015-2017. The relationship between preoperative weight loss and 30-day readmission, reoperation, mortality, intervention, and morbidity was assessed using multivariable logistic regression.

resultsPreoperative weight loss, body mass index loss, and percent weight loss were not associated with 30-day postoperative overall readmission, reoperation, mortality, or intervention (p > 0.01). Preoperative percent weight loss was associated with increased incidence of superficial surgical site infections (OR = 1.023, 95% CI 1.009-1.036; p = 0.001) and urinary tract infections (OR = 1.044, 95% CI 1.030-1.059; p < 0.001).

conclusionWeight loss prior to metabolic and bariatric surgery may not be necessary or safe for all patients. Unsafe weight loss prior to surgery may compromise nutrition status and lead to increased infection rates.

Indexed as

Weight LossAdultBariatric SurgeryFemaleHumansIncidenceLaparoscopyMaleMiddle AgedObesity, MorbidPatient ReadmissionPostoperative ComplicationsQuality ImprovementReoperationRetrospective StudiesUrinary Tract InfectionsBariatric surgeryMBSAQIPPreoperative weight loss

Identifiers

PMID31240533
OpenAlexW2955828011

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.