Evidence map›Paper›PMID 31290113›Full record

ArticleObesity surgery2019

Assessment of Contraceptive Counseling and Contraceptive Use in Women After Bariatric Surgery.

Michiel A Damhof, Esther Pierik, Lisanne L Krens, Marloes Vermeer, Marc J van Det, Eric N van Roon

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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 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, 21 citations in OpenAlex.

  1. Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020
    Pooled it
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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

6 authors at 3 institutions in 1 country.

Michiel A DamhofDepartment of Clinical Pharmacy, Ziekenhuisgroep Twente, Almelo, The Netherlands. m.damhof@zgt.nl.ORCID http://orcid.org/0000-0002-1163-8937
Esther PierikDepartment of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Lisanne L KrensDepartment of Clinical Pharmacy, Maasstad Ziekenhuis, Rotterdam, The Netherlands.
Marloes VermeerZGT Academy, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Marc J van DetDepartment of Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Eric N van RoonDepartment of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Ziekenhuis Groep Twente · NLUniversity of Groningen · NLMaasstad Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReproductive-aged women are, according to American and European guidelines, recommended to avoid pregnancy for 12-24 months after bariatric surgery. Oral contraceptives may have suboptimal efficacy after malabsorptive bariatric procedures.

aimThe aim of this study was to assess contraceptive use pre- and postoperatively in women who underwent bariatric surgery in two obesity clinics in The Netherlands. Also, the recall of contraceptive and pregnancy counseling was investigated.

methodsA validated questionnaire was performed among women aged 18-45 years who underwent bariatric surgery from October 2017 through August 2018.

resultsIn total, 230 women were eligible for final analysis. Postoperatively, 60% used safe contraception, 16.1% unsafe contraception, and 23.9% no contraception. In this study, 43.7% of women using a potential unsafe contraceptive method preoperatively switched to a safe method of contraception postoperatively (p < 0.0001). Only 62.6% of women confirmed to have received contraceptive counseling, mainly preoperatively. The odds ratio for receiving contraceptive counseling and using safe contraceptive methods compared with not receiving contraceptive counseling was 2.20 (95% CI, 1.27-3.79; p = 0.005). Eighty-three percent confirmed that they have received counseling regarding delaying a pregnancy, and 52.6% were familiar with the recommendation to avoid a pregnancy for 24 months postoperatively.

conclusionsIn our study, 60% of women are using safe contraception postoperatively. Contraceptive counseling is suboptimal as 62.6% recall receiving counseling. Those who confirmed receiving counseling were more likely to use safe contraception after bariatric surgery. More counseling and monitoring in the postoperative and in the outpatient setting is recommended.

Indexed as

Bariatric SurgeryContraception BehaviorCounselingAdolescentAdultContraceptive Agents, FemaleContraceptive DevicesContraceptives, Oral, HormonalContraindications, DrugFemaleHumansMiddle AgedPostoperative PeriodSterilization, TubalSurveys and QuestionnairesYoung AdultContraceptive Agents, FemaleContraceptives, Oral, HormonalBariatric surgeryContraceptionCounselingGastric bypassPregnancy

Identifiers

PMID31290113
OpenAlexW2958383664

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.