Evidence map›Paper›PMID 31321442›Full record

ArticleRheumatology (Oxford, England)2020

Bariatric surgery and the incidence of rheumatoid arthritis - a Swedish Obese Subjects study.

Cristina Maglio, Yuan Zhang, Markku Peltonen, Johanna Andersson-Assarsson, Per-Arne Svensson, Christian Herder, Anna Rudin, Lena Carlsson

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01479452 (Effects of Bariatric Surgery in Swedish Obese Subjects), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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.

NCT01479452 nacompletednot on this map

Effects of Bariatric Surgery in Swedish Obese Subjects

TypeinterventionalSponsorGöteborg UniversityRan1987 to 2005Enrolled4,047ConditionsObesityArmsBariatric surgery, Usual care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Cristina MaglioDepartment of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Yuan ZhangDepartment of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Markku PeltonenNational Institute for Health and Welfare, Helsinki, Finland.
Johanna Andersson-AssarssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Per-Arne SvenssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Christian HerderInstitute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Dusseldorf, Dusseldorf, Germany.
Anna RudinDepartment of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lena CarlssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SEDeutsches Diabetes-Zentrum e.V. · DEFinnish Institute for Health and Welfare · FI

Funding

Benefits, Risks & Costs of Bariatric Surgery: Register-Enriched Cohort Studies.R01DK105948 · NIDDK · GOTEBORG UNIVERSITY · PI CARLSSON EKANDER, LENA, NEOVIUS, MARTIN · 2015 to 2018
$1.8M
NIDDK NIH HHS R01 DK105948
6 · The paper itself

Abstract

objectiveThe aim of this study was to determine the effect of bariatric surgery on the incidence of RA in participants of the Swedish Obese Subjects (SOS) study.

methodsThe SOS is a longitudinal study aiming to assess the effect of bariatric surgery on mortality and obesity-related diseases. This report includes 2002 subjects with obesity who underwent bariatric surgery and 2034 matched controls; none of them had RA at baseline. Cases of incident RA were identified through the Swedish National Patient Register by searching for International Classification of Diseases codes. Both intention-to-treat analyses and per-protocol analyses are reported. In the per-protocol analysis, participants from the control group who underwent bariatric surgery later on during follow-up were censored at the time of surgery.

resultsDuring follow-up, 92 study participants developed RA. The median follow-up was 21 years (range 0-29). Bariatric surgery was neither associated with the incidence of RA in the intention-to-treat analysis [hazard ratio (HR) 0.92 (95% CI 0.59, 1.46), P = 0.74], nor in the per-protocol analysis [HR 0.86 (95% CI 0.54, 1.38), P = 0.53]. Weight change at the 2 year follow-up, expressed as the change in BMI compared with baseline, did not associate with the development of RA. Higher serum CRP levels and smoking associated with the future development of RA independent of other factors.

conclusionsWe did not detect any association between bariatric surgery and the incidence of RA in subjects affected by obesity followed up for up to 29 years. CLINICALTRIALS.GOV: (http://clinicaltrials.gov): NCT01479452.

Indexed as

Bariatric SurgeryAdultArthritis, RheumatoidCase-Control StudiesFemaleFollow-Up StudiesHumansIncidenceLongitudinal StudiesMaleMiddle AgedObesitySwedenadipose tissueclinical trials and methodsepidemiologyrheumatoid arthritissurgery

Identifiers

PMID31321442
PMCPMC7571486
OpenAlexW2962859980

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.