Evidence map›Paper›PMID 31338734›Full record

ArticleObesity surgery2020

Impact of Statewide Essential Health Benefits on Utilization of Bariatric Surgery.

Karan R Chhabra, Zhaohui Fan, Grace F Chao, Justin B Dimick, Dana A Telem

Abstract read
In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Association of pancreatitis with risk of diabetes: analysis of real-world data.Frontiers in clinical diabetes and healthcare · 2023
    Article
  5. Article
  6. Article
  7. Article
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

5 authors.

Karan R ChhabraNational Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 14, Room G100, Ann Arbor, MI, 48109, USA. kchhabra@bwh.harvard.edu.ORCID 0000-0001-6620-8777
Zhaohui FanCenter for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, Building 16, 016-100N-28, Ann Arbor, MI, 48109, USA.
Grace F ChaoNational Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 14, Room G100, Ann Arbor, MI, 48109, USA.
Justin B DimickCenter for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, Building 16, 016-100N-28, Ann Arbor, MI, 48109, USA.
Dana A TelemCenter for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, Building 16, 016-100N-28, Ann Arbor, MI, 48109, USA.

Funding

AHRQ HHS K08 HS025778AHRQ HHS T32 HS000053NIA NIH HHS L30 AG040541NIA NIH HHS L30 AG060600
6 · The paper itself

Abstract

backgroundIn response to concerns about inadequate insurance coverage, bariatric surgery was included in the Affordable Care Act's essential health benefits program-requiring individual and small-group insurance plans in 23 states to cover bariatric surgery. We evaluated the impact of this policy on bariatric surgery utilization.

methodsMultiple-group interrupted time series analyses of IBM MarketScan commercial claims data from 2009 to 2016.

resultsBariatric surgery utilization increased in all states after ACA implementation, but this increase was no greater in states with a bariatric surgery essential health benefit.

conclusionsOur findings suggest that the essential health benefits program may have been too narrow in scope to meaningfully increase bariatric surgery utilization at the population level.

Indexed as

AdultBariatric SurgeryCase-Control StudiesFemaleHealth Care CostsHumansInsurance CoverageInsurance, HealthMaleMiddle AgedObesity, MorbidPatient Protection and Affordable Care ActResource AllocationUnited StatesBariatric surgeryEssential health benefitsHealth insuranceHealth policyUtilization

Identifiers

PMID31338734
PMCPMC6954295

What OpenQuestion holds

Textmetadata
LicenceTDM
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.