Evidence map›Paper›PMID 31456024›Full record

ArticleSurgical endoscopy2020

Higher Edmonton Obesity Staging System scores are associated with complications following laparoscopic Roux-en-Y gastric bypass.

Samuel L Skulsky, Jerry T Dang, Adrian Battiston, Noah J Switzer, Daniel W Birch, Arya M Sharma, Shahzeer Karmali

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Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Samuel L SkulskyFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Jerry T DangDepartment of Surgery, University of Alberta, Edmonton, AB, Canada. dang2@ualberta.ca.ORCID http://orcid.org/0000-0001-8659-0934
Adrian BattistonFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Noah J SwitzerDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Daniel W BirchDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Arya M SharmaDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.
Shahzeer KarmaliDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Edmonton Obesity Staging System (EOSS) is a staging system describing comorbidities and functional limitations associated with obesity, thus facilitating the prioritization of patients for bariatric surgery. Our objective was to elucidate any associations of EOSS scores with major complications after laparoscopic Roux-en-Y gastric bypass (LRYGB).

methodsA retrospective chart review examined patients who received primary LRYGB from 2009 to 2015 at a single center. Collected data included patient comorbidities, preoperative EOSS stage, body mass index (BMI), age, percent excess weight loss, and 1-year major complications. Major complications were defined by a Clavien-Dindo classification ≥ IIIa.

results378 patients (81.7% female) receiving primary LRYGB were reviewed with the following EOSS stages: 0 (3.7%), 1 (10.8%), 2 (78.6%), 3 (6.9%), and 4 (0.0%). The mean preoperative BMI was 45.9 (SD 6.3) kg/m

conclusionOur findings suggest that undergoing LRYGB with EOSS stage 3 has increased odds of major complications. As such, the EOSS demonstrates utility in identifying bariatric surgery candidates at risk of major postoperative morbidity. Further studies are required to assess the applicability of the EOSS for patients undergoing other forms of bariatric surgery.

Indexed as

AdultBariatric SurgeryBody Mass IndexComorbidityFemaleGastric BypassHumansLaparoscopyMaleMiddle AgedObesityObesity, MorbidRetrospective StudiesWeight LossBariatric surgery complicationsEdmonton Obesity Staging SystemEOSSRoux-en-Y gastric bypass

Identifiers

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Registered trials

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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.