Evidence map›Paper›PMID 31502182›Full record

ArticleObesity surgery2020

Long-Term Matched Comparison of Adjustable Gastric Banding Versus Sleeve Gastrectomy: Weight Loss, Quality of Life, Hospital Resource Use and Patient-Reported Outcome Measures.

Yazmin Johari, Geraldine Ooi, Paul Burton, Cheryl Laurie, Shourye Dwivedi, YunFei Qiu, Richard Chen, Damien Loh, Peter Nottle, Wendy Brown

Abstract readComparative StudyEvaluation Study
PubMed Publisher
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 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 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

10 authors at 1 institution in 1 country.

Yazmin JohariOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia. yazmin.joharihalimshah@monash.edu.ORCID 0000-0002-1531-9749
Geraldine OoiOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Paul BurtonOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Cheryl LaurieOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Shourye DwivediCentre for Obesity Research and Education (CORE), Monash University, Level 6, The Alfred Centre, 99 Commercial Rd, Prahran, 3004, Australia.
YunFei QiuCentre for Obesity Research and Education (CORE), Monash University, Level 6, The Alfred Centre, 99 Commercial Rd, Prahran, 3004, Australia.
Richard ChenOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Damien LohOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Peter NottleOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
Wendy BrownOesophago-Gastric and Bariatric Unit, Department of General Surgery, The Alfred Hospital, Commercial Rd, Prahran, 3004, Australia.
The Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComparisons of bariatric procedures across a range of outcomes are required to better inform selection of procedures and optimally allocate health care resources.

aimsTo determine differences in outcomes between laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) across nine outcome domains.

methodsMatched primary LSG or LAGB across age, weight and surgery date were recruited. Data were collected from a prospective database and patient-completed questionnaires.

resultsPatients (n = 520) were well-matched (LAGB vs. LSG; age 41.8 ± 11.2 vs. 42.7 ± 11.7 years, p = 0.37; male 32.4% vs. 30.2%, p = 0.57; baseline weight 131.2 ± 30.5 vs. 131.0 ± 31.1 kg, p = 0.94). Follow-up rate was 95% at a mean of 4.8 years. LAGB attended more follow-up visits (21 vs. 13, p < 0.05). Mean total body weight loss was 27.7 ± 11.7% vs. 19.4 ± 11.1% (LSG vs. LAGB, p < 0.001). LAGB had more complications (23.8% vs. 10.8%, p < 0.001), re-operations (89 vs. 13, p < 0.001) and readmissions (87 vs. 32, p < 0.001). However, early post-operative complications were higher post-LSG (2.6 vs. 9.2%, p = 0.007). Length of stay (LOS) was higher post-LSG compared with LAGB (5.2 ± 10.9 vs. 1.5 ± 2.2 days, p < 0.001). LSG patients reported better quality of life (SF-36 physical component score 54.7 ± 7.9 vs. 47.7 ± 10.8, p = 0.002) and satisfaction (9.2 ± 1.9 vs. 8.4 ± 1.6, p = 0.001) and less frequent regurgitation (1.2 ± 1.2 vs. 0.7 ± - 1.1, p = 0.032) and dysphagia (2.0 ± 1.3 vs. 1.3 ± 1.6, p = 0.007).

conclusionThis study showed high long-term follow-up rates in a large cohort of well-matched patients. Weight loss was greater with LSG. LAGB reported more re-operations and less satisfaction with the outcome. LOS was driven by patients with complications. This study has reinforced the need for comprehensive measurement of outcomes in bariatric surgery.

Indexed as

GastrectomyGastroplastyPatient Reported Outcome MeasuresAdultCase-Control StudiesFemaleFollow-Up StudiesHealth ResourcesHospitalsHumansLaparoscopyLength of StayMaleMiddle AgedObesity, MorbidPostoperative ComplicationsBariatricLaparoscopic gastric bandOutcomePublic

Identifiers

PMID31502182
OpenAlexW2972625919

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.